1. Waikato DHB Quality Account Year 4
Lessons learned
Waikato DHB Quality Account
Year 4

2. Whose quality account is it?
Setting the scene for the Board / Executive Group
Collaboration with key stakeholders (Planning and Funding / media and comms)
Link it to the planning priorities but with a twist!

3. Making it real
This is not just a publication – it’s a road map of where we have been and where we want to get to
Web site, DHB magazine, individual copies and letters to Board and EG
Structured my team so the priority areas can be progressed – Patient safety facilitators

4. Monitoring Patient Safety Priority areas 15/16 Q1 Q2 CommentaryQ1 Q2
Commentary
Reduce severe harm events – falls, pressure injuries, peri-operative harm, medication
Amber
Cluster of falls with serious harm a concern and issues with data collection of surgical safety indicator (new from July 16 for the HQSC)
Improve hand hygiene
Working with Gold auditors, infection control team and media/comms team on a campaign to reinvigorate and sustain
Increased service led mortality and morbidity reviews and improvement to decision / treatment choices
Improve care around deteriorating patients – Early warning, SBARR, timely response
Delay in forming new group / work plan
Patient Outcome Priority areas 15/16
Advise and support patients, pregnant woman and general population to quit smoking
Green
Better understand impact of alcohol consumption on our population and develop strategies to improve
Population health have done some initial work
Continue heart and diabetes checks in community
Patient Experience Priority areas 15/16
Develop an end of life framework including bereavement support process and advanced care planning
Baseline review of current activity underway
Introduce more flexible visiting for key support people
 People centred care programme to EG March
Improve the ‘welcoming environment’ across the DHB for consumers
  People centred care programme to EG March
Continue to improve the discharge processes, discharge time and use of planned discharge date
New electronic discharge summaries in place for GPs.

5. Disappointments
Not enough consumer engagement in the development or publication process
Use consumer council
Survey monkey / targeted research in May
Not enough engagement with frontline staff
What is important to them?
How fast a year can go!