Designing a quality improvement and innovation approach for

Designing a quality improvement and innovation approach for HSC, NI 18 th April, 2018 Hugh Mc. Caughey, Dr. Brian Robson & HSCQI

Welcome A Personal Perspective - Hugh Mc. Caughey CE, SEHSCT HSCQI – a collective journey - Sarah Williamson - NIAS Barbara Campbell – SEHSCT Paula Tally – SHSCT Never Worry Alone - Dr Brian Robson, Healthcare Improvement Scotland @hscqi

Key Messages about Safety & Quality HSC Safety Forum/HSCQI Donaldson Report [Re: Quality & Safety] "There is a big space for a creative, Quality 20: 20 "For NI to be positive and recognised internationally, but enhancing role. " especially by the people of NI, as a leader for excellence in health and social care”. Bengoa Report "The purpose of the Institute should be to create the conditions in which this improvement becomes the norm, from the bottom of the organisation up and the top of the organisation down. Delivering Together "I want to develop an Improvement Institute" HSCQI Cultivate Collective conditions for Improvement

I’ve got the gift

Scale and Spread… A Personal Perspective! • • Take down the Boundaries Different from Quality improvement Different tools Ownership Push and Pull Build a receptive culture and systems Start early together

Designing a quality improvement and innovation approach for HSC, NI Sarah Williamson (NIAS), Barbara Campbell (SEHSCT) & Paula Tally (SHSCT)

Building Will

“Communities of practice are groups of people who share a concern or passion for something they do and learn how to do it better as they interact regularly”. Etienne Wenger (2005) Workforce Evaluation Innovation Comms Digital platform Public Involvement Outcomes

Building Capability • • HSCQI Design Events NI Region/Scottish Leader Programme Flow Coaching Academy Commitment to Shared Learning Opportunities

Delivering Results • Shared Improvement Priorities (Scale up) Sepsis, Anti-coagulant use, Prevention of Type 2 Diabetes, GP/Social Care prototype • • • HSCQI Website & Communication Strategy HSCQI Alliance & infrastructure Evaluation and Outcomes Approach HSCQI Innovation Event Connections & Relationships

Emerging work streams hosted by HSC Organisations Evaluation and Outcomes Co. P Innovation Co. P PPI Co. P Hosted by BSO Digital Platform Co. P Strategic Partnerships Scale Up Workforce Co. P

People not processes. . . . Paula Tally, SHSCT

“It is good to have an end to journey toward; but it is the journey that matters in the end” http: //QI. hscni. net

Never worry alone Dr. Brian Robson Medical Director, Healthcare Improvement Scotland

NEVER WORRY ALONE … GETTING IMPROVEMENT TO SCALE 18 th April 2018 Dr Brian Robson Medical Director MBCh. B, FRCGP, MPH, DRCOG Health Foundation / IHI Quality Improvement Fellow

3 THINGS YOU MIGHT DO 1. Have a theory 2. Build capacity 3. Change the culture !

1. HAVE A THEORY …THIS IS OURS A clear and stretch goal A method Predictive, iterative testing

A LARGE SCALE METHOD The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2003. (Available on www. IHI. org)

CONVENE THE CO-PRODUCERS

2. BUILD QI CAPACITY “. . . everyone in healthcare really has two jobs when they come to work every day: to do their work and to improve it. ” What is ‘‘quality improvement’’ and how can it transform healthcare? Batalden, P; Davidoff. F Qual Saf Health Care. 2007 February; 16(1): 2– 3

“We are going to need a bigger boat. . ” Martin Brody, Police Chief, Amity Island (1975)

laura. allison@nes. scot. nhs. uk

3. OH …… AND CHANGE THE CULTURE. . . “I now consider the safety brief to be every bit as important to the safety of our patients as what I do as a surgeon during the operation. . . ” “. . I don’t know why theatre teams are allowed not to do a morning brief. . I wouldn’t operate without it !” Surgeon

VISIBLE PURPOSE

Thank You brian. robson@nhs. net @brobson 3