Supporting General Practice with Change

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Presentation transcript:

Supporting General Practice with Change Diabetes Care Supporting General Practice with Change Dr Tim Hou Diana Dowdle Valerio Malez

Care Bundle Measures for Adults with Type 2 Diabetes: Has the patient participated in an active care planning process to develop an individualised self management care plan? Has the patient had an assessment for the risk and presence of complications of diabetes? Has the patient had review of their treatment in the last 3 months?

Building on Collaborative Learning Manaaki Hauora Create Change Package Manukau Locality Diabetes Diabetes Care Safety in Practice ARI – Care planning Monique – I took your breakthrough series slides and played around with it to try to illustrate how the work of each wave/cohort builds on what came before, culminating in a change package ready to scale and spread. Feet for Life Identifying & testing change ideas & measuring the impact on providing Diabetes Care Best Practice

Collaborative Structure General Practice Teams Select Topic Spread across Sector GPs community Define Current State/Baseline P A D S P A D S P A D S Expert Group LS 0 11 May 2016 LS 1 July 2016 LS 2 October 2016 LS 3 February 2017 IF Coaching/Mentoring Support LS = Learning Session

Support for practice teams Clinical Leadership Project Team Improvement Advisors PHO Facilitators Patient Experience Learning Sessions 4x Coaching & Mentoring Data analysis Resources http//improvementmethodology.govt.nz

Monthly Samples Templates: paper/ electronic Monthly sampling of 5-10 patient records Collect data monthly Results charted Create improvement plan Test change ideas through PDSAs- learning cycles

Sample example: Question 1 1. Collect data 2. Enter data in template 4. Identify and plan how to improve 3. Analyse data and identify what to improve 3rd cycle 2nd cycle 1st cycle

Testing Change Ideas Health Coaches in General Practices Tested in ProCare & East Tamaki Health Care GPs Health Coach training delivered for peer and clinical staff

Learn, Teach & Share Patients / whanau voice Other practice teams Story boards Harvest ideas / resources Utilise experts in collaborative Global network Enjoy your work

Break out Session

Aim Statement Manukau Locality Diabetes Aim: To improve diabetes control by > 10%, in 50% of patients with poorly controlled diabetes (HbA1c >75 mmol/mol), identified from primary healthcare practices, who are willing to participate in supported self-management activities by 1 December 2016 Proposed Diabetes Care Aim:

Break out Learning questions: Aim statement: Is it the right aim? What support does general practice need? How can you build on existing working relationships for this work? Feedback to whole group

Next Steps

Steps to Change

Next Steps May - June 2016 Establish teams/ review current state Monthly sampling due 15th each month Practice teams Practice visits Coaching/ Support from Improvement team July 2016 Learning Session 1 Improvement plans tested Practice Teams/ Improvement team October 2016 Learning Session 2 February 2017 Learning Session 3 June 2017 Aim Achieved – Celebration

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