1. Supporting the Knowledge into Action Review May 2011
A Conversation Between Knowledge Management and Quality Improvement Leads
Supporting the Knowledge into Action Review May 2011

2. Getting Knowledge into Action for Healthcare Quality
Review of Knowledge Services and the Librarian Role to Establish a
New Knowledge Management Model

3. Overview Why a Knowledge into Action Review: Drivers and Aims
Who, How, When:
Governance and process
Why should librarians and Quality Improvement Leads get involved?
Co-creating the new model

4. Why: Drivers and Aims

5. Yes, it’s quite a noise – but are we having any impact?

6. From Accessing to Applying Knowledge
12 million + resources
How much of this gets used in a meaningful way to improve safe, effective, person-centred care?

7. Knowledge-Practice Gap
Only 55% in US healthcare system receive recommended care
McGlynn et al (2003)
Estimated 30-40% of care in UK not based on available scientific evidence
Grol, R. and Grimshaw, J. (2003)
5 year gap between publication of guidelines and changes in routine practice in Western healthcare systems.
Lomas et al (1993)
17 year gap between publication of clinical research and its incorporation into routine practice.
Grant et al (2000)

8. 12 Quality Outcome Indicators
Quality Strategy
All we do must contribute to….
Our shared aim
To become a world leader in healthcare quality
3 Quality Ambitions
Safe, Effective, Person-Centred Care
12 Quality Outcome Indicators
Care experience, Adverse events, Resource use

9. Drivers for change Librarian Role Quality Strategy Economic Downturn
Local
Reviews
Use of
Knowledge
User expectations
Changing models
of care
Technology

10. Evolving the Librarian Role
“It is not the strongest of the species that survives, nor the most intelligent, but rather the one most adaptable to change.”
Charles Darwin (Attrib)

11. Who, How, When Governance and Process

12. Who? Knowledge into Action Steering Group
NHS KS staff, QI Hub, ISD, OD, clinical education, eHealth, Health Scotland, clinical governance, social care, clinicians, academia
Board Executive Lead sponsors
Change team
Wider KM, clinician and QI community ie you!

13. How?
Review of research evidence/synthesis of knowledge translation models
Identify ideas for improvement/map examples of innovation
Test new ideas at local level
Model structures and processes
Define the new model
Consultation

14. When? March-July 2011 Gathering evidence August 2011
Stakeholder workshop - review evidence to define improvements
September 2011-January 2012
Demonstrators projects to test improvements
March 2012
Model defined and issued for consultation

15. Is a change an improvement?
Define aims
What are we trying to accomplish?
What change can we make?
Test, develop, implement solutions
Is a change an improvement?
Measure impact
Assess knowledge use and evaluate outcomes
Evidence-based quality indictors
Case studies
After action reviews
Cost-benefit analysis
How do we embed the change?
Spread
Quality improvement processes
Inquiry and Knowledge Synthesis
Knowledge Exchange and Dissemination
Knowledge Exchange and Dissemina-tion
Knowledge Flow
Problem definition People & skill
Expert Searching directories
Capture experiential knowledge
Evidence synthesis Organise knowledge
CoP
Social marketing
Knowledge for action packages
Knowledge Management activities and tools
Knowledge Management Capabilities – personal & organisational

16. Why should Librarians and Quality Improvement Leads get involved?
Co-creating the new model

17. Bringing two worlds together
Knowledge
Management
Quality
Improvement

18. Transfer of Knowledge into Quality Healthcare
Clinical Knowledge:
MEDLINE, Cochrane etc
Clinical Decisions
Doing the
right thing
Doing it right
Know-What
Quality
Patient Care
Process/System Changes
Improvement Knowledge:
IHI, experience, etc
Know-How

19. Bridging the Knowledge-Practice Gap
“The transfer of knowledge is care”

20. Conclusion
“The application of what we know will have a bigger impact than any drug or technology likely to be introduced in the next decade.”
Sir Muir Gray Director NHS National Knowledge Service & NHS Chief Knowledge Office

21. Getting Knowledge into Action for Healthcare Quality
Contact:

22. Connecting KM and QI in NHS Greater Glasgow and Clyde
Michelle Kirkwood, Knowledge Services Manager
Knowledge Management “Network” –
Library/Knowledge Services
Clinical Governance
Public health
Learning and Education
Medicines Information
Organisational Development
Chaired by Head of Clinical Governance
KM framework and demonstrator project
Align with national review to develop KM
framework for Board approval

23. Next steps and support 1. Questionnaire survey for knowledge services:
Evidence search and synthesis
Use of physical resource
2. Engagement and communication
Clinicians and other stakeholders
Board visits
Knowledge Services communication network
Bringing Knowledge Together website
3. August stakeholder workshop
Review evidence and identify improvements
Handover to Boards for demonstrators
4. “Leading with knowledge” – role development
programme