Moving ON Audits Illawarra Retirement Trust Foundation An opinion without data is just another opinion Real data helps services and managers to make correct decisions Quality Tool Moving ON Audits is a decision making tool that allows organisations to identify areas of deficit Assists organisations to identify how to create solutions to meet these deficits Allows organisations to easily demonstrate continuous quality improvement CQI Program Audits and Surveys Quality Indicators Annual quality plan Benchmarking Tools for implementing CQI Action Plans Quality Solutions analysis of data Annual Program Residential based on 4 standards and 44 outcomes for accreditation Quality Indicators - key industry quality indicators to assist clinical and management staff identify trends and act on identified needs Residential Program Continuous Quality What is the central element of all the Standards Continuous Quality Improvement Why do Audit and Surveys? Without measurement how do we determine if the systems, policies or procedures each service has are effective? The answer is we dont know! Two types of Quality Perception This is a guess. You think your systems are all working correctly Reality This is factual. You have measured your systems and have data to back up your reality Perception This is a guess. You think your systems are all working correctly Reality This is factual. You have measured your systems and have data to back up your reality What do Audits and Surveys Provide? Audits and surveys are the way in which we measure what we do. They provide accurate real time data direct from our customers The results give you a score on which you can improve. With each result you should analyse the system, policy or procedure. Change your systems to improve your results What do Audits and Surveys Provide? Audits Measure reality Surveys measure opinions or perceptions Moving ON Audits How to complete Audits, Surveys, Quality Indicators On line program Enter data into on line database and get immediate benchmarked results in simple graphsEach service will be issued with a User name and password Moving ON Audits Home Page Logging on Click here to log on Enter your details here Where to go MyMOA or Resources Select Data entry or reports here Data Entry - Your services Select service Select a package Select month A package for each month Audit or QI Audit Entry Options Directly enter on-line Part A Print out data collection sheets, distribute and then enter on-line Part B Directly entering Select Audit or QI Parts of an Audit A or B Audits Part A Part A is designed to assess a services systems It is done once only Audits Part B Part B is designed to assess how a service is using the systems It is done using at least a 10% random sample size Explanations Click on ? for explanation of each question Explanations Are data definitions for quality indicators Are question explanations for audits Provide valuable resources/ education. Complete Audits Click on Yes, No, N/A Dont forget to save! The Save button! Quality Indicators Quality Indicators provide a standard and manageable way of measuring performance Collect key industry quality indicators to assist clinical and management staff identify trends and act on identified needs IRT Quality Indicators Monthly and Quarterly indicators 44 Indicators 28 monthly and 16 quarterly IRT Quality Indicator Groups 11 Group Areas Resident Aggression Infection Falls Skin Integrity Medication Management Restraints IRT Quality Indicator Groups Compliments and Complaints Suggestions for Improvement Resident/representative involvement Review of Care Human resources How to gather Quality Indicators Quality Indicators rely on a 100% sample and commitment Try to make one person responsible for gathering the Quality Indicators when they are due Collect data - IRT data collection source forms Ensure you follow the QI data definitions Input total numbers into MOA database Establish a system to identify data that has been included Quality Indicators Select QI The questions Quality Indicators Click here for an explana tion Sign off package Data submitted to MOA no further data can be entered Moving ON Audits How to get your reports and read your results Reports- from MyMOA Select Reports Similar to data entry, used the same way Click on report Choose a report To get your reports You can print directly Save to PDF Open PDF in new window and print - -the best quality Audit results Each question will have an individual response Your data will be represented as a coloured bar The benchmark or average is represented as the white bar Quality Indicator Monthly Results Each quality indicator will have its own response represented with a coloured line There are two forms of data on this chart, the first being the actual service results and the second being the expected results for a service Quarterly Trend Chart A Trend Chart is a linear representation of Quality Indicator Data It shows Quality Indicator Data expressed over time Trend Charts are expressed as the services actual data compared to the expected data from the service The results can be directly compared month to month Results No point collecting data if you dont do anything with it What you dont know you cant control! Meaningful Data Data provides services the opportunity to : Identify areas of deficit Implement and demonstrate improvements Service analysis and risk minimisation Improve resident and service outcomes Action and Analysis Implement action and analysis of the audit/indicator results Consider: No issues identified(data appears stable) Improvements noted (from last month/previous quarter) Data missed/not entered (review systems/data collection) Action and Analysis Issues identified (from data recorded for month) Corrective action/further investigation required Annual Quality Plan Planned quality program over 12 months Complete to demonstrate continuous improvement in your service Write down other quality activities that your service has conducted Summary MOA program is a complete CQI package The program is a tool for services to identify, implement and action individual quality requirements Audits and surveys provide valuable management information Data must be gather accurately Accurate data collection relies on the commitment of the organisation and their staff Summary Services must do something with their individual results for it to be meaningful Identify areas for improvement Use your analysis/action reports to document and provide evidence of CQI Remember your results and what action you take is most important Partnership and ongoing evaluation Moving ON Audits works collaboratively with organisations to ensure the program is relevant and provides meaningful data Ongoing communication, feedback and evaluation with IRT and MOA.