Presentation on theme: "RCSI Masterclass 6-11-12 Dr. Philip Crowley, National Director Quality Improvement Quality and safety the national context."— Presentation transcript:
RCSI Masterclass 6-11-12 Dr. Philip Crowley, National Director Quality Improvement Quality and safety the national context
The challenge that faces us Budget Medical and nursing recruitment and retention Limited measurement of quality Media and morale New divisions – focus vs integration Fire fighting (comfortable) Vs process, practice and care improvement
Nursing and Midwifery Developments Expanding roles Nurse and Midwifery Prescribing (medicinal products and X-ray) Advanced practice (eg EDs, sexual assault, chronic disease mangement) Driving key safety initiatives NEWScores/IMews Collaboratives, pressure ulcers, falls Measuring Care (Nursing and midwifery) metrics Leading Quality Improvements
Mid Staffs and nurse leadership Presented to HSE leadership team X 2 Communication to system re acting up Audit: 229 CNM2/CMM2 posts acting up = 14% Ongoing support for developing CNM/CMM2 competency Moderate levels of empowerment, time to lead? And DoNs, ADoNs, CNM3???
Flipping Healthcare Move from “What’s the matter?” to “What matters to you?” The patient is not the problem (Muir Gray) “Minimally Disruptive Medicine” (Victor Montori) Having conversations with the patient, understanding patients (not just their diseases) and their lives Patient goal setting Source: Barry MJ, Edgman-Levitan S. ”Shared Decision Making – The Pinnacle of Patient-Centered Care.” N Engl J Med. 366;9. pp 780-782. Montori, VM. “Shrinking the health care footprint.” Minnesota Physician. XXV(1). April, 2011
Quality led by Staff Staff experience – seek and value feedback and ideas for improvement Quality and safety Walk-rounds Enable people to do a better job ‘Walk in my shoes’ Do reinvent the wheel
Comments Overall key learning was Teamwork – the benefits of working with a team/group and the visual impact of keeping data’ Key learning was the importance of working together, good collaboration and communication. If managers support QI initiatives, teams can achieve great results. It’s all about teamwork and communication with a smile. Great team building experience My only advice or request is if you could organise the kind of learning sessions often, that would be a great help and encouragement.