1. Quality:MK
Our mission:
Engaging primary care clinicians
in a shared quality agenda:
London, June 2009
Dr Nicola Smith – GP Champion
Sue Lacey Bryant – Programme Manager
health:mk
2. QMK-evidence based, primary care
led, patient centred
• Clinicians involved in every QMK project-
diabetes, mild to moderate depression, weight management, dyspepsia,
carpal tunnel syndrome, patient empowerment, complex patients
• EVIDENCE BASED DISCUSSION
GROUPS- 4 practices + 5 in provider
services. 54 clinicians
• Prescribing projects
health:mk
3. ENGAGEMENT (1) Traditional
Promotional events: celebrating success,
lessons learned, ‘PLT’ conference
Marketing materials - mugs, pens memory
sticks, PUNS & DENS booklet
Newsletter
Web pages hosted on PCT site
Promotional film
4. Branding
Quality:MK
Evidence Based
Primary Care Led
Patient Centred
5. So What’s the Problem?
Although many GPs have been touched
by Quality: MK projects they are not aware
of the principles
GP Education leads highlight problem of
communication
Funding for expenses and backfill not
attracting practices to engage
6. We asked ourselves
Why would a GP want to engage with
Quality: MK?
How could they get involved?
Could Social Marketing be the solution?
7. Our Solution- (1) Marketing
Rebranding...
“Evidence Based Discussion Groups”
IMPACTE groups
Improving Medical Practice by
Assessing CurrenT Evidence
Also: IMPACTE on line
IMPACTE central
8. Our Solution (2) Innovative
• Practice visits
- social marketing
- IHI document
• Competition
- Quality Improvement
9. Social marketing
• Team brainstorming / education session
• List of practices & GPs in each practice
• Previous experience/ interaction with
Quality:MK and its projects/attendance at
meetings
• Specific interests of individual GPs e.g.
prescribing leads, GP educators, GPwSI,
• Local knowledge
10. Engaging Physicians in a Shared
Quality Agenda-www.ihi.org
• Individual autonomy vs system quality
improvements
• Understanding existing culture
• Physician led, evidence based and data driven
• Ownership of success+ early engagement
• Clinical Champions- at challenging times
• Cautious Laggards
• Potential candidates-body language
• Generate light not heat with data
• Effective use of clinician’s time
11. Engaging Physicians in a Shared
Quality Agenda (2)
• Use of recent harm event
• Link something that distresses clinicians
greatly to something they do not want to
change
• Morbidity and mortality reviews-systems
• Variations in common practice and the
effects this has on the system of care
• Share results of safety + quality measures
with different departments
12. Planning our visits
• The benefits of QMK
• Specific reasons why this particular GP or
practice would want to engage.
• Culture of the practice
• Planning aims of meeting and what we want to
achieve specific to each practice - rather than
adopting a generic format
• Prioritising practices depending on their
characteristics e.g early adopters
13. Quality:MK microsite
Roadmap to quality improvement
in Milton Keynes
Explaining the Setting out the
system process
Tools, Best practice
techniques to
deliver Quality Guidance on
Improvement “how to”