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Introduction to Continous Quality Improvement

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Introduction to Continous Quality Improvement

  1. 1. Join - the - Dots Quality Consulting Gina Ingrouille PH:0478 649 137 Introduction to Continuous Quality Improvement 14 July 2015
  2. 2. Time Agenda 9:00 Pre-event Questionnaire 9:15 Introductions – Trainer Background – Intro from participants 9:30 What is Accreditation What is Continuous Quality Improvement (CQI) Why do we need CQI 10:00 CQI and the PDCA model (Closing the Loop) 10:30 Morning Tea 10:45 Policy and Procedure - Why? What are the barriers to using P and P 11:45 Workshop on finding what is needed quickly 12:30 Lunch 1:00 Overview of the QIC H&CS Standards 2:00 Q and A Practice for Accreditation and the Review (keeping CQI in mind) 3:00 Any Questions from Creating Links staff 3:00 Final Evaluation Questionnaire
  3. 3. Questions and Intro Quick pre-training assessment. Introductions. Join the Dots
  4. 4. QIC Accreditation What is accreditation? The status obtained by an organisation after a successful third party external review by a recognised body. Why an external review? It demonstrates Continuous Quality Improvement (CQI) is in place. Join the Dots4
  5. 5. What is CQI? 1. Continuous Quality Improvement is a process to ensure programs are: Systematically and intentionally improving services. 2. Increasing positive outcomes for the families they serve. 3. CQI is proactive, not reactive(ideally). Join the Dots
  6. 6. Why do we even need CQI ? Join the Dots
  7. 7. Corporate Reasons • Some funders will not fund an org or service not demonstrating CQI. • Many insurance providers will only insure service providers on the basis of accreditation status. • In many areas of health and community service especially with NDIS – consumers will choose their own provider on websites. Join the Dots
  8. 8. Care Reasons • Reduce Risk - identify, eliminate or minimise the things that go wrong. • Improve Care - support care and services to go right. • Re-produce Quality - develop care and services to achieve consistently good care for every consumer, every time. Join the Dots
  9. 9. CQI and a the PDCA model Accreditation consists of: 1. Internal Review (self assessment) 1. External Review (objective and against standards) 2. Feedback (Finalising the feedback, negotiations) 3. Taking Action (Quality Action Plan) May attain accreditation or may have a PoG to action Join the Dots
  10. 10. CQI and a the PDCA model Accreditation providers, reviewers or assessors are looking for evidence of Continuous Quality Improvement. 1. Desktop Audit (review journal). 2. Site visit and confirming evidence (P&P, registers) 3. Interviews with staff, stakeholders and consumers (corroboration). Join the Dots
  11. 11. CQI and a the PDCA model PLAN – DO – CHECK – ACT Showing evidence of CQI will require more than a Policy or a Procedure. So how do we show we engage in CQI? • Plan – see where change is needed. • Do – test a change. Look at best practice. • Check – review; check if it is working. • Act – if it works use it, formalise it, if not try again. Join the Dots
  12. 12. PDAC Plan DoCheck Act Join the Dots
  13. 13. Change Process Register Date System or process Current Status Need for change Identified B/P New Process Date for Evaluation Diarised Adverse effects anywhere ? Continue with new process? 28/2/15 Leave Application Leave form does not have enough ticks and checks. Leave is accessed at critical times for org. All leave must be signed off by Sup; Business Serve and checked by Payroll. A new flow has been inserted on leave sheets and staff have been briefed. 28/6/15 Yes via outlook Nothing adverse. Yes. Join the Dots
  14. 14. Exercise Each Service Group Example of where you have seen a process or system which is not working well, is creating a risk or not delivering the outcome needed. Use change process model. Present to group. Join the Dots
  15. 15. Morning Tea Come back and discuss answers. Join the Dots
  16. 16. Use of the PDCA? • As a model for continuous improvement. • When implementing any change. • When starting a new project. • When developing a new or improved design of a process, product or service Join the Dots
  17. 17. Policy and Procedure • Why do we have them? • Hand up those who would ask the person next to them or send an email before using a P and P? • Hand up those who go to a P and P first ? • What barriers do you experience to picking up a P and P when you need to know something? Join the Dots
  18. 18. Policy and Procedure Workshop Laptops 3 groups (service types) Policy queries Find the answer Present to group Swap around Join the Dots
  19. 19. Lunch Join the Dots
  20. 20. Overview of the QIC H&CS Standards QIC Health and Community Services Standards (6th Edition Vs. 1.2) 1. Building quality organisations 2. Providing quality services and programs 3. Sustaining quality external relationships Join the Dots
  21. 21. What happens with poor standards performance? 1. Building quality organisations (governance/management) • Little strategic direction • No alignment with environment or funders • Finances may be at risk, risk is not monitored • Opportunities lost • An unsupported CEO or management system Join the Dots
  22. 22. What happens with poor standards performance? 2. Providing Quality Services and Programs (Clients, consumers, families, patients) • Assessment and planning ? • Cultural safety ? • Consumer rights • Coordination of services and programs Join the Dots
  23. 23. What happens with poor standards performance? 3. Sustaining quality external relationships (complementary to services and future) • Agreements and partnerships? • Collaborate and position strategically? • Contribute to overall ‘good practice’? • Capacity build, service, staff…? Join the Dots
  24. 24. Evidence – what is good? Relevant (related to the practice) Current (confirms the practice still occurs) Reliable (same conclusion by different people) Corroborated (more than one piece confirms same) Coherent (multiple, logical with clear connections) Join the Dots
  25. 25. QIC Standards Practice Questions Join the Dots
  26. 26. Training Evaluation Post Training Evaluation Join the Dots
  27. 27. Links • Australia • Quality in health and community services • Australian Commission on Safety and Quality in Health Care • The Australian Association for Quality in Health Care • Australian Patient Safety Foundation • Community sector • ‘Our community’ website – developmental material for community organisations • Primary health care • Australian Institute for Primary Care and Ageing • Australian Journal of Primary Health • Primary Health Care Research and Information Service (PHC RIS) • General health sector • Australasian College of Health Service Management • Australian Healthcare & Hospitals Association Join the Dots