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30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 1

Kidney Quality Improvement Partnership (KQuIP)

9th UK Dialysis Conference

Graham Lipkin, Co-chair of KQuIP

Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

Background

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UK Kidney Community has a proud history of innovation, high quality measurement and working together with our

patients

Clinical Practice Guidance: Guidance for UK Practice

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Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

UK Renal Registry 18th Annual Report 2015

Access at Initiation of Dialysis

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Variation: Pre-emptive Transplantation

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Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

Notable Quality Improvements

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• Dialysis catheter-associated MRSA bacteraemia• Improved AV Fistula access rates…..successful ongoing QI projects

The knowing - doing gap – sustainability• Embed in everyday unit practice• Education-tools for team to build

Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

What is key to improving the outcomes of care?

• Recognition of the problem (Conference)

• Commitment and dedication to delivering excellence

• A supportive enabling structure (KQuIP/UKRR)

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Kidney Quality Improvement Partnership (KQuIP)

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Children and adults

England and Home Countries

Why is KQuIP different?

From within whole community

Constant

Embed quality improvement as part of the day job!

30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

Kidney Quality Improvement Partnership (KQuIP)

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KQuIP is a dynamic network of kidney health professionals, patients carers and Industry …committed to developing, supporting and sharing quality improvement in kidney services…. in order to enhance outcomes and quality of life for patients with kidney disease.

30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

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KQuIP Development

Programme Board

Work Stream Chairs Group

6 Work Streams

KOG

Faculty

KQuIP Workstreams

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DevelopmentDal Hothi and Richard Fluck

Measurement Katie Fielding

Supporting NetworksJohn Stoves

CommunicationPaul Bristow

ProjectsHugh Gallagher

RA/BRS Patient SafetyKaty Jones

Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

KQuIP – How will it support Renal Quality Improvement?

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National• Strategic level through advice to Clinical Reference Group• Central UK Renal Registry project management and faculty• Online repositoryRegional supporting existing Renal Clinical Networks • UK Renal Registry/KQuIP quality improvement day• Regional project management support• Peer assist model

Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

KQuIP - Driving Renal Quality Improvement

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Local unit, you and me• Education and support materials - the go to place• Peer assist (Share - ‘ask a friend’)• Support for local projects• Clinical QI leads (Projects QI leads - Medical and MDT)

Design Event: Coming together to shape KQuIP

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Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

Priorities for Quality Improvement

• Improved access to home dialysis therapies• Access to kidney transplantation• Acute kidney injury (prevention, early diagnosis and management)• Improving AV fistula access rates• Paediatric to adult transition • Optimising patient engagement, shared and self care• Improving patient safety

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KQuIP Priorities: Moving to Delivery

1. Enable development of 3 national projects (Workstreams)2. Roll out regional KQuIP/UK Renal Registry days (UKRR/Faculty)3. Web development/knowledge management platform (UKRR)4. Extend faculty 5. Embed education & training QI and leadership (LTMD and MDT)6. Secure further funding & link with NHS QI arms (Workstreams)7. Build link to safety

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Home Therapies QI Project: KQuIP Support?

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Home First

Project development• Projects WS• Comms• Metrics

Regional scaling• PM support• Network• KQuIP/UKRR day• Education, LTMD

Peer assist modeKQuIP faculty

ConferencesKQuIP sessions

Knowledge managementplatform

KQuIP welcomes youEnabling you and your team to improve access to home dialysis

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www.thinkkidneys.nhs.uk/kquip/