Tag: QI

HSCQI Hub Update

HSCQI Hub Update

We hope you and your family are keeping well in these unprecedented times for wider society, our Health and Social Care System and the people who depend on it.

 The HSCQI Hub team members are diverting most of their attentions to supporting frontline clinical work and the wider public health functions of the Public Health Agency.  Please contact us individually or via the ihub@hscni.net if we can offer any support particularly for improvement ideas at this time, and we hope to share some initiatives we are involved in due course.

Please note the Scale Up event scheduled for Wednesday the 25th March at the Titanic Museum has been postponed to Monday the 5th October at the Titanic Museum and will be repurposed as a learning event focused on what we as an HSC system have collectively learned from the COVID-19 challenge.  Ideas for how we capture what we are learning or suggestions for contributions on the day are greatly welcomed at ihub@hscni.net or via your contacts with one of our HSCQI Hub team members.

Best Wishes for the challenging weeks ahead,

The HSCQI Hub team

Sandra, Gerard, Dawn, Tracey, Janet, Levette, Jackie, Mark & Aideen

Annual HSCQI Q Community Event and HSCQI Awards

Q Community Event and HSCQI Awards 2019

 Riddell Hall, Belfast 

 Wednesday, 4 March 2020  9am

 

 

 

 

Come along and find out about the future of Q, as Stacey Lally from the Health Foundation will outline the exciting plans for the Q Community. John Bolton, Director Improvement Cymru will be sharing Crossing the Chasms: Learning from our Improvement Journey in Wales’. This will be a very inspiring insight into the Improvement Cymru  journey and shoiuld provide us all with lots to think about.  We will also hear from Ruth Gray, about the Q Exchange Evaluaiton Project.  Then this year’s successful Q Exchange winners from NI will be bringing us up to date with their innovative projects. Gill Smith, NHSCT on their Gamification of Human Factors work and Brena Carson, SET on their QI for Support Services Staff.  The morning will conclude with Dr Laure Martin, SHSCT sharing on Learning from excellence.

The Quality Improvement Awards 2019 (previously the Safety Forum Awards) winners will be revealed on Wednesday afternoon at the event. These annual awards celebrate and recognise the innovative and excellent QI work going on across health and social care in the region. Each of the five Category winners will be awarded £800 with the overall winner receiving a prize of £1,600, to be put towards expenses, linked with advancing the Teams’ improvement goals.

Speaking about the awards, Mark Vignesha Roberts MPH FRCP, Clinical Director, Improvement Hub for HSCQI commented:

“These prestigious awards showcase the significant, often ground breaking work in Quality and Improvement that is going on in all professional disciplines in acute, social and primary care. It is a great opportunity for teams and individuals to share their innovations and projects and for us all to continue to learn from each other.”

The overall HSC Quality Improvement Award will be awarded to the individual/team category winner that has made the greatest contribution to quality improvement and safety in Health and Social Care.

The 5 category awards, each linked to projects advancing quality improvement are:

  • Partnership working/Co-production
  • Innovation/transformation in Care
  • Integrating Care across boundaries
  • Building reliable care
  • Primary Care (for general practice only)

The awards provide the opportunity to showcase  great QI work and shareexperience with colleagues across the Health and Social Care Sector.

 

The Power of Stories: Joint QI Conference in Dublin

The Power of Stories

HSE Schwartz Rounds generate a sense of community, improving teamwork and personal practice and Q community launched in Ireland

Speakers and facilitators

 

On Tuesday, 18 February members of the HSCQI travelled to Dublin to take part in the HSE’s second Schwartz Rounds and Quality Improvement (QI) conference in Dublin Castle, the HSE. The Conference marked four years since the introduction of Schwartz Rounds in Ireland. Since the process began, 25 organisations have signed a service level agreement with the Point of Care Foundation, helping to improve staff wellbeing and teamwork. 

Schwartz Rounds provide a forum for conversations about the emotional impact of work, open to all staff within an organisation. During the monthly, one-hour meetings staff can share their experiences that can improve relationships with colleagues and gain insight into how others care for patients.

The conference made the connection between Schwartz Rounds and Quality Improvement (QI) and provided great opportunities to communicate, connect, collaborate and network to further Schwartz Rounds and QI development and learning.

The conference, a collaboration between the HSE National QI Team and the HSCQI brought  people across the island together to share experiences.  Building on the concept of shared learning, the HSE announced country partnership with Q – an ambitious, long-term initiative that brings together people working to improve health and care. It is led by the Health Foundation and supported by partners across the UK and Ireland. HSCQI is already a Q Country Partner.

Q is not a taught programme, but a network for people with experience of delivering improvement. By creating opportunities for people to share ideas, enhance skills, and collaborate, Q supports members to use and develop the wealth of ideas and expertise.

