Chair of the Quality Emergency Care Committee

Slides:



Advertisements
Similar presentations
Promoting quality for better health services Best practice for laying the groundwork.
Advertisements

Improving Quality of Care How do we address the implementation challenge? Iain Wallace Interim Medical Director NHS Quality Improvement Scotland.
Monday 17 September (Materials presented to the Mayoral Team on 28 August 2012)
The situation The requirements The benefits What’s needed to make it work How to move forward.
STROKE AUDIT Why? What? Who? Sandi haines Stroke Coordinator NHS Borders.
A campaign to improve fundamental care in the UK.
Working for practitioners and the public health community David Kidney Chief Executive, UK Public Health Register Practitioner Registration for London.
Commission on Education & Training for Patient Safety.
Care Quality Commission: ‘A New Start’ Consultation (England) June 2013 Full details on the CQC Consultation are available here:
London Health Libraries 27 February Drivers for Change World Class Commissioning NHS Operating Framework Healthcare for London.
Quality Improvement Adrian Boyle Chair of the Quality Emergency Care
The Royal College of Emergency Medicine VTE Risk in Lower Limb Immobilisation in Plaster Cast Clinical Audit National findings The Royal College.
QUALITY INSPECTIONS Inspection team briefing. THE PURPOSE OF QUALITY INSPECTIONS: To provide a rolling programme of assurance throughout the year To ensure.
The Quality Agenda Jenny Winslade, Executive Director of Nursing & Governance.
IAEM Clinical Guidelines Development Abel Wakai, MD FRCSI FRCEM IAEM Clinical Guidelines Committee (CGC) National Emergency Medicine Programme Conference.
[NAME CCG] [DATE] [FACILITATOR] Early Diagnosis of Cancer Quality Improvement using Cancer Significant Event Analysis [CCG MAP]
The Royal College of Emergency Medicine Mental Health in the ED Clinical Audit National findings The Royal College of Emergency Medicine Clinical.
Genetic Technologist Registration and the AHCS
National Quality Standards Framework
Quality improvement in action:
Software Process Improvement Initiative
CQC matters: Regulating the safe and effective use of medicines
The current state of adult social care – how resilient is it?
Healthcare Audit ICHN Annual Conference Hilton Hotel Kilmainham
Medical Leadership Influencing Culture and Patient Safety
Safer Care North East Falls Task Group
Rami Okasha Executive Director of Strategy and Improvement
The new CQC approach to hospital inspection
The Importance of Good Communication in Complaints
Models of Primary Care Primary Care – FAMED 530
Health and Safety Self Assurance Toolkit 2017
National Quality Standards Framework
Fundamental elements of internal control
Raising standards, putting people first
Fundamental elements of internal control
Annual Quality Statements
RPS Professional Development Programmes
Steve Fordham December 2016
Welcome Using SBAR in handovers Main title slide page
District Nursing and the Safety thermometer.
Spreading story use.
Journal Club Notes.
Primary care at scale Why? What? How?
Medicines Management Tips & Preparing for your CQC Inspection with Gerry Devine Practice Management Advisor.
Clinical Pathways to enhance quality of care
Information Transfer – ROP Compliance
Peg Bradke and Rebecca Steinfield
FRACTURED NECK OF FEMUR
Powys teaching Health Board
Jai Jayaraman Thursday 27 April 2017
Workforce Planning Framework
Managing Access by Generating Improvements in Cannulation
Clinical audit 2017/18 National Results
Proposed End of Training EPAs
Care Home Resilience Project Quality Event 14 June 2018 Claire Ratnayake Amanda Mayo Operations Director.
RM network Marianne Davis.
Clinical audit 2017/18 National Results
CQC: The new approach to inspection
Sandra Winterburn, Senior Lecturer & Consultation Skills Lead
Proposed changes to the way we inspect and regulate care services
Using Positive Behaviour Support within Adult Mental Health Services
Orientation & Safety training
FRACTURED NECK OF FEMUR
So you’ve been inspected…. communicators driving improvement
Programme Board meeting
4 Steps to Safety Violence Reduction Programme. Implementation
Quality Surveillance Programme
Welcome Main title slide page
Research transparency strategy
Realistic Prescribing Pathways
Presentation transcript:

Chair of the Quality Emergency Care Committee QI: What is RCEM Saying Adrian Boyle Chair of the Quality Emergency Care Committee @dradrianboyle

Successes RCEM Audit Program voted the second most effective clinical audit in the UK Near 100% sign up from EDs in England Recognised by CQC and Patient Groups as a good quality indicator Audit data performance is open access

Audit doesn’t work (mostly)

Fractured Neck of Femur Patients Receiving Analgesia within One Hour %

Why Audit Fails? Tick box exercise Performed by temporary staff Lack of feedback loops Career advancement rather than care advancement Lack of collective responsibility Strangled with red tape

Evidence Based Medicine Clinical Governance Clinical Audit Patient Safety Competency Resilience good at QI

What is different about QI? Quality Assurance Quality Improvement Standards compliance Inspection Defensive ‘Bad Apples’ Medical Provider Individual responsibility Continuous improvement Prevention Proactive Systems, processes Patient care Collective responsibility

Quality Assurance Quality Improvement

Over-arching document across RCEM committees Aimed at both Members and Fellows

Effective QI from RCEM Audits Do less, but do it better Choose a single standard that needs improving Important? Fundamental? Fixable? Talk to people (also known as ‘stakeholders’) Measure Intervene Rapid cycle

Why QI could fail? Tick box exercise Performed by temporary staff Lack of feedback loops Career advancement rather than care advancement Lack of collective responsibility Strangled with red tape

QI could also fail because.. Projectitis QI co-ordinator Magic Bullets Checklists Lack of learning -/+ve

Effective QI General Principles Think like a sector Share failings and successes Be realistic: no magic bullets Continued commitment Prof M. Dixon-Woods 2016

Effective QI General Principles What this means for us Think like a sector Share failings and successes Be realistic: no magic bullets Continued commitment Prof M. Dixon-Woods 2016 Use RCEM / National standards Publish and sharefhsW2 H3ESW2H Focus on a few key areas Consultant and whole team ownership

Close QI is here Not a fashion Not a priesthood