Quality Improvement Approach in Healthcare Infrastructure Development
Explore the transformative journey of implementing a quality improvement approach in healthcare infrastructure development from Oct 2018 to Feb 2019. The initiative includes consulting room enhancements, volume scaling up for all clinical specialties, co-designing processes, and standardizing procedures for sustainable impact.
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Presentation Transcript
WORKSHOP TAKING A QUALITY IMPROVEMENT APPROACH Clare Morrison NHS Near Me Lead, NHS Highland Scottish Quality & Safety Fellow
Oct 2018 Feb 2019 Infrastructure development Clinicians: consulting rooms Patients: 4 unstaffed and 15 unstaffed clinic March 2019 now (ongoing) Volume scale up Enabling all clinical specialties Jan-July 2018 Co-design One location Over 100 changes Aug Sept 2018 Scale up agreed Planning infrastructure
Oct 2018 Feb 2019 Infrastructure development Clinicians: consulting rooms Patients: 4 unstaffed and 15 unstaffed clinic March 2019 now (ongoing) Volume scale up Enabling all clinical specialties Jan-July 2018 Co-design One location Over 100 changes Aug Sept 2018 Scale up agreed Planning infrastructure
Oct 2018 Feb 2019 Infrastructure development Clinicians: consulting rooms Patients: 4 unstaffed and 15 unstaffed clinic March 2019 now (ongoing) Volume scale up Enabling all clinical specialties Jan-July 2018 Co-design One location Over 100 changes Aug Sept 2018 Scale up agreed Planning infrastructure Small tests of change
Oct 2018 Feb 2019 Infrastructure development Clinicians: consulting rooms Patients: 4 unstaffed and 15 unstaffed clinic March 2019 now (ongoing) Volume scale up Enabling all clinical specialties Jan-July 2018 Co-design One location Over 100 changes Aug Sept 2018 Scale up agreed Planning infrastructure Look at the whole process
Oct 2018 Feb 2019 Infrastructure development Clinicians: consulting rooms Patients: 4 unstaffed and 15 unstaffed clinic March 2019 now (ongoing) Volume scale up Enabling all clinical specialties Jan-July 2018 Co-design One location Over 100 changes Aug Sept 2018 Scale up agreed Planning infrastructure Standardise before spread
Co-design Definition: being equal partners and co-creators of a service. Participation means being consulted, co-production means being partners. Social Care Institute for Excellence
Discussion: Who would you include in co-designing a video consulting service?
Patients Workshops Testing Meetings Surveys Staff Testing Meetings Informal Clinicians Testing Meetings Surveys Informal
Co-design Oncology department film
Example: clinician set up Inter- ference with sound Flicking between screens Dictations lost Settings locked Computer or tablet?
Activity: Do a PDSA
PDSA: Group 4-5 people 1 person: the timer Rest: sit down
PDSA: Test 1 Start timer Group stand in alphabetical name order as fast as you can Shout stop when complete
PDSA: Test 2 Return to original seat Now agree one change to improve your group s time Repeat: time?
PDSA: Test 3 Keep change or not? Agree a further change to improve your group s time Repeat: time?
Look at the whole process Deliver video consulting service
Activity: Fill out your Fish
One system Single services
