scottish hub for quality improvement
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NHSScotland's Quality Improvement Hub
Context
NHSScotland’s Improvement Journey
Scottish Patient Safety Programme
Long Term Conditions Collaborative
Diagnostics Collaborative
Planned Care Improvement Programme
Unscheduled Care Collaborative
18 Weeks ServiceRedesign and Transformation
Programme
Mental Health Collaborative
Strategic Lean
Primary Care Collaborative
JANE MURKIN
Associate Director of Improvement, Healthcare Improvement Scotland
Background
Develop the Quality Improvement Hub,
reflecting a new partnership for improvement between NHS National Services Scotland (NSS), Healthcare Improvement Scotland, NHS Heath Scotland, NHS National Education for Scotland (NES), and the Scottish Government Health Directorates Quality and Efficiency Support Team (QuEST).
• The Quality Improvement Hub aims to bring improvement science into the everyday work and language of NHS staff and to support demonstrable improvement in patient care through quality improvement activity
• Building national and local Quality Improvement capacity and capability
Our Aim:
Adoption of Innovation
E Rogers – Diffusion of Innovation 1995
We are not alone:
Shaping the Hub
The NHSScotland Quality Improvement Hub shaped and developed by NHS boards.
Providing :1. Implementation support which is flexible and
responsive2. Education and learning about QI which is
accessible and relevant3. Measurement of QI which is meaningful4. Facilitating QI networks for NHS staff
Implementation Support which is flexible and responsive:
Local • Each board has an infrastructure • Emerging local hubsNational • Supporting NHS boards with the design, testing and
implementation • Think Glucose – testing and spread across other boards• Building capacity and capability for improvement in the
senior charge nurse team• Mortality reduction improvement plan
• Brokering improvement and topic expertise support between boards for the benefit of NHSScotland
• Brokering of design students
Creative Space
• A creative and innovative space that enables users to work in an environment conducive to quality improvement
• The space is flexible, adaptable, accessible and supportive to make it easy for people to think differently to identify creative and innovative solutions
The Improvement Journey
Questions
In your role:• what opportunities do you have to improve
services locally?• what challenges do you face in using quality
improvement methodologies and tools?• what do you need to support you to use
continuous quality improvement and creativity and innovation?
SHONA COWAN
Education Programme Manager, NHS Education for Scotland
EDUCATION AND LEARNING: QUALITY IMPROVEMENT EDUCATION FRAMEWORK
• Focus on four key staff groups – Foundation, Practitioner, Lead and Board Members
• Identifies knowledge and skills required to be able to undertake improvement work and links to KSF
• Designed for use by individuals, organisations and education providers• Quality Improvement Learner Journey will be key - targeted learning
resources will be mapped, where available, and new learning developed to meet gaps
• Opportunity to integrate improvement learning with existing activity• Spread expertise on improvement developing into new service areas
eg public health
EDUCATION AND LEARNING: CAPACITY BUILDING IN MEASUREMENT FOR IMPROVEMENT
• Development of skills framework for measurement
• Identified learning requirement for four groups
• Commissioning learning resources to meet identified needs
• Pilots in quality improvement for organisational development leads and information managers in quality improvement
ROGER BLACK
Head of Improvement Programmes, Information Services Division, NSS
MEASUREMENT: INTEGRATING MEASUREMENT INTO IMPROVEMENT
• NHS Orkney–How to interpret and use the Hospital Standardised
Mortality Rate (HSMR)–Mortality reduction improvement plan
• Blood Transfusion Service–League table approach–From measurement for judgement to measurement
for improvement
MEASUREMENT:BUILDING CAPACITY AND INFRASTRUCTURE
• Building capacity in measurement for improvement in information staff (NES, ISD, HIS)
• Leadership in statistical methodology (ISD)
• Quality improvement data repository to support national improvement programmes (ISD)
An NHS Boards Perspective
CARRIE MARR
Associate Director of Change and Innovation, Centre for Organisational Effectiveness, NHS Tayside
2006 2007 2008 2009 2010 2011 Beyond
Source: System thinking and spreading knowledge, Bojestic M., Henriks, G., Provost L. IHI European Forum, Prague 2006
Awareness•Safer Patient Initiative•Change & Innovation Plan
Education•Learning from Qulturum and IHI•Patient Safety Officer training•Improvement experts and practitioners training •Board Effectiveness Development Programme
Process Thinking•Lean and Rapid Improvement work•Real time data and measurement for improvement
Redesign•Improvement as a Systems Property•Steps to Better Healthcare•Triple Aim
Movement•Triple Aim •System Infrastructure - TCOE•Creating breakthrough
Full Scale•Public Sector Infrastructure to support improvement •Working with Communities
A History of Quality as a Business Strategy in Tayside
Engaging with the National Quality Hub as part of our QI Strategy
Building capacity and capability locally, nationally and internationally – TCOE, National Quality Hub, IHI
Knowledge transfer and shared learning
Joint mobilisation of national and local expertise to support improvement priorities e.g. population health measurement
National network for Improvement Advisers to learn and stretch
Access to the Patient Safety Fellows and Improvement Advisers to influence and inform our improvement work locally
Hub access to commission the expertise of NHST Improvement Advisers to support Hub improvement work
Access to educational resources in support of our local Improvement Academy
Engaging with the National Quality Hub as part of our QI Strategy
Embedding a Culture of Continuous Quality Improvement
• Winning the hearts and minds of the staff• Develop testing and innovation
– what to test…..how to test
• Leadership and culture• Integration – making it daily work• Creating the infrastructure• Creating capacity and capability • Measurement that has meaning
Upcoming Events
8th September 2011
Quality Improvement and Organisational Development Summit
27th October 2011
Embedding a Culture of Continuous Quality Improvement – Next Steps
Question and Answer Session
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