kquip networks event 27.6.16
TRANSCRIPT
KQuIP Launch Graham Lipkin & Louise Wells 08.06.2016 1
Kidney Quality Improvement Partnership (KQuIP): Launch
A dynamic & inclusive and professionally-led partnership supporting improved
quality of care for patients with kidney disease
Graham Lipkin & Louise Wells, Co-chairs of KQuIP
KQuIP Launch Graham Lipkin & Louise Wells
K-QuIP
Registry
Health Foundation
KRUK
Industry?
PatientsBKPA/NKF
NHSEngland
RA/BRSBTS/BAPN
08.06.2016 2
Kidney Quality Improvement Partnership (KQuIP)
KQuIP is a dynamic network of kidney health professionals, patients and carers …committed to developing, supporting and sharing quality improvement in kidney services in order to enhance outcomes and quality of life for patients with kidney disease.
KQuIP Launch Graham Lipkin & Louise Wells
Key Ambitions
08.06.2016 3
Identify the need for and offer support and advice for QI projectsSupport a QI learning structure through increasing education and sharing good practice and innovationIdentify renal QI championsMeasure clinical outcomes and use data to identify and respond to unwarranted variation in patient care.
KQuIP Launch Graham Lipkin & Louise Wells
KQuIP - Driving Renal Quality Improvement
08.06.2016 4
Nationally at strategic level through advice to Clinical Reference Group. Develop 2 key projectsRegionally by supporting existing Renal Clinical Networks and by delivering an annual KQuIP quality improvement/ Registry day.Locally at renal unit level supporting the sharing of good practice, supporting a renal unit peer-assist programme and supporting local quality improvement projects.
KQuIP Launch Graham Lipkin & Louise Wells
Work so far: Programme Board & Operational Group (KOG)
08.06.2016 5
Co-Chaired: RA & BRS
Programme Board & KOG
6 Active work Streams
Building faculty - Q Fellows
Seed funding
Project management (Registry)
Website (Think Kidneys/KQuIP)
Operational guide/Governance RIGB
Leadership Development: Richard Fluck
Supporting Networks: John Stoves
Measurement: Katie Fielding
Education: Dal Hothi
Projects: Hugh Gallagher
Communications: Paul Bristow
Design Event: Coming together to mould KQuIP
KQuIP Launch Graham Lipkin & Louise Wells
Barriers to Improvement in Renal Community
• Perceived lack of time• Limited sharing of good practice • Limited QI resources• Limited training in leadership and QI methodology• Culture of our health system which provides too little support for
improving quality. • Constant change
08.06.2016 7
KQuIP Launch Graham Lipkin & Louise Wells
Priorities for Quality Improvement
• Improved access to home dialysis therapies• Access to kidney transplantation• Acute kidney injury (prevention, early diagnosis & management)• Improving AV fistula access rates• Paediatric to adult transition • Optimising patient engagement, shared and self care• Improving patient safety
08.06.2016 8
K-QuIP
Registry
Health Foundati
onKRUK
PatientsBKPA/NKF
NHSEngland
RA/BRSBTS/BAPN
KQuIP Launch Graham Lipkin & Louise Wells
What is needed to enable quality Improvement
• Supportive structure for clinicians in combination with patients focused around existing regional delivery structures
• Developing ‘basket’ of QI projects• Peer support between units & networks-sharing• Effective educational and leadership resources • Culture change and ongoing commitment• Research in improving quality
08.06.2016 9
KQuIP Launch Graham Lipkin & Louise Wells
Variation: Pre-emptive Transplantation & Home Dialysis Rates
08.06.2016 10
0 10 20 30 40 50 60 70 80 90 1000.05.0
10.015.020.025.030.035.040.045.050.0
% urbanisation
% H
ome
ther
apy
KQuIP Launch Graham Lipkin & Louise Wells
What can KQuIP add in addressing these?
08.06.2016 11
Cohesive inclusive QI supportProject management supportSupport Renal Networks: advice & educationRepository of projects, QI resources, methodology & education QI Education & leadership support (webinar-video, Courses)Professional society support to Renal UnitsRegistry: metrics/expertise/analysisKQuIP: dedicated QI sessions at the UK Renal week Sustainability & stability
KQuIP Launch Graham Lipkin & Louise Wells
What can KQuIP Support?
NationalCRG
•Support QI Priorities•Mandate •KQuIP credibility
Regional Networks
•Annual KQuIP/Registry day •Projects/metrics/Peer assist
•QI Resources•Support trainees
Renal Units
•Professional Society support
•Peer assist•National Meetings•Projects•QI resources
08.06.2016 12
KQuIP Launch Graham Lipkin & Louise Wells
Background
08.06.2016 13
UK Kidney Community is proud of innovation, high quality measurement & working together with patients
KQuIP Launch Graham Lipkin & Louise Wells
Clinical Practice Guidance: Guidance for UK Practice
08.06.2016 14
Current Consultation• Protein Energy Wasting in Chronic Kidney Disease Clinical Practice Guideline• Peritoneal Dialysis Clinical Practice Guideline• Clinical Practice Guidelines Post-operative care in the Kidney Transplant Recipient
KQuIP Launch Graham Lipkin & Louise Wells
Notable Quality Improvements
08.06.2016 15
• Dialysis catheter-associated MRSA bacteraemia• Improved AV Fistula access rates
…..successful ongoing QI Projects
KQuIP Launch Graham Lipkin & Louise Wells
Guidance on Quality Improvement
08.06.2016 16
Deck Chairs on Titanic
08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 17
KQuIP Launch Graham Lipkin & Louise Wells
K-QuIP
Registry
Health Foundation
KRUK
Industry?
