KQUIP Presentation BRS 2017
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Transcript of KQUIP Presentation BRS 2017
Kidney Quality Improvement Partnership (KQuIP)
Update
Graham Lipkin Louise Wells
Co-chair of KQuIP Co-Chair KQuIP
23/03/2017 | 1
Access at Initiation of Dialysis
23/03/2017 2
Pre-emptive Transplantation Rates
30/10/2016 3
Home Dialysis: UK Renal Registry-Do we improve?
23/03/2017 4
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B Heart B QEH Basldn Camb Chelms Colchr Covnt Derby Dudley Ipswi Leic Norwch Nottm Shrew Stevng Sthend Stoke Wolve
Why does unwarranted variation persist?
Many reasons:
Specific to each Unit-solutions can only come from those on the front line-you know your system best
Some systematic• Resource?• Leadership & leadership training• Training in QI methodology• Structure• We don’t share good practice (or learn from less good practice)
30/10/2016 5
Quality Improvement: Where to Focus?
Pre-dialysis Clinic
Peritoneal dialysis
Pre-emptive Transplant listing & Live donor Tx
AV Fistula
Home HD Shared HD
Conservative Care
30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 6
Progressive CKD
Failing Transplant
MPT• Dietetics • Modality choice Counselling/ PD nurse• Access nurse & surgeons• LD Transplant Coordinators
Unplanned starts?
NHSI-Clinical Productivity?
Kidney Quality Improvement Partnership (KQuIP)
KQuIP is a dynamic network of kidney health professionals, patients carers and industry …committed to developing, supporting and sharing quality improvement in kidney services…. in order to enhance outcomes and quality of life for patients with kidney disease.
Professional Society Led
Multi-Professional
You are part of KQuIP
25/11/2016 7
Design Event: Coming together to mould KQuIP
KQuIP Launched 2016 UK Kidney Week
30/10/20169
Programme Board
Work Stream Chairs Group
3 Work Streams
KOG
Faculty
KQuIP Workstreams
08/02/2017Kidney Quality Improvement Partnership 10
Projects workstream-Hugh Gallagher
Identifying existing QI projects
Developing KQuIP hub for case studies of renal QI work www.thinkkidneys.nhs.uk/kquip
Using the NHS Change Model to support QI projects
Identifying QI project resources to assist quality improvers
08/02/2017Kidney Quality Improvement Partnership 11
Measurement and Understanding workstreamKatie Fielding
Gathering existing measurement information for KQuIPHub
Identifying measurement tools appropriate for the multidisciplinary renal team
Tying this work into renal research
Supporting KQuIP National priorities with the measurement aspect for these projects
08/02/2017Kidney Quality Improvement Partnership 12
Development workstream- Dal Hothi & Richard Fluck
Developing NHS Wisdom to Lead for Innovation and Improvement
The core function of the development workstream will be to produce an infrastructure for talent management within the Renal Community, developing NHS leaders – now and for the future by focussing on:-
Patient development
Capacity & Capability: Building Leadership and QI Knowledge and Experiences
Faculty development
System improvement and leadership
08/02/2017Kidney Quality Improvement Partnership 13
KQuIP – How will it support Renal Quality Improvement?
08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 14
National
• Advice to Clinical Reference Group.
• Central Registry Project management & faculty
• Online KQuIP Hub repository
• Industry coordination
Regional supporting Renal Clinical Networks
• Renal Registry/KQuIP quality improvement day
• Regional Project management support
• Peer assist
KQuIP - Driving Renal Quality Improvement
08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 15
You & me
• Education & support materials (the Hub)
• Peer assist (Share-’ask a friend’)
• Support for local projects-Regional Project Managers
Graham
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 16
KQuIP Hub-Opened April 2017
Repository of Quality Improvement resources
• Education
• Leadership & Training in QI
• Case Studies
• We don’t always have to re-design the same wheel
• We really can learn from each other.
• Please feel free to contribute
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 17
KQuIP Hub
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 18
KQuiP Hub-Educational Resources
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 19
KQuIP Hub-QI Case Projects/Case Studies
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 20
How Will KQUIP Support Quality Improvement
1. Regional QI Days
2. 3 National Priority Projects
3. KQuIP Online Hub
4. Project Management Support
30/10/2016 21
3 National KQuIP Priority Projects
Improving access to kidney transplantation; Transplant First
Transplant First, developed in the West Midlands under KQuIP, beingpackaged to enable others to implement.
Improving access to home therapies for suitable patients
KQuIP working with Manchester Dialysis Group
Improving incident and prevalence rates of arteriovenous fistulae access
25/11/2016 22
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Coordination with UK Transplant QI
National Scaling up
Transplant first:
Addressing inequality of access to renal transplantation across
the West Midlands
Kerry Tomlinson & Helen Spooner
30/10/2016
Project Structure
KQUIP
UKRRR
ODT
NICE Taking organ transplantation to 2020
LDKT 2020
•Identify data required, its source and obtain agreement to share data across the region•Agree formatting and regularity of reporting, e.g. quarterly audit and feedback of total transplant, live donor, deceased donor and pre-emptive transplant listing rates at each unit
•Identify repository for data
•Develop infrastructure for audit, review and reporting, e.g. RCA and audit of all patients starting RRTwithout a transplant list status
Data, measures and implementation (Kerry Tomlinson )
•Identify clinical standards and guidelines needed to improve access to transplant e.g. written acceptancecriteria for acceptance on kidney transplant waiting list
•Identify where documents already available and identify gaps, developing regional standards and guidelines as required
Standards and guideline (Nick Inston )
•Map the current patient pathways by renal unit across the region
•Co-design exemplar pathways with patients and clinicians in line with agreed standards and guidelines
Pathways ( Kerry Tomlinson)
•Collate information used across the region and upload to SCN website•Identify any gaps and develop further resources as required
Patient information (Helen Spooner)
•Identify training needs of all project participants, e.g. QI for unit leads and patient representatives
•Source/design, cost and deliver training
•Establish action learning sets
•Design first transplant education and audit event to share best practice, for roll-out annually thereafter
Education (Cecily Hollingworth)
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30/10/2016Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin | 25
KQuIP/Registry Day -
Aims• Know your outcomes-data• Decide on your Unit priority• Feel supported to embed QI in your practice• Identify your QI leads
Regional days Designed by Regional Network with KQuiP Support
• Data-bespoke Regional Registry & PHE report
• Explore barriers/solutions/What we’re good at
• Transplant First and Home Therapies Focus & AKI
• Agree QI leads (Clinical and MPT) & Project
• Support existing projects & with what’s next support
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 26
KQuIP Registry Regional Days-Wmids
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 27
KQuIP Registry Regional Days-Wmids
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 28
KQuIP Support - Post Regional Network
• Central Project management through Registry
• Individual Projects Management Support
• Registry metrics, training, peer assist, KQuIP Hub
23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin 29
Regional KQuIP/Registry Events 2017
• Wmids
• Yorks and Humber
• East Midlands
• Manchester North West
• 2018 coming to you
30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 30
Training in Leadership & QI Methods - KQuIP
23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin
KQuIP -National Meetings 2017Renal Association
19 – 21st June Liverpool
BRS
26-28th April Nottingham
30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 33
KQuIP welcomes you……enabling you and your team to improve quality and safety
www.thinkkidneys.nhs.uk/kquip/
Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin