Presentation on theme: "How to sustain Quality Improvement activities over time"— Presentation transcript:
1 How to sustain Quality Improvement activities over time A brief introduction to Quality Management
2 Objectives Understand why there is a need for Quality Management (QM) Understand key aspects of QM to start building into clinic operations.Discuss ways to sustain and spread QI efforts
3 ScenarioYou’ve trained all of your staff in QI, everyone is enthusiastic and in the first 6 months you’ve done 3 successful QI projects.However, now the head nurse is pregnant, the counselor is going back to school, and the doctor is transferred to another OPCHow can you keep your QI effort going?
4 SustainabilityOnce QI is successful in one project, one clinic or one department how can it be sustained?How can it spread across a clinic, hospital or health system?
5 Quality Management (QM) An organization’s overall vision and strategy for sustaining QI effortsReflects an organization’s goals of quality and plans for quality improvement over months to yearsProvides leadership and supports culture of qualityEnsures training and resources are in placeSets priority areas for quality improvementIncreases likelihood of sustainability and spread
6 Quality management programs are important at all levels Area of focusMinistry of HealthSets national standards for qualityProvinceLeadership and support for ensuring strong provincial systems and addressing cross site issues.HospitalCoordinates and leads quality of care initiatives throughout the hospitalClinicAddresses clinic specific issues
7 Quality management plan outlines how the QM program will work A written vision for quality and QIAnnual goals for qualityThe QI infrastructure:A team with multidisciplinary staff involvementDedicated time to meetPlans for measurementDocumentationof meetingsof QI work at the siteResources for training and monitoring progress
8 Quality Management Plan example (1) Hospital ABC Quality vision: Hospital ABC will maintain high standards and ensure medical care is given in accordance with MOH guidelines in all departments. It is our vision that every staff person in Hospital ABC has the responsibility to maintain patient safety and provide the highest level of care.
9 Quality Management Plan example (2) Hospital ABC Quality goals for fiscal year 2013 (listed for each area). Examples:HIV: By 2013 routine CD4 testing will be increased by 15% and missed visits will be decreased by 20%.Vaccination: up to date vaccinations will be increased by 15%Pharmacy: Errors in medication dosing will be reduced by 20%
10 Quality Management Plan example (3) Plan for implementation:Dr. Huong, Nurse Thuy, Vice Director of Planning Hung and Patient representative Hai will lead the hospital effort. They will meet monthly and minutes will be shared with the hospital staff.Each clinic will establish a QI team to focus on quality issues in that area.Measurement will be done in each clinic every 6 months.
11 Hospital ABC Quality Management Plan example (4) Education: All staff working at hospital ABC will be trained in quality improvement. New staff training will be available on the first Friday of every month at 10am in the auditorium along with weekly quality rounds open to all staff to share lessons learned.Monitoring:Every clinic should keep a record of measurement, QI projects and results in a 3 ring binderHospital wide results will be shared on an annual basisQuality improvement goals will be reviewed and adjusted on an annual basis
12 What does quality management look like at the clinic level? Supports work to build the clinic’s capacity for improvementProvides leadership in implementation of measurement and improvement in hospital/MOH priority areasMay choose additional priority quality areasIncludes representatives from different disciplines (doctors, nurses, counselors, leaders, patients)Helps coordinate quality related work across the clinicIn small clinics QM team may be almost the same as QI project team.
13 Exercise -Is there a quality management program at your facility or province?Can you think of some next steps in starting a QM team at your sites?Do you have other ideas for how to sustain QI?10 minBe ready to shareThis slide and exercise is to recognize that it may take some time to implement QM.It is an exercise to get staff thinking both about how to implement QM as well as other ways to sustain QI which will be the next few slides.
14 Some ideas for sustaining QI efforts even before a QM program is in place
15 Ideas on how to sustain QI (1) Make quality important Include quality as an agenda item in meetingsRecognize staff for their QI effortsEnsure process for feedback and open discussion of performance dataSuggestion box: Take suggestions from staff and patients on areas to improve
16 Ideas on how to sustain QI (2) Document quality work Provides important tracking and can be used to measure progress, learn from what has been done, teach new staffExample: A 3 ring binder that includes:Quality Management PlanPerformance measurement plans and resultsPriority areas to improveNotes from gap analysesQI Project plans and resultsCopies of trainingsNotes from QM meetings
17 Ideas on how to sustain QI (3) Spread the word about quality Organize workshops to promote qualityShare lessons learned with other departments or clinicsCelebrate and share successesPost improvement results on the wallsNewsletters
18 SummaryAfter a successful QI project next steps include sustaining and spreading QIA quality management program provides important leadership and vision for an organization’s QI effortsUntil a QM program is in place, there are many ways a clinic can begin to spread and sustain QI efforts