Improvement science is the ‘now’ opportunity to enable healthcare teams to deliver high quality care. ‘Using data to drive learning and improvement’ Welcome to the afternoon QI sessions Dr Ian Bullock CEO Royal College of Physicians London 27th July 2016
The Darzi ‘3’ Five Year Forward View Dimensions of Quality Equitable Safe Patient Centered Effective Efficient Timely The Darzi ‘3’ Five Year Forward View IOM (2001) Crossing the Quality Chasm Sustainability was added: Future Hospital Commission (2013) Future Hospital: Caring for Medical Patients Sustainability Ref: IOM (2001) Crossing the Quality Chasm. Sustainability was added: Future Hospital Commission (2013) . Future Hospital: Caring for Medical Patients
The Quality Trilogy The patient safety narrative…an RCP commitment Improving quality Assuring quality Innovating quality Ref: Advancing Quality Alliance
Quality at the RCP Improving quality: EBHC guideline development Clinical audit: data driving learning & improvement Health informatics Assuring quality: Accreditation of services Invited service reviews Patient safety programme Innovating quality: Future hospital
Improving quality
UK Government spend £ Dept of Health (DoH) NHS England (NHSE) Commissioners National Institute for Health & Care Excellence (NICE) Commissioners Healthcare Quality Improvement Partnership (HQIP) Evidence based health care guidelines (clinical and service) National clinical audits, QI, patient safety & registries Developers: Royal College of Physicians
Guidelines Host the National Guideline Centre (NGC) Commissioned by National Institute for Health & Care Excellence (NICE) 15 guidelines slots 18 months to develop Each GL £212,000 yr A catalogue of > 125 covering major burden of disease areas
National clinical audits Lung cancer IBD audit of biological therapy Falls & fragility Stroke COPD Mortality case record review (pilot stage) Drive quality and safety as well as enhance patient experience
Academic papers and editorials
Patient safety https://www.rcplondon.ac.uk/projects/patient-safety
Acute care toolkit Soon to be available as e-learning for doctors
Innovating quality ‘There’s no changing the future without disturbing the present.’ Catherine Booth – Social reformer, 1829 - 1890
Centre for Creative Leadership Aug 2015
RCP Quality Improvement Hub Develop and share RCP QI expertise. Provide: Modular QI training for clinicians and healthcare teams. On line materials and remote learning. A network for clinicians with QI expertise.