An introduction to Quality (for improvement)
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Transcript of An introduction to Quality (for improvement)
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An introduction to Quality
(for Improvement)
Dr. Damian Roland@damian_roland
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Have YOU experienced Quality Care?
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What does the Hippocratic Oath say about quality Improvement?
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What is Quality?
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OUTCOME
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VARIATION
From: NHS QIPP Right Care. NHS Atlas of Variation in Healthcare for Children and Young People March 2012. 2012; London.
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EXCELLENCE
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Six Dimensions/Definitions
SAFE EFFECTIVEPERSON
CENTERED
TIMELY EFFECIENT EQUITABLE
United States Institute of Medicine (IoM)
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Or…
No Needless Deaths
No Needless Pain or
Suffering
No Helplessness in those served or serving
No Unwanted
WaitingNo Waste
No one left out
US Institute for Healthcare Improvement
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Where have we gone wrong?
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Where have we gone wrong?
Roland D, Haden S, Pryde K and Lachman P. Paediatric trainees and the Quality Improvement Agenda: don't just do another audit. J R Soc Med 2011; 104:344-345
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Assessing the impact of your last audit
What change resulted from the audit?
Have these changes been sustained?
Has the audit been repeated since the changes?
If not, is there a review date set for repeat audit?
Klaber R and Roland D. Delivering quality improvement: the need to believe it is necessary. Arch Dis Child 2014;99:175-179
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PDSA
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Measurement
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Think of something you would like to improve?
http://bit.ly/lonenut
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Does that video change your approach?
http://bit.ly/bronzeagechange
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And now….?
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Impossible to do alone
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The Reality…
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How do we use Quality Improvement to change outcomes
We ACT
We MEASURE
We IMPROVE
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Thank you for your time
Dr. Damian roland@damian_roland
rolobotrambles.com