Dr Mark Roberts, Clinical Director, Improvement Hub for HSCQI added: “This conference is part of HSCQI’s ongoing collaboration with the HSE’s National Quality Improvement team. This relationship is mutually beneficial and we are learning a lot from each other. It is great that colleagues from the HSCQI network shared their innovative QI work at the Dublin conference, which provided another opportunity for connecting people with common goals. We are all focused on providing safe and effective care for those who need our health and social care services and we all face similar challenges in doing so. It makes good sense for us to continue to build this relationship and develop our QI learning and expertise.”

Dr Philip Crowley, HSE National Director, National QI Team said: “The event is a further deepening of the National QI Team’s collaboration with the Health and Social Care QI team in Northern Ireland.  We share learning north and south and this represents the 5th joint event focusing on how we improve the quality of patient care across the Island. We are also celebrating four years of developing Schwartz Rounds in Ireland.  These have been evaluated very positively and help staff share their experiences of working in our health services.”

Penny Pereira, Q Initiative Director said “I’m delighted that we’re working with the HSE to launch Q in Ireland. Since Q began we have been working with Q members and partners to create a cross-sector, cross-profession, pan-country infrastructure for learning and collaboration. Launching in Ireland further demonstrates our commitment to growing the community and supporting members to connect across boundaries. The experience and expertise of improvers in Ireland will be a fantastic addition to the community.”

 

Schwartz Rounds

Schwartz Rounds provide a framework which helps to improve staff wellbeing, teamwork and support which ultimately has an impact on improved person centred care.  The National Quality Improvement Team in collaboration with the Point of Care Foundation (PoCF) will provide training in Ireland for up to 30 teams who want to establish Schwartz Rounds over the next two years.

 

Organisations introducing Schwartz Rounds

  1. Portiuncula University Hospital
  2. Mayo University Hospital, Ireland
  3. Midland Regional Hospital, Tullamore
  4. Connolly Hospital, Ireland
  5. The Royal Hospital, Donnybrook, Ireland
  6. Our Lady of Lourdes Hospital, Drogheda
  7. Temple Street Children’s Hospital
  8. The National Children’s Hospital, Tallaght
  9. Laura Lynn Ireland’s Children’s Hospice, Ireland
  10. Our Lady’s Hospice & Care Services, Harold’s Cross
  11. Our Lady’s Hospice & Care Services, Blackrock Hospice
  12. Beaumont Hospital
  13. UL Hospitals Group
  14. Cork University Hospital
  15. University Hospital Galway / Saolta University Health Care Group
  16. Cavan and Monaghan Hospital
  17. Adult Mental Health Service, HSE CHO 5  Carlow Kilkenny
  18. Adult Mental Health Service, HSE CHO 5  Waterford Wexford
  19. Adult Mental Health Services, HSE CHO 7
  20. National Ambulance Service (South Operational Area)
  21. Community HealthCare West -Roscommon CHO2
  22. The National Maternity Hospital, Holles Street
  23. The Mater Misericordiae University Hospital Dublin
  24. Resilience care
  25. St. Michael’s House

 

Q Community

Q is an ambitious, long-term initiative that brings together people working to improve health and care. It is led by the Health Foundation and supported by partners across the UK and Ireland. It is an exciting opportunity for improvers in Ireland to connect and collaborate with fellow improvers, use Q as a source of innovation and practical problem solving, and get involved with a range of activities and benefits that are on offer. By creating opportunities for people to share ideas, enhance skills, and collaborate, Q supports members to use and develop the wealth of ideas and expertise that currently exists in every part of the UK and Ireland.

For more information visit q.health.org.uk

 

 

 

GPs collaborating to improve urinary tract (UTI) infection antimicrobial stewardship in nursing homes

GPs collaborating to improve urinary tract (UTI) infection antimicrobial stewardship in nursing homes                          

Northern Ireland has the highest use of antimicrobials per person in United Kingdom. Major regional work is now underway to improve urinary tract (UTI) infection antimicrobial stewardship in nursing homes in the Northern Trust area. The work in this important sector of our healthcare system, is one of four Regional Scale and Spread areas of work underway in NI’s Health and Social Care Quality Improvement (HSCQI) network.

UTIs are one of the main sources of HCA gram negative infections. 45%* of all infections treated were UTIs. Staff in three care homes in the Northern Trust area are working alongside four Antrim GP practices with the aim of reducing the GP practices’ inappropriate antimicrobial prescribing by 10% for the care home residents. The use of a decision aid and checklist tools are helping to progress the improvements and the QI project is an excellent example of how all sectors can work together using quality improvement science methodology to make a real difference to a critically relevant issue.

