Quality Improvement Curriculum Framework - 1000 Lives Plus · What is the Scottish Quality...

Quality Education for a Healthier Scotland

Quality Improvement Curriculum Framework

NHS Wales Core Content Masterclass

Dr Elaine Pacitti

7 November 2012


• NHSScotland context

• Approach to development of Quality

Improvement Curriculum Framework

• Overview of the content of the Quality


• Approach to implementation and next

steps


NHSScotland Context


What is NHSScotland?

NHS SCOTLAND (NHSS)

• 14 territorial health boards

• 7 ‘special’ health boards

• Population of 5.2 million

•150,000 employees (approx)


NHS Scotland Special Health Board, whose mission is to:

‘ ….help to provide better patient care by providing educational solutions for workforce development. We do this by designing, commissioning, quality assuring and where appropriate providing education for NHSScotland staff. ‘

Supporting national solutions

which meet local needs

NHS Education for Scotland (NES)


Policy Context : Quality & Efficiency


Balancing Priority Areas


Approach to the development of the Quality



NHS Scotland: Education and Training Landscape

Key programmes over the last few years:

IST Collaboratives such as 18 Weeks RTT, Mental Health Collaborative

IHI: SPSP Programme; SPSP Fellows; Improvement Advisors

Releasing Time to Care

Lean Transformation Programme

Brought resources in the form of:

Funding of external technical expertise eg IHI, GE

Service Improvement posts

Training and development resources

Importantly……

Capacity building in quality improvement was a by-product of achieving programme aims


“Quality Improvement”

The combined and unceasing efforts of everyone –patients, professionals, researchers, planners, educators – to make changes that will lead to better patient outcome, better system performance (care) and better professional development (learning)”.

Adapted from Batalden and Davidoff, BMJ Quality and Safety Oct 2012


Enable Knowledge Portal for QI

EnableNational

Enable Educational Providers/Commissioning

Enable Quality Measure (High Level Strategy)

NHS STAFF (ALL)

- Frontline teams focus

LEAD

PRACTITIONER

CO

MP

ETEN

CIE

S/ e

.g.

links

to

KSF

Leadership Programmes Local

Quality Improvement Workforce Development Model


Overview of the content of the Quality



What is the Scottish Quality Improvement Curriculum?

Framework designed to support an integrated and

planned approach to develop capacity and:

enable systematic, progressive professional development

support large-scale capacity-building in improvement

articulate goals and standards of achievement in knowledge, skills and behaviours for staff in different roles

support self-directed, individual pathways through learning

be used locally and nationally

align with and use existing relevant education and resources

facilitate commissioning of professional development and resources


Educational principles of the Quality Improvement Curriculum

Contains transparent expectations and standards of achievement expressed as learning outcomes

Respects and builds on individual's prior knowledge and experience

Gives control and choice to learners

Emphasises relevance of learning to work

Incorporates work-based and collaborative learning

Allows flexibility of delivery

Acknowledges individual potential and career development

Emphasises and includes opportunity for reflection and self-evaluation


Quality Improvement Curriculum Model

Content and Learning Activities

1 2 53 4Learning Outcomes: Foundation Practitioner LeadBoard

Quality Improvement Learning Journey

ORGANISATIONAL CULTURE AND CONTEXT

VALUE OF QI PLANNING IMPROVEMENT

TESTING AND IMPLEMENTING IMPROVEMENT

SUSTAINING IMPROVEMENT

Stage Learning Outcomes: F, P, L, B

E-portfolio Documentation F, P, L


Application of Quality Improvement in Role

F P L B

Foundation Practitioner Lead Board

Varying depth and breadth of application of learning outcomes

NHS STAFF (ALL)


LEAD

PRACTITIONER


FINALLEARNING OUTCOME

FoundationPractitioner

Lead

Board

Stage 2LEARNING MORE ABOUTQUALITY IMPROVEMENT

2.1 More about our purpose and values2.2 More about Quality Improvement 2.3 More about responsibilities for improvement2.4 More about Healthcare systems2.5 More about the Science of Improvement2.6 More about Measuring improvement

