1. Quality Accounts National Workshop A National Snapshot Ethan Tucker 26 February 2014

2. Purpose The Quality Accounts are designed to: Demonstrate your commitment to continuous evidence-based quality improvement across all services Set out to the public where improvements are needed and planned Receive challenge and support from the public and wider sector on what we’re trying to achieve Be held to account by the public and local stakeholders for delivering quality improvements.

3. Guiding principles Accountability and transparency Meaningful and relevant Whole of system outcomes Continuous quality improvement

4. Achievement A full set of 2012/13 Quality Accounts Next year’s Accounts, and how we can make them even better Examples of successful and innovative approaches Disclaimer

5. Opening statements Demonstrate clear commitment to the quality, safety and experience of care delivered The organisation’s quality story Explain progress Contents

6. Hutt Valley An impressive up-front statement of commitment. ‘The commitment to quality excellence and continuous improvement documented here must be echoed throughout the whole report’

7. MidCentral The DHB catchment profile on p.6 is a good idea, putting a distinct local perspective on the report ‘Acts as an introduction to the Account and the organisation, offering the values, achievements and goals…’

8. Nelson Marlborough The ‘day in the life’ infographic is a great and engaging opener. ‘A summary of the provider’s view of the quality of services provided during the reporting period’

9. Performance review Report on the previous year’s quality performance High level graphical analysis and commentary Demonstrate the quality of care delivered and shows data relevant to specific services and specialities What consumers / public say is most important to them

10. Canterbury Focusing on end of life care is a commendable approach that other DHBs could learn from, and it acknowledges the importance of getting this area right. ‘What the results mean for the organisation, the community and the wider sector’.

11. Canterbury The ‘Coming up roses’ section (p.76) is an unexpected opportunity for sustainable quality improvement not highlighted by other QAs. ‘Regional & national quality, safety & experience initiatives’

12. Capital & Coast An interesting and diverse range of topics are illustrated in the patient experience and patient safety initiatives sections (p.4-27)… ‘Regional & national quality, safety & experience initiatives’

13. Counties Manukau The system level measures approach (p.11-13) is highly commendable and will be a valuable tool in quality reporting. ‘Understand the quality of services delivered…’

14. Counties Manukau The 20,000 Days campaign is a great example of how abstract sustainability issues can be addressed in real and measurable terms. The campaign dashboard is very informative, and full of useful details. ‘Shows data relevant to specific services and specialities…’

15. Hutt Valley The credentialling discussion is a useful approach that other DHBs may wish to consider to provide reassurance to the public about efforts to improve patient safety. ‘Quality, safety and experience improvement programmes’

16. Lakes The staff acknowledgement pages (p.12-13) are a nice touch that other DHBs could learn from. ‘Contributing factors to the performance outcomes’.

17. MidCentral Commencing the section with the patient and consumer focus is a welcome acknowledgement of the importance of their voices. Margaret and Frank’s story (p.11) is an excellent example of how patient voices can be listened to more closely and the importance of health literacy. ‘What the consumers and the public say matters most to them’

18. South Canterbury The Ministry Health Targets summary page is excellent, providing simple measures of progress. ‘Nationally consistent content – National Health Targets’.

19. Taranaki The e-whiteboard system is an interesting initiative. Do other DHBs have similar systems?. ‘Any improvement activities that have been undertaken and the impact they had on performance’.

20. Wairarapa The suicide prevention section is a valuable focus and publicising the helplines is a nice touch. ‘Quality, safety and experience improvement programmes’

21. Waitemata Impressive coverage of quality and safety initiatives, with useful mini- features on eight key stories. The inclusion of two stories on workforce improvement and two on consumer engagement is a positive indication of the importance of these aspects of the DHB’s work. ‘Patient safety and experience indicators’

22. West Coast The statistical snapshot (p.8) is a user-friendly way to convey the scale of operations at the DHB. ‘Understanding the quality of services’

23. West Coast The discussion of the consumer council (p.9) is a good example for other DHBs. ‘What consumers and the public say matters most to them’.

24. Future focus Priorities for improvement (3-5 points) Reporting of improvement targets against defined measures Capability development (plans & processes)

25. Counties Manukau Priorities for improvement in 2013/14 is the strongest future-facing section in a DHB Quality Account. ‘Details of a local improvement plan, providing a forward look at priorities’.

26. Southern The dedicated priorities for improvement section is impressive and comprehensive. ‘Key improvement initiatives for each priority’.

27. Miscellaneous: MidCentral

28. Miscellaneous: S. Canterbury

29. Final thoughts A great first year of QAs To consider for next year: – More graphics and data – National Health Targets – Serious & Sentinel Events – Plans for QI – How will progress be measured?