Each day, the National Quality Improvement Team receive requests from staff and services from across the system to support them in their work. To meet the increasing interest and demand from senior leaders in how quality improvement can support them in their work, we are adapting how we engage with services to maximise opportunities for staff to get involved. We are delighted to share an opportunity to partner with you and your team. Our vision is that this approach will support you to further build a sustainable approach to Quality Improvement (QI) in your organisation for 2019 and beyond. Read on to find out more about how we can work together and how to get involved...

Welcome

Inside...

Welcome 1

Working together,

success, priority 2

Invite to reduce the number of Falls and avoidable Pressure

Ulcers

3

QI for healthcare

boards 4

National Quality Improvement Team

Our offer to you...

Working in partnership with you to lead innovation and sustainable quality improvement to achieve measurably better and safer care

CHAMPION PARTNER ENABLE DEMONSTRATE

April 2019

qualityimprovement.ie @NationalQI

How can the National Quality Improvement Team help you?

The National Quality Improvement Team is a small group of staff who have been working to increase the capacity and capability of staff across the organisation to use quality improvement methods since 2015. We want all staff members to know how they can improve the experience and outcomes of patients and service users. Our work is varied and includes everything from specific projects to urgent requests to support the system. To meet increased demand from the system within the context of ongoing organisational and demographic changes, this improvement work needs to move beyond the delivery of isolated QI projects to systematic integration of QI into the organisation’s ways of working. The HSE National QI Team has recently published a Draft Strategic Plan for 2019-2021 to support this work. Our strategic objectives are:

To support the Implementation of this strategy, Maria Lordan Dunphy is leading the priority Sustainable Quality Improvement (QI) Programmes. Under this goal, the National Quality Improvement team will partner with organisations to prioritise five patient safety areas to deliver targeted improvements in line with the HSE Service Plan (2019) and reflective of Sláintecare (2018) objectives. If you and your service are interested in getting involved in these programmes, you’ll find out how on the next pages. We look forward to hearing from you and discussing your specific requirements further. Dr. Philip Crowley National Director National Quality Improvement Team

Engage with us on:

@NationaQI

www.qualityimprovement.ie

Page 2 National Quality Improvement Team Our offer to you...

There are five key areas for priority improvement. These were chosen after much consideration and seek to meet urgent needs identified by the HSE service plan (2019) and to support the Sláintecare (2018) objectives. For more information on specific partnerships available at this time and how to get involved please read on...

What are the priority areas for improvement?

We want to partner with you to help you as you continue to build momentum for improvement and strengthen your own existing quality improvement structures / processes. We have put in place teams who will engage and partner with services to deliver sustainable improvements. Our aim is to support staff that have been trained in QI to utilise these skills to systematically integrate quality into their daily work. The approaches we will use include QI Collaboratives, QI Learning Sets, Site visits, Master classes and connecting people across the country via webex webinars. We will also make available and provide advice on how to use a QI Toolkit and methodology to enable organisations, in particular middle managers, to support staff and develop an organisational approach to QI.

How will we work together?

We know that services in the HSE are at different stages in their improvement journey. However, we also know that if you want to effectively deliver improvements and sustain QI capacity and capability across your organisation, there are several critical success factors that need to be in place. Building on the success and learning of previous partnerships/projects, we identified the following four as crucial… 1. Commitment from organisations to provide Senior Executive leadership and support for QI. 2. An organisational QI team with a dedicated QI lead or equivalent change agent with support to drive our

organisation’s Quality Improvement agenda 3. An appropriate governance system for QI within our organisations to ensure progress and support

implementation. 4. There should be evidence of incorporation of Quality at Board, Senior Management and Quality & Safety

Committees to support the improvement team and monitor measures.

What will help your service achieve success?

Page 3

Invite to join a National Quality Improvement Collaborative aimed at

reducing the number of Falls and avoidable Pressure Ulcers

This year we are offering the opportunity for services to participate in a shared QI collaborative which will focus on Reducing Falls and Improving Bone Health Awareness and /or reducing avoidable Pressure Ulcers. Your service can choose to express interest in one or both of these topics.

Who is involved?

We will work with local clinical experts and clinically proven interventions to engage with multidisciplinary teams to accelerate improvements in their service area. The QI collaborative will involve your organisation sending

a team who can work to implement across the organisations, or

one to two multidisciplinary teams from each participating site.

What is the time commitment?

The teams will have to attend three full one-day learning sessions over a nine month period from June 2019 to December 2019 with a further one day celebration event to mark and share successes. They will also need to be released to work on the improvement work within their service.

How will the collaborative work?

We will support frontline teams to incorporate a QI methodology to identify and introduce improvements in their chosen clinical area (reducing falls or pressure ulcers prevention) during action periods between learning sessions. Teams will also be supported during this time via online webex platforms. We have developed an organisational toolkit for QI based on the

Model for Improvement. In tandem with the collaborative participation we will workshop through a QI toolkit to support middle managers to support and mentor your staff. During and following completion of the QI collaborative there will be a report sent to you or your nominated lead for this process, detailing the outcomes of each of your team’s status.

What are the critical success factors that need to be in place?

Building on the success and learning’s of previous partnerships we have identified a number of critical success factors that need to be in place to effectively deliver improvements and sustain QI capacity and capability across your organisation. For example:

Commitment from organisations to provide Senior Executive support for QI

Dedicated QI lead or equivalent change agent and

Ensuring an appropriate governance system is in place within organisations to support the improvement team and monitor measures.

Based on these learning’s we recommend where possible that the participating team includes a mix of those roles as outlined in the expressions of interest form. At least one of the team should work at across the local service e.g. QPS Lead/ QI Lead/ Clinical Director/ Nurse Practice Development.

Next steps...

If your Hospital Group or CHO is interested in this opportunity to work in partnership with the National QI Team, you are invited to complete the application form available on our website www.qualityimprovement.ie.

When is the closing date?

The closing dates for expressions of interest is Friday, 3rd May 2019. It is envisaged that we will undertake a number of phases of this collaborative to meet the demand and include as many frontline teams as possible. Once we have reviewed expressions we will be in touch with you regarding the next steps.

For more information...

Please contact us if you need clarification or wish

to discuss any of the initiatives listed across the safety priorities in greater

detail through carmel.donohoe1@hse.ie.

Page 4 National Quality Improvement Team Our offer to you...

In 2017, the National Quality Improvement Team (formerly the Quality Improvement Division) published “A Board’s Role in Improving Quality and Safety: Guidance and Resources”. The purpose of this guidance was to support boards when reflecting on their performance and approach to improving quality and safety. The work of (QI) for Healthcare Boards will build on this publication, and as we plan for 2019 we will be engaging with Hospital Groups to work together to support boards and board members in a number of different ways including:

How can you get involved?

If your Board and Group CEO are interested in working in partnership on any of the above initiatives with the National Quality Improvement Team please email carmel.donohue@hse.ie.

When is the closing date?

The closing dates for expressions of interest is Friday, 3rd May 2019. Please note, as it will not be possible to work with all boards concurrently, once we have received your expression of interest we will be in contact regarding the next steps. We look forward to hearing from you and discussing your specific requirements further.

Invite to partner with the National Quality Improvement Team on

Quality Improvement for Healthcare Boards

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The National Quality Improvement Team working in partnership with you to lead innovation and sustainable quality improvement to achieve measurably better and safer care

See some examples of our work below… for more information, see our annual report on www.qualityimprovement.ie.

CHAMPION PARTNER ENABLE DEMONSTRATE