standards to improve the quality of care - marie kehoe o'sullivan, hiqa
DESCRIPTION
Marie Kehoe O'Sullivan, HIQA, looks at Standards to Improve the Quality of Care to patients in Ireland. This presentation was made at the Socrates National Conference, The Convention Centre, DublinTRANSCRIPT
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Standards to Improve the Quality of CareSocrates Conference
June 8, 2013Marie Kehoe O’Sullivan
Director of Safety and Quality Improvement
14 November2012
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Directorates in HIQA
Safety and Quality Improvement
Regulation
Health Information
Health Technology Assessment
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Functions
Setting Standards in health and social carePromoting capacity and capabilityDriving patient safety initiativesSupporting a culture of patient safetySharing the learning from the AuthorityDeveloping Guidance to Standards
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Focus of today’s presentation
Promoting capacity and capability – through intensive training programme on Quality Improvement ScienceDriving patient safety initiatives – action learning component of education – focus for 2013 Medication ReconciliationDevelopment of Standards and Guidance
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COMMUNICATIONS
LEADERSHIP
MULTI-DISCIPLINARY TEAM WORKING
BEHAVIOURS
CULTURE
RELATIONSHIPS
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Role of Standards
It is a key driver in quality and safetyActs as an impetus to recognise good practice and address poor performanceDo NOT improve quality in and of themselves
Responsive RegulationEnsures that only fit providers/professionals are providing services, care and supportShould be fair, proportionate, risk-based and objective
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Regulatory Pyramid
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Responsive Regulation
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THE GOAL OF THE PROGRAMMEHigh Reliability Healthcare
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Systems and processes are only as good as the people
who work within them
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Safety
Quality
Reliability
Culture of Learning
Informed Decision-Making
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National Standards for Better Safer Healthcare
Quality Dimensions:• Person-Centred Care and Support
• Effective Care and Support
• Safe Care and Support
• Better Health and Well-being
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National Standards for Better Safer Healthcare
Delivering the Quality Dimensions – delivering improvements within the dimensions depends on capability and capacity in four key areas:
• Leadership, Governance and Management• Workforce• Use of Resources• Use of Information
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National Standards
for Safer Better
Healthcare:
Themes
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Working Together
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Opportunities for Working Together – The How
Regular engagement and information sharingInvolvement and consultation on the development of new activitiesInforming required guidanceOpen door for discussions on improving quality and safetyProvide education, awareness and training on QI methodologiesPromote national QI initiatives
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Opportunities for Working Together – The Who
Clinical Engagement as a priorityLink with all professional collegesLink with unionsMeetings with CMO, CNO, Pharmacist, Ambulance and allied health professionalsOngoing relationship with frontline staff and middle management on Patient Safety and Quality initiatives
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“Quality is never an accident. It is always the result of high intention, sincere effort,
intelligent direction and skilful execution. It represents the wise choice of many
alternatives. . .
Quality also marks the search for an ideal after necessity has been satisfied and
mere usefulness achieved.”
William A. Foster, 1917-1945