Next steps for Day of Care Survey: stakeholder mapping and ... · Stakeholder mapping •Important...
Transcript of Next steps for Day of Care Survey: stakeholder mapping and ... · Stakeholder mapping •Important...
Collaboration for Leadership in Applied Health Research and Care
Northwest London
The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London
is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London
Next steps for Day of Care Survey:
stakeholder mapping and starting a PDSA
cycle
Professor Derek Bell
Stuart Green
7th December 2017
NIHR CLAHRC Northwest London
Objectives
• Review DOCS data to identify local priorities for
improvement
• Develop a stakeholder map for an improvement
initiatives
• Initiate a Plan-Do-Study-Act cycle?
NIHR CLAHRC Northwest London
NIHR CLAHRC Northwest London
NIHR CLAHRC Northwest London
NIHR CLAHRC Northwest London
What area should your team prioritise?
NIHR CLAHRC Northwest London
Quality improvement at CLAHRC NWL
• Use data to recognise
problems and
prioritise action
• Identify and engage
stakeholders
• Build success from
small ‘trials of change’
NIHR CLAHRC Northwest London
Our principles
Understand variation
Manage stakeholders
Use Plan-Do-Study-
Act cycles
NIHR CLAHRC Northwest London
Stakeholder mapping
• Important to recognise…
– The different people involved in delivering care relating to area of change
– How different parts of the healthcare system work and identify where improvements are needed
– That it is necessary to reconcile different perspectives about how to make improvements
NIHR CLAHRC Northwest London
Who is a stakeholder?
Anyone who has influence over or interest in the success of your improvement
Collaboration for Leadership in Applied Health Research and Care
Northwest London
The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London
is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London
Stakeholder Map Matrix In
fluence
Interest
LOW
LOW HIGH
HIGH
NIHR CLAHRC Northwest London
Activity: Map your stakeholders
Stakeholder Matrix How to get started:
• Write the names or job
titles of your project’s
stakeholders on your
matrix
Consider:
• Their levels of interest
• Their influence over the
success of your project.
NIHR CLAHRC Northwest London
Influ
en
ce
Interest
LOW
LOW HIGH
HIGH
Project Stakeholder Map v.2
LETBs
Medical
school ->
curriculum
for meds op
Social
services local
caretaking
Local policy
academics
University
pharmacy
schools NICE
prescribing
guidelines
Foundation
programme
providers
pharma
London
chief
pharmacist
Trust
executives
Foundation
trusts Local
area
team
directors
Health and
wellbeing
boards Quality
surveillance
groups
CCG
prescribing
/ meds
mgmt.
team
NHE
pharmacy
lead
Frontline
staff Acute
medical
doctors
patients
families
OT
Carers
Direct
caregivers e.g.
healthcare
assistants and
frontline nurses
researchers
board
Drs nurses
pharmacists
Minister of
Health
AHP
prescribers
Drug
companies
Patient
groups
Police
Public Services
Supermarkets
Social workers
Faith and religious leaders
pharmacist
Elderly
care Drs
Ethnic
reps
Finance
director
GP/ CCG NICE
CNWL/
WLMH
clinicians
prescribers
pharmacists
London
office
CCGs
Payer
CCG
trust
Dept of
health
England
Acute trust
meds op
boards
YELLOW- acute
GREEN- broader impact –
commissioners/policy
Pink - community/intermediate
Service line
directors
(local budget
holders)
Educational
bodies
(deaneries)
Health watch
Researchers
Community
nurses/midwives/
psych workers
Unheard people
Community-
pharmacist
Repeat prescription
generators
Specialist voluntary
groups
Care home
management/ Staff
Frontline
staff GP
CCG
pharmacists
Patient/ carer
Community
matron
Elderly
care MDT
Collaboration for Leadership in Applied Health Research and Care
Northwest London
The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London
is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London
Communications plan
Collaboration for Leadership in Applied Health Research and Care
Northwest London
The National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Northwest London
is hosted by Chelsea and Westminster Hospital NHS Foundation Trust and academically led by Imperial College London, in partnership with Northwest London
Stakeholder management
Who
/role
What do we want
them to do, when
?
What are
their
motivations?
What will we
do, who,
when?
Next step
NIHR CLAHRC Northwest London
Plan-Do-Study-Act cycles
NIHR CLAHRC Northwest London
Why use PDSA cycles?
Source: NHSIQ
NIHR CLAHRC Northwest London
Why use PDSA cycles?
Source: NHSIQ
NIHR CLAHRC Northwest London
Benefits of PDSA cycles
• Able to try ideas out sooner than later
• Test lots of ideas in a short time frame
• Try things out under different conditions
• Increase degree of belief that an idea works before scaling up
• Fail fast and learn as you go
• Reduce any risks associated with change because testing on a small scale
• Lower time commitment makes it an easier sell to stakeholders
NIHR CLAHRC Northwest London
Activity: Initiate PDSA cycle
PLAN:
What exactly will we do?
Who will do it:
Where:
When (duration):
What: Prep needed?
What data will we need to measure?
How will this data be collected (how often?):
Who will collect it?
What criterion will we use to decide on success?
How many patients will we test this on?
PREDICTION:
We predict that…
NIHR CLAHRC Northwest London