Stage 3PLANNING IMPROVEMENT

3.1 Investigating systems and processes 3.2 Managing a project3.3 Human dimensions of change3.4 Leadership for QI3.6 Evaluating success3.7 Planning for sustainability3.8 Measurement for QI3.9 Innovation and Creativity

Stage 4TESTING AND IMPLEMENTING IMPROVEMENT

4.1 Collaboration and networking4.2 Communication4.3 Managing a project4.3 Human dimensions of change4.4 Leadership for QI4.5 Teamwork for QI4.6 Measurement for QI

Stage 5SUSTAINING IMPROVEMENT

5.1 Sharing Knowledge5.2 Evaluation5.3 Sustaining a culture of improvement5.4 Leadership for QI5.5 Helping others to learn

Stage 1INTRODUCTION TO QUALITY IMPROVEMENT

1.1 Understanding our purpose and our values1.2 Quality and Quality Improvement1.3 Our responsibilities for Improvement1.4 Introduction to Healthcare systems1.5 Introduction to the science of improvement1.6 Introduction to measuring improvement

1 2 3 4 5

Figure 1

The Scottish Quality Improvement Curriculum

Key Subject Content

SERVICE IMPROVEMENT

F P L B F P L B F P L B F P L B F P L B

Learning OutcomesLearning Outcomes Learning Outcomes Learning Outcomes Learning Outcomes


Role Description: Foundation Group - NHS Staff (All)

Recognise that everyone has a responsibility to enable quality care and everybody has a voice

Recognise the relevance of healthcare systems and pathways

Reflect on individual roles and responsibilities in delivering high quality care

Pursue quality at every opportunity, at every health intervention, by everybody

Become familiar with the philosophies and aims of the most widely used approaches to quality improvement in healthcare

LEAD

PRACTITIONER

NHS STAFF (ALL)



Role Description: Practitioner Group

Be a knowledgeable and informed practitioner of quality improvement within local healthcare environment

Lead change through quality improvement initiatives within local working environment

Facilitate the understanding of quality improvement amongst colleagues / team

Act as an implementation lead at local level to embed quality improvement tools and approaches

Encourage the sharing of experience amongst local group of quality improvement practitioners

Foster cultural change within own organisation

Pursue increased understanding of quality improvement methodologies and approaches

NHS STAFF (ALL)


LEAD

PRACTITIONER


Role Description: Lead Practitioner Group

Promote quality improvement at a strategic level within the organisation

Lead and support the delivery of high quality healthcare improvement within their workplace

Support the integration of quality improvement projects at all levels in the organisation

Advance innovative and new applications of health care improvement science in the workplace

Support the development of other practitioners in quality improvement science

Provide a potential resource to the Scottish Quality Improvement Hub

Contribute to shared learning from the implementation of quality improvement projects

CO

MP

ETEN

CIE

S/ e

.g. l

inks

to

KSF

NHS STAFF (ALL)


PRACTITIONER

LEAD


The Curriculum can be used...

by individuals to gauge their own strengths and development needs

by organisations to develop local capacity building plans

by managers to support team and individual CPD

for commissioning educational activities and resources

to guide educational providers responsible for pre-and post registration training


Implementation

• Framework launched at the NHSScotland Event in

August 2011

• Ongoing communication at series of national and

local events to promote awareness of Framework

• Discussions with a range of partners about

applicability in their context to embed Framework

• Releasing a series of educational resources to

support achievement of learning outcomes

• Available to all staff via the QI hub website


Quality Improvement Hub


Implementation Support Education and Learning

Measurement

Networks

Measurement

http://www.qihub.scot.nhs.uk/default.aspx


2012 and beyond…Next steps

Focussed and planned capacity building which:

Builds on existing investment

Integrates quality improvement capacity at board level

Develops sustainable learning resources

Embeds quality improvement learning in existing programmes

Continue to develop partnerships with key groups such as academic institutes

Quality Improvement Curriculum Framework - 1000 Lives Plus · What is the Scottish Quality...

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