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Quality Strategy and Workforce Development
“Quality Improvement”
The combined and unceasing efforts of everyone – healthcare professionals, patients and their families, researchers, payers, planners, administrators, educators – to make changes that will lead to better patient outcome, better system performance, and better professional development.
Batalden P, Davidoff F. Qual. Saf. Health Care 2007;16;2-3
2011 and Beyond…the Capacity Challenge
Focussed and planned capacity building which:
•Builds on existing investment•Integrates quality improvement capacity at local and national level•Develops accessible and sustainable learning resources •Embeds quality improvement learning in existing programmes•Develops partnerships with key groups such as academic institutes
What is the Quality Improvement Education Framework?Framework designed to support an integrated and planned approach to develop capacity and:
•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
•enable systematic, progressive professional development•support large-scale capacity-building in improvement•align with and use existing relevant education and resources•facilitate commissioning of professional development and resources
The Framework 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
QI Workforce Development Model
NHS STAFF (ALL)
LEAD
PRACTITIONER
NHS STAFF (ALL)
LEAD
PRACTITIONER
QI Education Framework Model
FINALLEARNING
OUTCOMES:FoundationPractitioner
LeadBoard
Stage 2LEARNING MORE ABOUT QUALITY IMPROVEMENT
2.1 The Policy Context 2.2 Key principles of QIhealthcare systems and processesPerson-centred care2.3 Reflecting on own roleTeamworkImprovement in practice2.4 Learning for QIConnecting to resourcesMapping own journey2.5 Measurement for improvementCommon tools and techniques
Stage 3PLANNING IMPROVEMENT
3.1 Investigating systems and processesIdentifying improvementsTools for planning3.2 Organising information3.3 Human dimensions of QI3.4 Leadership and project management3.5 Effective teamwork for QI3.6 Evaluating success3.7 Planning for sustainability3.8 Measurement for QISetting baselinesData collectionData sampling3.9 Innovation and Creativity
Stage 4TESTING AND IMPLEMENTING IMPROVEMENT
4.1 Collaboration and networking4.2 Effective communication4.3 Human dimensions of QI4.4 Leadership and project management4.5 Effective teamwork for QI4.6 Measurement for QIData analysisData interpretationData presentation
Stage 5SUSTAINING IMPROVEMENT
5.1 Knowledge dissemination5.2 EvaluationBenefits realisation5.3 Human dimensions of change5.4 Leadership for QIEmbedding QIBusiness case for QI5.5 Education and mentoring5.6 Coaching for improvement
Stage 1INTRODUCTION TO QUALITY IMPROVEMENT1.1 Understanding our purpose and our values1.2 Definition of Quality1.3 What is QI and what are the benefits1.4 Person-centred Healthcare1.5 Understanding our responsibilities for Improvement: individuals, teams, the organisation1.6 Introduction to Healthcare systems1.7 Introduction to the science of improvement
Model for improvementPDSAProcess mappingLean in healthcare
1.8 Introduction to measuring improvement
1 2 3 4 5
Figure 1
Knowledge Management for Quality Improvement
A Quality Improvement ‘one –stop shop’ to ensure easy access to knowledge on how to solve a particular service problem:
•Identify high quality existing resources
•Design your own learner journey
•Enable easy access and read-across to subject topics in the framework
•Commission targeted learning resources to meet gaps
Group Work
3 Key Questions•What is your initial response to the education framework?
•How might you be able to apply the quality improvement knowledge and skills outlined to your workforce development challenges?
•In what way might you be able to use the education framework and resources locally to support the development of capacity and capability in quality improvement?