Quality of Care Review for Care Assurance

Quality of Care Review for Care Assurance: Data Gathering/Triangulation Local Context Examples include NMAHP Strategy/Framework - What are the priorities? - What are the key deliverables? Care Assurance - What is the board care assurance approach Quality Improvement - What is the board quality improvement approach (QMS/Value Management) Reason for QoC Review Examples include Planned or scheduled In response to a trigger (area delivering high quality care or area of concern) What are you seeking to understand within your system? Examples include What questions are you seeking to answer? What are the enablers? What are the barriers? This template can be used to collate the qualitative and quantitative data to support QoC Review and any final reports. The QoC Guidance and Chapters provide detailed guidance on potential quality and safety indicators to be considered once the scope is agreed.

Quality of Care Review for Care Assurance: Data Gathering/Triangulation Refer to QoC Review Chapter - using the Elements of the Excellence in Care Framework Identify quality and safety indicators to inform review Identify consistent timeframe across indicators Remember to collate information from data, observation and discussion What questions are you seeking to answer? What are the enablers? What are the barriers? What are you What are you seeking to seeking to understand? understand?

Example slide layout using dummy data Fact Finding/Data What is your data telling you, what questions are emerging? Consider the elements on the chart: What is it telling you? Are there signals in the data that need further explanation? What information can you share about the local story? Consider value of other QI Tools to understand the system e.g. Pareto Charts, Fishbone (QI Zone Tools on TURAS)

Fundamentals of Care SPSP, CAIR and/or local dashboard data such as Inpatient Falls rate, Food Fluid and Nutrition measures, Early Warning Scores and Pressure Ulcer rates and other quality and safety documentation, Caseload size and complexity Fact Finding / Data What is your data telling you, what questions are emerging?

Person Centred Care Person Centred Care Planning, Care plan and bundle audits (SPSP), Trauma informed care, Anticipatory Care Planning and therapeutic interventions Fact Finding / Data What is your data telling you, what questions are emerging?

Compassion Care Opinion, Patient Experience Team or Complaints or Adverse Events, Trauma informed care Fact Finding / Data What is your data telling you, what questions are emerging?

Communication Care Opinion, Patient Experience Team or Advocacy, Complaints or Adverse Events, Continuity of Care Fact Finding / Data What is your data telling you, what questions are emerging?

Quality Control SPSP and CAIR Dashboard, data from other sources qualitative and quantitative Fact Finding / Data What is your data telling you, what questions are emerging?

Quality Planning/Planning for Quality Board data for relevant Scottish Government targets such as waiting times, SPSP, CAIR and local dashboards Fact Finding / Data What is your data telling you, what questions are emerging?

Quality Improvement QI qualifications within the area such as ScLIP, SiFS, ScIL or local training programmes, QI team support, Examples of QI testing and learning Fact Finding / Data Fact Finding / Data What is your data telling you, what What is your data telling you, what questions are emerging? questions are emerging?

Workforce CAIR dashboard such as Establishment Variance, Predictable Absence Allowance and Supplementary Staffing Use (Bank and Agency/Overtime and Excess), Staffing Level (Workload) tool run Fact Finding / Data What is your data telling you, what questions are emerging?

Evidence and Standards Board data for Scottish Government targets such as waiting time targets, CAIR dashboard data such as QMPLE Score and QMPLE Student Feedback measures, Annual Review, Professional Development and relevant registration (NMC, HCPC), GIRFEC/GIRFE/UNCRC Fact Finding / Data What is your data telling you, what questions are emerging?

Safety SPSP, CAIR and/or local dashboard, Incident reporting systems, Feedback from Care Opinion, Patient Experience Team and Complaints, Real Time Staffing and Escalation, Use of Mental Health Act restraint, covert medication, capacity Fact Finding / Data What is your data telling you, what questions are emerging?

Leadership Time to Lead, TURAS training and appraisal (local records keeping) Fact Finding / Data What is your data telling you, what questions are emerging?

Culture Staff feedback such as iMatter, Joy in Work, Board data for Scottish Government reporting such as whistleblowing, PDWR/Appraisal and Staff professionalism, NES Safety Culture Cards Fact Finding / Data What is your data telling you, what questions are emerging?

Staff Wellbeing CAIR dashboard such as Predictable Absence Allowance, Establish Variance measures, iMatter, Joy in Work, TURAS - Appraisal and Training Fact Finding / Data What is your data telling you, what questions are emerging?

Assurance Local dashboards Fact Finding / Data What is your data telling you, what questions are emerging?

Governance Risk Assessment and Escalation processes, Visible and effective governance, Child protection/Adult support and protection Fact Finding / Data What is your data telling you, what questions are emerging?

Learning Access to Clinical Supervision and Training, QI qualifications within the area such as ScLIP, SiFS, ScIL or local training programmes, Hot/Cold debriefs, protected learning time, TURAS learning Fact Finding / Data What is your data telling you, what questions are emerging?

Triangulation of Qualitative and Quantitative Data Understand your service: What are the root causes/contributing factors of any issues? Are there factors that impact the wider picture? Are there further questions to gain clarity, understanding and additional detail of local context? Analysis: Consider if support needed Are there other measures available? Identify key themes: Areas of good practice Areas for improvement