PatientsBKPA/NKF
NHSEngland
RA/BRSBTS/BAPN
08.06.2016 18
Kidney Quality Improvement Partnership (KQuIP)
KQuIP is a dynamic network of kidney health professionals, patients and carers …committed to developing, supporting and sharing quality improvement in kidney services in order to enhance outcomes and quality of life for patients with kidney disease.
KQuIP Launch Graham Lipkin & Louise Wells
Key Ambitions
08.06.2016 19
Identify the need for and offer support and advice for QI projectsSupport a QI learning structure through increasing education and sharing good practice and innovationIdentify renal QI championsMeasure clinical outcomes and use data to identify and respond to unwarranted variation in patient care.
KQuIP Launch Graham Lipkin & Louise Wells
KQuIP - Driving Renal Quality Improvement
08.06.2016 20
Nationally at strategic level through advice to Clinical Reference Group. Develop 2 key projectsRegionally by supporting existing Renal Clinical Networks and by delivering an annual KQuIP quality improvement/ Registry day.Locally at renal unit level supporting the sharing of good practice, supporting a renal unit peer-assist programme and supporting local quality improvement projects.
KQuIP Launch Graham Lipkin & Louise Wells
Work so far: Programme Board & Operational Group (KOG)
08.06.2016 21
Co-Chaired: RA & BRS
Programme Board & KOG
6 Active work Streams
Building faculty - Q Fellows
Seed funding
Project management (Registry)
Website (Think Kidneys/KQuIP)
Operational guide/Governance RIGB
Leadership Development: Richard Fluck
Supporting Networks: John Stoves
Measurement: Katie Fielding
Education: Dal Hothi
Projects: Hugh Gallagher
Communications: Paul Bristow
Design Event: Coming together to mould KQuIP
KQuIP Launch Graham Lipkin & Louise Wells
Barriers to Improvement in Renal Community
• Perceived lack of time• Limited sharing of good practice • Limited QI resources• Limited training in leadership and QI methodology• Culture of our health system which provides too little support for
improving quality. • Constant change
08.06.2016 23
KQuIP Launch Graham Lipkin & Louise Wells
Priorities for Quality Improvement
• Improved access to home dialysis therapies• Access to kidney transplantation• Acute kidney injury (prevention, early diagnosis & management)• Improving AV fistula access rates• Paediatric to adult transition • Optimising patient engagement, shared and self care• Improving patient safety
08.06.2016 24
K-QuIP
Registry
Health Foundati
onKRUK
PatientsBKPA/NKF
NHSEngland
RA/BRSBTS/BAPN
KQuIP Launch Graham Lipkin & Louise Wells
What is needed to enable quality Improvement
• Supportive structure for clinicians in combination with patients focused around existing regional delivery structures
• Developing ‘basket’ of QI projects• Peer support between units & networks-sharing• Effective educational and leadership resources • Culture change and ongoing commitment• Research in improving quality
08.06.2016 25
KQuIP Launch Graham Lipkin & Louise Wells
What can KQuIP add in addressing these?
08.06.2016 26
Cohesive inclusive QI supportProject management supportSupport Renal Networks: advice & educationRepository of projects, QI resources, methodology & education QI Education & leadership support (webinar-video, Courses)Professional society support to Renal UnitsRegistry: metrics/expertise/analysisKQuIP: dedicated QI sessions at the UK Renal week Sustainability & stability
KQuIP Launch Graham Lipkin & Louise Wells
Six active Work Streams: defined scopes and offers
08.06.2016 27
Leadership Development: Richard Fluck
Supporting Networks: John Stoves
Measurement: Katie Fielding
Education: Dal Hothi
Projects: Hugh Gallagher
Communications: Paul Bristow
KQuIP Launch Graham Lipkin & Louise Wells
Focus on Regional Renal Networks
08.06.2016 28
Networks have a key role in Quality ImprovementEnabling Project Management support-now pressingAnnual Regional KQuIP meetings: Registry/QI-development.Sharing-Peer Support & assist (Unit & Network)Central repository & Education platform resource: Basket of projects relevant to RegionMethodology education & clinical leadership support for clinicians (MPT partnership).Invest for future: Embed QI in registrar & MPT training: Regional QI projects & Curriculum of registrars
KQuIP Launch Graham Lipkin & Louise Wells
KQuIP Next Steps
Formalise links to new CRG
Support 6 Work streams to deliver
Develop next 2 national projects
Support Regional Renal Networks: 27th June meeting
KQuIP/Registry QI day for Regional Networks
Develop web repository & knowledge management platform
Development of ‘Peer Assist’ model
Embed QI methodology & leadership in curriculum08.06.2016 29
KQuIP Launch Graham Lipkin & Louise Wells
Key Message for KQuIP: Berwick Report
Place the quality and safety of patient care above all other aims for the NHS. (This…is your safest and best route to lower cost.)
08.06.2016 30
KQuIP Launch Graham Lipkin & Louise Wells
Join KQuIP- It can help you & your patients
08.06.2016 31
https://thinkkidneys.nhs.uk/kquip/
KQuIP Launch Graham Lipkin & Louise Wells
KQuIP Ambitions - Renal Units
08.06.2016 32
Be credible – professional advisory group: medical and MPT. Build a Repository: ….Projects/methodology, leadership training, project resourcesCoordinate Peer Assist & Support, Support of Regional networks to deliver QI projects.KQuIP: supports & encourages additional local QI projects
K-QuIP
Registry
Health Foundati
onKRUK
PatientsBKPA/NKF
NHSEngland
RA/BRSBTS/BAPN
KQuIP Launch Graham Lipkin & Louise Wells
Training in Leadership & QI Methods
08.06.2016 33