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Measuring for Quality Improvement
Arun Bhoopal NHS Medical Directorate
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Quality as the organising principle of the NHS
High Quality Care for All – a vision for quality improvement SAFETY EFFECTIVENESS PATIENT EXPERIENCE Quality as the organising principle of the NHS
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A Quality Framework to enable quality improvement
Bring clarity to quality – standards Measure quality Publish quality performance Recognise and reward quality Clinical leadership Safeguard quality Stay ahead Expanded role for NICE NHS Evidence Metrics – local, national, international Clinical dashboards Quality accounts NHS Choices International measures CQUIN SHAs – Medical Directors; clinical advisory boards National Quality Board Care Quality Commission SHA duty to innovate Innovation funds and prizes Academic Health Science Centres Health Innovation and Education Clusters
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Indicators for Quality Improvement – supporting local clinical teams
Key purposes NQB Quality Report Regional quality measures Services from Quality Observatory Clinical Team quality measure and dashboards Example product Provider quality account National Regional Local Team Improvement against national priorities Accountability to taxpayers International benchmarking Improvement in quality within the region and progress against the regional vision Enable benchmarking Service improvement Board accountability Provider benchmarking Team benchmarking for improvement Local clinical ownership of indicators Co-production at all levels of the system Subsidiarity Indicators for Quality Improvement – supporting local clinical teams
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Indicators for Quality Improvement (IQI)
What Details of over 200 quality of care indicators Purpose a resource for local clinical teams providing a set of robust indicators from which they can select to support local quality improvement a source of indicators which can be used for benchmarking and comparison Also Selected indicators to support patient choice through NHS Choices Possible use in Quality accounts and CQUIN
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Indicator Framework Safety Safety Effectiveness Effectiveness
Experience Experience Maternity and Maternity and Appropriate indicators Appropriate indicators Newborn Newborn Children’s Children’s Appropriate indicators Appropriate indicators Health Health Staying Staying Appropriate indicators Appropriate indicators Healthy Healthy Long Term Long Term Appropriate indicators Appropriate indicators Conditions Conditions Acute Care Acute Care Appropriate indicators Appropriate indicators Planned Care Planned Care Appropriate indicators Appropriate indicators Mental Health Mental Health Appropriate indicators Appropriate indicators End of Life Care End of Life Care Appropriate indicators Appropriate indicators
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