Elizabeth Graham, Assistant Director of Person Centred Practice, Nursing Innovation and Development at Northern Trust and Dr Brian McCloskey, A Critical Care Consultant in the Belfast Trust are the joint project leads for this HSCQI work which is being facilitated by the Institute for Healthcare Improvement (IHI). Speaking at a recent project strategy meeting hosted in Massereene Manor Care Home, they spoke about the progress to date:

Elizabeth noted “This antimicrobial stewardship QI project with three of the Hutchison Group’s Care homes in the Antrim area is exemplary in providing a platform for multiple stakeholders working, from both the independent and public sectors, having the key aim of providing safe, effective care for our growing older population. We are currently working with Massereene Manor, Clonlee and Antrim Care Homes and four Antrim GPs Practices.  Nurses in the homes and their management have been amazing in embracing this work.

Brian added,” Alongside the care homes and the GP practices, we are collaborating with the Northern Trust, Public Health Agency (PHA), the Regulation and Quality Improvement Authority (RQIA) and Quality Improvement experts. Although based at present in the Northern Trust area, this work will in time benefit the long-term health of the NI population as HSCQI intend project spread across other NI care homes and GP Practices following outcomes based testing.

Dr Alan Lewis Vice Chair Antrim/ Ballymena GP federation and one of the participating GP Practices commented:

From my perspective I expect this project to streamline and standardise prescription requests for possible UTIs in nursing home patients giving GPs a more accurate clinical description of the patient to ensure appropriate prescribing in a timely manner.  I also expect that by giving nurses structure to their requests it will help them consider alternative diagnoses for the presenting symptoms and signs and may actually reduce requests for antibiotics for UTIs.  In the current antimicrobial crisis this would be an important step in the fight against antibiotic resistance.

Sharon Mc Cracken, the Manager of  Antrim Care Home who is taking part in the project commented:

“This is a fantastic opportunity for us in the private sector to work closely with the GP’s, PHA and Trust to reduce the use of antibiotic use to improve the quality of care for residents in Nursing Homes. “

The Project Team of Dr Jackie McCall, Clinical Lead for the HSCQI Improvement Hub;
Ursula Gray, Practice Education Facilitator for REaCH service NHSCT;
Angela McCabe, Lead Practice Based Pharmacist Antrim /Ballymena GP Federation;
Susan Hanna, Senior Director, the Institute for Healthcare Improvement (IHI);
Elizabeth Graham, Assistant Director of Person Centred Practice, Nursing Innovation and Development at Northern Trust and Dr Brian McCloskey, A Critical Care Consultant in the Belfast Trust, who are the joint project leads.

Dr Jackie McCall, Clinical Lead for the HSCQI Improvement Hub who is working on the project commented:

“Media campaigns such as the recent ‘Antibiotic Guardian’ campaign have been reminding us all that antibiotic resistance is one of the biggest threats facing us today. This project continues to work towards safeguarding our antibiotics for future use. We want to keep antibiotics working.”

Click on https://vimeo.com/373856239/c3c4d92c88 where you can hear Brian and Elizabeth discuss the importance of this regional work.  You can also follow @HSCQI on Twitter to follow the #ScaleUpNi progress or see www.qi.hscni.net

This work is one of a series of four HSCQI Regional Scale and Spread areas of work which comprises of Sepsis, Antimicrobial Stewardship in Care Homes, Towards Zero Suicide Safety Planning and Safeguarding for Children in a social care setting. These regionally important  HSCQI projects are being facilitated by the Institute for Healthcare Improvement (IHI) and are endorsed by NI Health and Social Care senior leaders and
the Department of Health.

*HALT (NI) Report

Elizabeth Graham, Assistant Director of Person Centred Practice, Nursing Innovation and Development at Northern Trust and Dr Brian McCloskey, A Critical Care Consultant in the Belfast Trust, who are the joint project leads with
Eddy Hutchinson, Hutchinson Care Homes; Pepsi Lata, Clonlee Nursing Home; Sharon Smyth, Antrim Care Home; Anne McCracken, Masserene Manor and James Laverty RQIA.

Register Now, People Make Change Happen @Dublin Castle 18 Feb

People Make Change

REGISTER NOW!

As it is expected that there will be significant interest in the conference, places will be allocated on a first come first served basis.  Please register your interest by clicking on the following link:

https://www.surveymonkey.com/r/AllIreConf2020HSCQI

We are delighted to open registration for the All Ireland Schwartz Rounds and QI Conference – People Make Change Happen.

This conference makes the connection between Schwartz Rounds and Quality Improvement (QI).  It will help you:

·to communicate, connect, collaborate and network, and

·showcase some of the most innovative QI work impacting on health services across Ireland. 

