Parallel Session 3.9 The Quality Improvement Hub: Supporting You to Develop Skills and Understanding of Quality Improvement

The Quality Improvement hub supporting you to develop skills and understanding of QI.

Why are you here?

www.qihub.scot.nhs.uk

NHSScotland Quality Improvement Hub website

Improving Practice and Outcomes for Safer, More Effective, Person-Centred, Efficient Care

ImplementationSupport

Education and

Learning

Your one-stop shop of free resources to support youand your team deliver quality improvement

NetworksAnd

Resources

MeasurementFor QI

Develop a national Scottish Curriculum Framework for Quality Improvement

NES Quality Improvement Education Programme

Supporting the delivery of high quality care

Identify gaps in education provision across

NHS Scotland

Deliver a range of targeted educational solutions

Identify and develop different cohorts of QI

practitioners across NHS Scotland

Support healthcare teams to build capacity in QI knowledge and skills

Support the implementation of a

knowledge management strategy which enables

quality care

Crossing the Quality Chasm

Knowledge-Practice Gap

• 45% defect rate in US healthcare system – patients not receiving care as recommended in the evidence base. (McGlynn et al,2003)

• 17 years to get research

recommendations into practice (Balas et al 2000)

Aims of Knowledge into Action

Define a new knowledge management approach which builds on local and international best practice to:

- Help practitioners to apply knowledge to practice

- Integrate better use of knowledge in quality improvement work

- Support practitioners to translate knowledge to deliver safe, effective, person-centred care

Emerging vision

An integrated network of knowledge brokers working in close partnership with improvement teams and clinicians to translate knowledge into action through services for : – enquiry and problem definition – expert search and synthesis of evidence from

research and experience– delivering knowledge in actionable formats, e.g.

decision support. – exchange and dissemination of knowledge

Knowledge into Action Support for Sepsis and VTE Collaborative

Territorial Board and Special Board partnership

Sourcing and Synthesising

Know-what and Know-how

Community of Practice

Latest evidence

• Involving Clinical Librarians at the Point of Care: Results of a Controlled Intervention Academic Medicine 86(12), December 2011, pp 1508-1512

“….30 of 34 medical residents (88%) reported having changed a treatment plan based on skills taught by the clinical librarian, and 27 of 34 (79%) changed a treatment plan based on the librarian's mediated search support. “

SPSP Fellowship – The Fellows

General Ward

Critical Care

Pharmacy

Primary Care

Acute Receiving Units

A&EOperatin

g Theatres

Chronic Pain

Service

Psychiatry

Renal Unit

Cardiology

Nursing MedicalPharmacists

SPSP Fellowship - Learning• A One Year program

Daily Goals

Reducing VAP in ICU

Reducing CRBSIs in ICU

Medicines Reconciliation

Training in QI

Reducing Cardiac Arrest Rate

Heart Failure Bundle

Sepsis

Medicines ReconciliationSurgical Safety Checklist

Patient Centred Rounds

Reducing SSI

SBAR

Handovers

Safe

Effective

Patient Centred

SPSP Fellowship – Back to Work

SPSP Fellows

Improvement Work

Leadership

TeachingStrategic

Advisory

Improvement AdvisorProfessional Development Programme

Hear about a journey which started like this……..

Improvement AdvisorProfessional Development Programme

Learn about the skills and techniques used by an IA

Improvement AdvisorProfessional Development Programme

Discuss how you can get involved in quality improvement…. ‘Ten Top Tips’

NHS Scotland Building a Network of Networks

Purpose :• Increase pace and momentum of networks to support NHS

Scotland to deliver sustainable quality and achieve 2020 vision

• Provide coherent linkages between a range of existing clinical and non-clinical networks and communities

• Increase capacity and capability in QI knowledge and skills an leadership for QI

• Inform and support spread, delivery of NHS Scotland leadership and workforce strategies through spread of best practice in clinical engagement, leadership and QI development

• Maximise value through collaboration with other networks and resources

Building a network of networks

The Quality Strategy

Courtesy of Dr I Roberts

Format

• Zone 1 Hub• Zone 2 Knowledge

into Action• Zone 3 SPSP Fellows• Zone 4 Improvement

Advisor’s

• Rotate every 10 minutes (whistle will blow for you to move on– Explore Questions that

Matter– Encourage Everyone’s

Contribution– Listen for Insights and

Share Discoveries

• 15 minutes for Questions at the end