Sustaining change: Reflections including the role of regional networks and NQICAN and using Patient and Public Involvement / Patient Leaders Kat Young MA Senior Quality Improvement Lead, Royal Berkshire NHS Foundation Trust Chair, National Quality Improvement and Clinical Audit Network Member, National Advisory Group for Clinical Audit and Enquiries Member, Faculty Medical Leadership and Management Twitter: Clin_Q Email [email protected]
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Sustaining change: Reflections including the role of regional networks and NQICAN and using Patient and Public Involvement / Patient Leaders Kat Young.
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Sustaining change: Reflectionsincluding the role of regional networks and NQICAN and using Patient and Public Involvement / Patient
Leaders
Kat Young MASenior Quality Improvement Lead, Royal Berkshire NHS Foundation TrustChair, National Quality Improvement and Clinical Audit NetworkMember, National Advisory Group for Clinical Audit and EnquiriesMember, Faculty Medical Leadership and Management Twitter: Clin_Q Email [email protected]
What to measure?• Only collect the data you need to answer the questions – link to
aim/objectives• Outcomes measure – Are we fulfilling our aim?– Measures of the customer (patient, family)
• Process measure – Things we think will lead to improvement in outcome– Measures of the workings of the system
• Balancing measure – – What is the risk? – Is something else being affected by our changes (good or bad)?”– Measures of the other parts of the system
Run charts
• Measure little and often• Process,• Outcome • Balancing measure
What change works?
• Keep measuringIs it still working?Make results visible
Ward to BoardPatient/user friendly
Sustainability from the start…
Employers felt 55% of change management initiatives met initial objectives, but only 25% felt gains were sustained over time http://www.towerswatson.com/en/Press/2013/08/Only-One-Quarter-of-Employers-Are-Sustaining-Gains-From-Change-Management felt gains were sustained over time.
Questions to ask • Are they aware?• Do they care? – Is it fair?– will they do it?
• Can they do it?• Anything they need in order to do it? • Is it primary or secondary to role?
Sustaining continuous improvement: Communication
• Timely, frequent communication
• Articulate key messages and benefits and results
• Celebrate great work / achievements – focus on the positives
• Highly visible• Make it fun, be creative
• Organisation• Staff • Patients
Multiple stakeholders / channelsEngage those doing the doing
Winning hearts and minds
–Does it connect? Continue to connect?–Hard facts/
numbers + emotion / story–Patient and Public
Involvement –Patient Leaders
Ways of Working
• SMARTER not harder• Behaviour and values • Listen and understand negativity• Find the positives, find ways to share
the positives, build energy and momentum• Build capability and capacity –Support networks / Champions
Role of Networks
• Create energy, enthusiasm and skills • Provides support – we know it can be tough• Advice and guidance• Shared learning– What works / what doesn’t work
[email protected] @nqican NQICAN Website to be launched at HQIP Conference
Summary… • Know what works – Measure measure
measure: little and often• Change involves people– Vision / Purpose / Fulfilling work– Positive experience – Involve patients– Work together, support each other,
network• Test: – Organisational commitment– Leadership– Financial – Visibility of key messages and