1. Liberty Stadium, Swansea / Optic Technium, St Asaph
Thursday 25th November 2010
Liberty Stadium, Swansea / Optic Technium, St Asaph
Bwrdd Iechyd Prifysgol
Betsi Cadwaladr University Health Board

2. 1000 Lives implementation and spread
Leadership structures integrated into normal clinical governance approved and agreed
Mini-Collaboratives hard wired to the Clinical Programme groups to deliver
Board on Board
Dashboard
Item Zero
Topic Reviews
Challenge…
Amalgamation of 8 disparate organisations
Implementation and spread equitably across the patch

3. Target the top causes of Death in BCU
Top 10 Causes of Death- Individual DGH April 2007 to December 2009
J18:Pneumoniaorganism unspecified
I50:Heart failure
J44:Other chronic obstructive pulmonary disease
A41:Other septicaemia
C34:Malignant neoplasm of bronchus and lung
I64:Strokenot specified as haemorrhage or infarction
I63:Cerebral infarction
I21:Acute myocardial infarction
S72:Fracture of femur
J22:Unspecified acute lower respiratory infection
National and Local
Deaths Reviews started
GTT
“Amenable Mortality”

4. To identify and prioritise the causes of harm
Patient Safety Steering Group- the channel for all “Harm
Multiple and multifaceted inputs
Mini-Collaboratives the means to deliver

5. Validate and standardise the data
Dashboard and extending availability and use
Standardising coding and validating across BCU
Palliative Care Code % v 4%!!

6. The Next 6 Months… Leadership and Engagement….!! The means to improve
RRAILS- Simple recognition and Reaction..
HAT- Compliance and Outcomes
Infection Prevention and Control- much achieved but much still to go…