Title: Jan Warner Director of Patient Safety and Performance Assessment
1Jan WarnerDirector of Patient Safety and
Performance Assessment
Health and HomelessnessSharing the Learning
2NHS QIS is
- A Special Health Board set up in 2003
- Independent in our advice, assessment and
recommendations - Focus on Implementation and Improvement
3Our approach is
- evidence-based
- set within the Scottish Government policy context
- open and transparent
- collaborative
4We
- provide advice and guidance
- facilitate the implementation of continuous
improvement - assess performance, following up and reporting on
our findings
5Context health inequalities
Right Blood Right Patient _at_ Right Time
6Today is an opportunity to
- consider if and how we can add value to your
work, particularly in improving services for the
homeless - share examples of our work
- learn more about existing work on quality
improvement in health and homelessness - look ahead
7Improvement model
- an aim what impact Plan
- a method what action Do
- a measure how much by when Study
- review spread Act
8Networks
- Accountable officers - Risk Managers
- Sexual health leads - midwives
- Suicide reviews - Non execs
- AHPs - PD nurses
- 20 x managed clinical/care networks
9Improvement Example 1
Plan to reduce ventilator acquired
pneumonia Do raise bed heads daily sedation
vacation Study 1 patient, 1 nurse, 1 shift
learn and adapt Act spread Result 120 days
without a VAP in intensive care
10Improvement Example 2
Plan introduce new controlled drug
regulations Do set up network and
prioritise Study 1 change, 1 area learn and
adapt Act spread through network Result safer
practice fewer errors
11Times of change
12Improvement Example 3
Plan reduce suicide in patients using mental
health services concentrate on post
discharge Do provide additional support in
week 1 post discharge Study 1 area learn and
adapt Act spread Result 24 reduction over
14 months
13Adding value ?
- Improvement methodology
- Reliability
- Implementation
- ?through Network model?
14Testing the model HH Network PDSA
- What could we achieve by when impact/improvement
- How and who
- Testing options
- Sharing and learning
15Getting on board
16What next?
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