Conference speakers

We are looking forward to welcoming our esteemed speakers:

·Dr. Eanna Falvey, Consultant in Sports and Exercise Medicine and Team Doctor to the Irish Senior Rugby Team 2009 – 2015 British & Irish Lions Tours 2013 and 2017

·Ms. Laura Collins, Family Carer and HSCQI Alliance Expert Service User/Carer Representative

·Dr. Jocelyn Cornwell, Founder of The Point of Care Foundation

·Dr. Mark Roberts, Clinical Director, Improvement Hub for HSCQI (incorporating HSC Safety Forum)

·Dr. Philip Crowley, National Director National Quality Improvement Team. 

We also look forward to welcoming the leaders of the eight interactive workshops which include colleagues and advocates from across the health sector in Ireland.

For a full programme and to find details of the poster and photo display opportunities, please see our website www.staffengagement.ie.

Who is the conference designed for?

The conference has two strands and is designed to support those working in healthcare in particular:

·Members of the Schwartz Rounds Community – Schwartz Rounds clinical leads, facilitators, administrative staff and steering group members in existing sites 

·Healthcare staff interested in learning more about Schwartz Rounds

·Those with a passion or interest in quality improvement.

This event is a collaboration between the Health Service Executive (HSE) and the Health and Social Care in Northern Ireland (HSCQI).

To register

As it is expected that there will be significant interest in the conference, places will be allocated on a first come first served basis.  Please register your interest by clicking on the following link:

https://www.surveymonkey.com/r/AllIreConf2020HSCQI

 

Conference registration will close on the 24th January 2020. 

You will be notified of your place at the conference during the week of 27th January 202

GREAT Video promotes involvement

The GREAT Checklists’ work has been developed further into a GREAT video online learning resource. The GREAT Checklists and the Training Video which goes with them, provide a really important toolkit to involve people in the improvement of care.

The new vidoe has a series of scenes, each of the scenes  reflects the barriers to good engagement. They also show how to promote best practice when co-producing new initiatives and redesigning services within the area of Quality Improvement.

The video was co-written and co-designed with experienced service users and family carers and is a result of extensive work by tht HSC PPI Community of Practice. The HSCQI and PHA provided funding for this funding this resource.

 

GREAT service users guideGREAT staff guide

 

Watch Making Improvement G R E A T Video at….

http://engage.hscni.net

http://qi.hscni.net

 

For further information on the HSC PPI Community of Practice, contact either Co-Chair:

lauracollins56@hotmail.com  and   Clifford.Mitchell@southerntrust.hscni.net

There are details on the Engage website of how to download the video.

You can save each section and then use the resource at a later date.

All ready to unlock potential!

Colleagues from across Health and Social Care enjoyed a great Q Community session with Maire Grattan on ‘Coaching for improvement.’ Participants came to the session with varying degrees of coaching experience and shared their own accounts of how coaching was an integral part of any QI work they undertook.

One of the takeaways for many of the participants was the importance of listening and the group put their listening skills to the test in a series of exercises.

participants
Mark Roberts,Clinical Lead for the Improvement Hub for HSCQI and Maire Grattan.

 

Barbara Gilliand, NHSCT and Mandy Gormley, WHSCT

 

Jocelyn Harpur and Anne Dixon, SEHSCT

Levette Lamb from the Improvement Hub was delighted to host another Q Session and commented:

’Coaching skills are so important in Quality Improvement work. We want Health and Social Care staff at all levels in our partner organisations to know that they can influence and make improvements. Coaching is one way to unlock the amazing potential of staff and involve more people in QI’

 

Sharing the QI Message

Q RoadshowQ Roadshow

 

The Improvement Hub for HSCQI has been on the road for the last month, visiting Trust locations across the region.  Many different professional disciplines came along to the meet the team and the feedback on the Roadshows has been very positive.

Levette Lamb, from the hub, was one of the team on the Roadshows and commented:

‘The roadshows were fantastic opportunities to promote and grow the QI culture and we had a brilliant reception from staff in all locations. We had our stands in reception areas and staff canteens, and wherever we were we had lots of interest from staff. There were questions from staff interested in joining the Q Community and others who had heard we were there, and just wanted to hear more about QI and how they can get involved.

The Q Network is all about creating opportunities for people to come together and form a community – sharing ideas, enhancing skills and collaborating to make health and care better, the roadshows are a great platform to share this mission.

The Roadshows provided insight into what Q members and potential Q members are looking for to help with their QI work and what they would like from the Improvement Hub for HSCQI in the future. It looks like regular roadshows across the region and more local events will be scheduled in response to the interest. The Improvement Hub appreciated the event planning and internal promotion of the roadshows that Trust colleagues had done in preparation for the visits and this joint working is advancing the interest and enthusiasm for QI across the region.

To find out about joining the Q Network please see https://q.health.org.uk/join-q