quality assessment and improvement tool (qa+i) · 2019. 4. 4. · a quality improvement approach to...
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A Quality Improvement approach to assessing against Standards
Quality Assessment and Improvement Tool (QA+I)
Dr. Mary Browne, QPS Division
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Defining Quality
• Institute of Medicine – Safety, Effectiveness, Equity, Timeliness, Efficiency, Patient-centredness
• NHS Scotland
- Person-centred care, Safe care, Effective care
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Quality Dimensions
Capacity and Capability Dimensions
National Standards for Safer Better Healthcare
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National Quality Standards
• Common agreement on what constitutes a quality service
• Common language to quality
• Frames quality improvement work
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Previous Experience
• Positives: Greater understanding of roles Certain barriers overcome Teamwork
• Negatives Huge paper-based task Independent activity
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• Services under significant pressure
• Changing governance
• Not starting from scratch
• Move away from an ‘assembly line’ box ticking compliance exercise
Early considerations
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Translation of Standards
Translated
45 Standards 241 Features
53 Essential Elements of Quality
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Quality Journey
1. Emerging Improvement
2. Continuous Improvement
3. Sustained Improvement
4. Excellence Increasing maturity and reliability
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QA+I Workbooks
• Standards, Essential Elements of Quality and Quality Levels
• Evidence to verify your level of quality
• Add own evidence from service
• Quality improvement plan template
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Alignment of approaches
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‘Culture eats strategy for breakfast’
………………and Standards and PPPGs and any
assessment or monitoring process
Successful Implementation
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Challenge to SPC Services
1. Leadership
2. Improvement Culture
3. Building Improvement capability
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Berwick Report
• Placing the quality of patient care, especially safety above all aims
• Engaging, empowering and hearing patients and carers • Fostering whole-heartedly the growth and development of all staff including their ability and support to improve the processes in which they work • Embracing transparency
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Building Improvement Capability
Diploma in Leadership and Quality in Healthcare
Quality Improvement Collaboratives
Service specific intensive QI training
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An Honest Discussion “If we stop being frankly
dishonest or at least disingenuous about
what can be done and we are accurate in our
description of the quality [currently] being
provided then we can have a sensible and
open discussion about what our priorities are.”