From Quality Assurance to Quality Improvement The quality journey… – “It is quality rather than quantity that matters.” – Lucius Annaeus Seneca Lucius Annaeus Seneca – “Quality means doing it right when no one is looking.” - Henry Ford Henry Ford
From Quality Assurance to Quality Improvement “Quality begins with the intent, which is fixed by management” William Edwards DemmingWilliam Edwards Demming
From Quality Assurance to Quality Improvement “Work was like a stick. It had two ends. When you worked for the knowing you gave them quality; when you worked for a fool you simply gave him eyewash.” Aleksandr Solzhenitsyn - One Day in the Life of Ivan Denisovich Aleksandr SolzhenitsynOne Day in the Life of Ivan Denisovich
From Quality Assurance to Quality Improvement Quality Assurance is dead, long live Quality Improvement… Quality Assurance – systematic measurement, comparison with a standard, monitoring of processes and feedback loops that help establish error prevention… Quality improvement = – applying existing methods to help improve organisations and services – developing new tools and resources specific to the NHS – developing indicators and tools to measure quality improvement The Health Foundation
From Quality Assurance to Quality Improvement Practically speaking… Engagement - who, why and how? Values – check or develop together: don’t assume convergence
From Quality Assurance to Quality Improvement People make change happen, not spread-sheets or project management tools… but if you count it, it will get measured! Leadership is fundamental Does the market help or hinder? – red herring or fact?
From Quality Assurance to Quality Improvement BUT, what is missing? The patient’s view of quality! No decision about me without me… Choice of hospital/service (named clinician…) If we really mean patient-centred care, then we must understand the import of such a statement and act on it
From Quality Assurance to Quality Improvement Plan MonitorAction Evaluate Learn
From Quality Assurance to Quality Improvement