Rosie Kelly Clinical Manager, Acute Children’s Services, SET PINS – patient experience KPIs for nursing

How we got here 2008 – Regional Workshops to determine KPIs 2009 Pilot study – 3 clinical areas in SET, BHSCT and Dublin 2012/13 – 2 PINS workshops (1 in Belfast, 1 in NSW) to agree project and sign up participants 2013/14 PINS Project

Final 8 top ranked KPIs Key Performance Indicator 1. Consistent delivery of nursing/midwifery care against identified need 2. Patient’s confidence in the knowledge and skills of the nurse/midwife 3. Patient’s sense of safety whilst under the care of the nurse/midwife 4. Patient involvement in decisions made about his/her nursing/midwifery care 5. Time spent by nurses/midwives with the patient 6. Respect from the nurse/midwife for patient’s preference and choice 7 Nurse/midwife’s support for patients to care for themselves, where appropriate 8 Nurse/midwife’s understanding of what is important to the patient

Organisational Context Patient/ Client EXAMPLES Reported number of falls Pressure ulcer incidence Nurse facilitated discharge rates Compliance with hand hygiene EXAMPLES Performance against supervision standard Attendance – management rates Management of salaries & wages budget incl Bank, Agency & overtime EXAMPLES Patient’s confidence in the knowledge & skills of the nurse Nurse’s understanding of what is important to the patient Time spent by nurses with the patient Involvement of patients in decisions about their nursing care Organisational Indicators

Data Collection & Analysis Timeframe Survey ObservationAnalysisFeedback Stories TranscribeAnalysis Document Survey – distributed to all patients on discharge (over 7 weeks) Stories – 3 family stories over 1 week and 3 patient stories over 1 week Document – review patient record in conjunction with asking staff about patient goals (10 reviews over 1 week) Observation – of nursing presence in a specified bay over a 30 minute time period (3 over 1 week)

Measurement framework Strongest Source of Evidence Data Collection Methods Asking patient Survey Patient Stories Observing practice Observations of practice Asking nurses/midwives Interview Reviewing documentation/data Reviewing the patient record

Observations of Practice Will measure the following KPIs: KPI 5: Time spent by nurses and midwives with the patient.

Reviewing the Patient Record Will measure the following KPIs: KPI 1: “ Consistent delivery of care against identified need” KPI 8: “ Nurse / Midwife understanding of what is important to the patient” This will be undertaken in conjunction with asking questions of staff

SET Experience Staff engagement is key Triangulation added weight to findings Time consuming to embed in practice Ownership Action Planning a bonus this time

Challenges Time out for staff Using new data collection tools Recognising action plans as positive tools

Using the KPIs to change and improve practice