Quality Improvement Projects Introduction What is QIP Purpose

Quality Improvement Projects

Introduction • What is QIP? • Purpose? • How is it different from audit? • What skills does it teach? • Future plans for QIP

Quality Improvement Projects (QIP) s identify an improvement, lead it and write up covering the follow 1. The Project: simple and SMART 2. The Background: how the need for improvement was identified 3. Process Mapping: the steps needed with action plans eholder Analysis: identifies people or groups involved in the area t 5. The Intervention: collects, analyses and interprets data 6. Conclusions: describes the outcomes of interventions 7. Reflections: self-assessment ale: it should take about 8 -12 weeks to complete 1 -2 cycles of a si

Ideas for QIP projects • Capture of important diagnoses from hospital discharge letters • Repeat prescription pathway • Improving DNA rate

Example • Recording of fractures from hospital discharge summaries with aim of identifying fragility fractures • Purpose : • Osteoporosis risk • Child protection • Good record keeping

Process mapping • Letter arrives in surgery ( mail, fax or electronic) • Letter opened/accessed • Letter processed and allocated to Dr • Doctor highlights the readcode • Administrator adds it to computer •

Stakeholder analysis • Practice administrators • doctors in the surgery • Care homes • Pharmacist • (Local osteoporosis clinic) • (Fracture clinic) • (A&E) • (CCG)

The intervention • Collect/analyse data eg looking at past 6 months worth of fragility fracture coding • Develop a guideline on which discharge summaries to escalate: • eg hip fractures, radial fractures, spinal wedge fractures, over 75 s with fractures • doctor to identify the fragility fracture and code fragility fracture

• monitor the intervention for a short period of time to check it is working • modify aspects of it if necessary • Implement the change • re-analyse data 6 months later

Conclusions • Outcomes • local vs wider impact • implications eg financial, workload, prescribing, referrals, readmission rate ( falls prevention, osteoporosis management) • plans for sustainability through potential further work • dissemination of best practice via CCG/commissioning

Reflections • Barriers • Leadership skills • Practice factors • Impact on self/stakeholders • Any unexpected findings