1. Sustainability in Quality Improvement

2. Why should we be concerned?
doi: /futurehosp Future Hosp J June 1, 2018 vol. 5 no
Why should we be concerned?
Waste – time and financial
Sustainability quality improvement required to “provide high-quality care to patients not just of today but of the future.” 1
High performing hospitals have QI embedded into trusts culture2
Disenfranchised staff due to repeated “projects”
Mortimer et al. doi: /futurehosp Future Hosp J June 1, 2018 vol. 5 no
CQC

3. Project level Quality control vs quality improvement
Rotational staff ie junior doctors
Interventions not embedded in wider mechanisms/routine activities and seen as “projects”1
Poor selection of outcomes – mainly process measures.
Limited effectiveness of the system to monitor progress
Projects rely on individuals
Limited involvement or training of staff outside the “project team” to sustain the process
Limited training and understanding of QI methodology
Quality improvement methodology applied retrospectively ie 1 PDSA cyle
1. The Health Foundation Overcoming challenges to improving quality uality_fullversion.pdf
Project level

4. Organisational Issues
Lack of investment in allowing frontline staff to dedicate time to the development and roll out of programs
Lack of senior or clinical leadership engagement
Limited infrastructure for sustainability
Fit with organisational strategic aims and culture
Individual organisation adoption of bespoke QI methodologies
Organisational Issues