home dialysis conference
TRANSCRIPT
KQUiPHome dialysis National ProgrammeA proposal for a improvement project for home dialysis
Richard FluckDate 30th September 2016
Antrim
Belfast
NewryUlst
er
West NI
AbrdnAird
rie
D&Gall
DundeeEdinb
Glasgw
Inverns
Klmarnk
Krkcldy
BangorCardff
Clwyd
Swanse
Wrexm0.0
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35.0
Home therapy (all) % rate by centre Home Nations
2010 2011 2012 2013 2014
The proposal: translating vision into action
A national project facilitated by KQuiP
Focused on home dialysis – PD and Home HD
Improving outcomes – uptake, patient experience and measures
Defining success – also at regional level
Designed and led at a local level
Regional groupings – centres working together
Your role at this meeting
Starting the design process
Starting that regional collaboration
The offer from KQuiP
Core metrics• Defined in collaboration • Collected and presented via UKRRDevelopment of teams• Leadership • QI skillsProject and network support
Communications
Possible project resources
Regions: how?
Regional networks of providers – cf Transplant First
Common purpose
Delivering local solutions
Who is in the team – region and provider?
Patients, MDT, commissioners, managerial (finance)
Data
Define additional local data
The ‘dashboard’
Three phases to project
Principles
Brightn
Bristol
Dorset
Exeter
GloucKent
Oxford
Plymth
PortsRedng
Truro0.0
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30.0
Home therapy (all) % rate by centre South
2010 2011 2012 2013 2014
Phase 1 Discovery
Define current pathways, collect data, consider the barriers
Carsh L Barts L Guys L Kings L Rfree L St.G L West0.0
5.0
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Home therapy (all) % rate by centre London
2010 2011 2012 2013 2014
900.00.0000Kidney Quality Improvement Partnership | Title | Author
Initial survey data
Phase 2: ideas
Develop ideas and potential solutions
Share ideas
Bring ideas together
Develop the change package
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45.0 Home therapy (all) % rate by centre Midlands
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Education
Unplanned starts
MDT review of all starters
Shared decision making
MDT review of exits from home therapies
Data presentation
00.00.0000Kidney Quality Improvement Partnership | Title | Author
The change package
SDM Collaborative NICE action plan
1. Leadership and culture change2. Local leadership3. Education and training4. Shared decision making tools5. Guidance development and evidence reviews6. Measurements of successful shared decision making7. Research.
Phase 3: Test
Agree testing period
Put into action
Measure effect via agreed dashboard
BradfdCarlis Donc
HullLeeds
Liv Ain
Liv Roy
M RI
MiddlbrNewc
Prestn
Salford
SheffSund
Wirral
York0.0
5.0
10.0
15.0
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35.0
Home therapy (all) % rate by centre North
2010 2011 2012 2013 2014
1300.00.0000Kidney Quality Improvement Partnership | Title | Author
Step wedges and peer assist
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The KQuIP offer
The shared purpose
Communications support and advice - mobilise
Education – methodology and tools
Measurement – collection and presentation support
Networks – linkage within and between networks, influencing, spread and adoption
Projects - project support – rigorous delivery – PROJECT MANAGEMENT
Leadership – supporting the design and championing of the project, co design
Peer assist model as part of step wedge
00.00.0000Kidney Quality Improvement Partnership | Title | Author
The ask of you
Advocate for the project
Form your regional groups – you have started that!
Be inclusive – think about the entire process, coproduction
Think about what and how of your project – you have started
Explore barriers and solutions – the survey is a start
Indicate you want to be part of this
Understand the detail is yet to be defined.
00.00.0000Kidney Quality Improvement Partnership | Title | Author 15
The end (?)
00.00.0000Kidney Quality Improvement Partnership | Title | Author 16