Det er ikke et sprint løb, men snarere et maratonløb

Transcription

1 Det er ikke et sprint løb, men snarere et (+45)

2 I sikre hænder 2013

3 I sikre hænder 2013 I sikre hænder 2013

4 Forbedringsarbejdet var dejligt, hvad nu? I sikre hænder 2013

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7 ELFT Quality Strategy ( )

8 ELFT Driver diagram Build the will 1. Newsletters (paper and electronic) 2. Stories from QI projects - at Trust Board, newsletters 3. Annual conference 4. Celebrate successes support submissions for awards 5. Share externally social media, Open mornings, visits, microsite, engage key influencers and stakeholders AIM: To provide the highest quality mental health and community care in England by 2020 Build improvement capability Alignment QI Projects (clinical bundles) 1. Build and develop central QI team capability 2. Online learning options 3. Pocket QI for those interested in QI 4. Improvement Science in Action waves 5. Develop cohort and pipeline of QI coaches 6. Bespoke learning, including Board sessions & commissioners 1. Embed local directorate structures & processes to support QI 2. Align projects with directorate and Trust-wide priorities 3. Support staff to find time and space for QI work 4. Support deeper service user and carer involvement 5. Support team managers and leaders to champion QI 6. Align research, innovation, improvement and operations Reducing Harm by 30% every year 1. Reduce harm from inpatient violence 2. Reduce harm from pressure ulcers 3. Other harm reduction projects (not priority areas) Right care, right place, right time 1. Improving access to services 2. Improving physical health 3. Other right care projects (not priority areas)

9 ELFT QI Projects

10 28-Apr May May Jun Jun Jul Jul Aug Aug Sep Sep Sep Oct Oct Nov Nov Dec Dec Jan Jan Feb Feb Mar Mar Apr Apr May May Jun Jun Jun Jul Jul Aug Aug Sep Sep Oct Oct Nov Nov-15 Completion Rate / % Pressure Ulcers Waterlow Completion Rate - P Chart 100% 90% UCL 61% 80% 70% 57,30% 92,01% 60% 50% 40% 73,10% 29% 30% 20% 10% LCL Grade 2 Pressure Ulcers C Chart 0% Aim: Reduce grade 2 pressure ulcers in the EPCT

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12 We aim to provide high quality, continuously improving care for our service users. We do this through four types of activity

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28 ELFT Quality Strategy ( ) The journey (so far )

29 Inspiration & guidance

30 Inspiration & guidance

31 Sustaining improvement a marathon Hard-won improvements often backslide when the team turns its attention to other priorities. especially when there are too many projects to keep up with.

32 Sustaining improvement a marathon A framework which focuses on: The daily work of frontline staff Supported by a quality management system Clear definitions of standard tasks and responsibilities at all levels of the organizations

33 Sustaining improvement a marathon Quality Planning Quality Management System Design and manage systems capable of delivering quality Manage the work Quality Control Quality Improvement Improve the work

34 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

35 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

36 Pressure Ulcers 57,30% 73,10% 92,01% UCL LCL 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 28-Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Sep Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Dec Jan Jan Jan Jan Feb Feb Feb Feb Mar Mar Mar Mar Apr Apr Apr Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Aug Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Jan-16 Completion Rate / % Waterlow Completion Rate - P Chart

37 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

38 Pressure Ulcers 57,30% 73,10% 92,01% UCL LCL 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 28-Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Sep Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Dec Jan Jan Jan Jan Feb Feb Feb Feb Mar Mar Mar Mar Apr Apr Apr Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Aug Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Jan-16 Completion Rate / % Waterlow Completion Rate - P Chart

39 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

40 Pressure Ulcers 57,30% 73,10% 92,01% UCL LCL 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 28-Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Sep Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Dec Jan Jan Jan Jan Feb Feb Feb Feb Mar Mar Mar Mar Apr Apr Apr Apr May May May May Jun Jun Jun Jun Jun Jul Jul Jul Jul Aug Aug Aug Aug Aug Sep Sep Sep Sep Oct Oct Oct Oct Nov Nov Nov Jan-16 Completion Rate / % Waterlow Completion Rate - P Chart

41 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

42 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

43 The Relationship of Quality Improvement and Quality Control QC and QI as interlocking loops of activity. Quality Control involves standard tasks, monitoring quality, and making routine adjustments and local improvements. When problems arise, the problem is escalated to a higher-level QI initiative to redesign the process, or to Quality Planning functions to fundamentally revise the production system.

44 januar 2017 februar 2017 marts 2017 april 2017 maj 2017 juni 2017 juli 2017 august 2017 september 2017 oktober 2017 november 2017 december 2017 januar 2018 februar 2018 marts 2018 april 2018 % Daily catheter care (KAD packet elements are met) 100 Alt-eller-intet Andel situationer i forbindelse med daglig kateterpleje, hvor KAD-pakkens elementer er opfyldt Median; 100, Quality Improvement or Quality Control? Mål; Median Mål Alt eller intet Bente Øllgaard Thisted Kommune

45 Medicinpakken Quality Improvement or Quality Control? Tove Hagen Lolland Kommune

46 Sustaining improvement is essential (but bloody difficult!)

47 Sustaining improvement requires the development of more robust systems to ensure sustained improvements in outcomes. Incorporating the different elements of improvement, control & planning.

48 I SIKRE HÆNDER MARATON ? Forbedringsarbejdet er dejligt, og det er den måde, vi arbejder på.

49 Tusind tak!