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Welcome to this E4E and QIPP Safe Care Measurement webex Improving our measurement systems

Welcome to this E4E and QIPP Safe Care Measurement webex Improving our measurement systems. The call will start at 12. Did you know that every year in England there are…. Welcome and Introductions. Different Types of Measurement. Research!!. Judgement!!. Improvement!!.

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Welcome to this E4E and QIPP Safe Care Measurement webex Improving our measurement systems

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  1. Welcome to this E4E and QIPP Safe Care Measurement webexImproving our measurement systems The call will start at 12

  2. Did you know that every year in England there are…

  3. Welcome and Introductions

  4. Different Types of Measurement Research!! Judgement!! Improvement!!

  5. Measures for Improvement? • View data over time • View different data sources side by side • Look for similarities and understand the reasons for differences; don’t be afraid of uncertainty

  6. Plotting the dots….. Top Tips • Plot as you go; set up a spreadsheet to help you • The more the better; try to measure as often as possible • Print and scribble; annotate your charts to add context and additional qualitative information • Display your charts for all to see • Assess trends, not absolute numbers • Use run chart or SPC methods to help detect a change • Embrace your analytical resource……

  7. Plotting the dots….. Julie Jones, Patient Safety Lead, Birmingham Community Health Care NHS Trust www.ihi.org for advanced measurement for improvement

  8. Kate’s Top 5, Top Tips for Measurement 1. When it comes to data collection: Reduce, Reuse, Recycle 2. Discuss as a team, and agree, your approach to recording and using data 3. Make data collection and analysis part of your daily routine 4. Triangulate different data sources to give a broader picture (consider a dashboard) 5. Plot your dots as you go- don’t leave it all to the ‘end’

  9. Tips for community engagement in measurement • Carefully consider data collection mechanisms • Acknowledgement of different way of working • Data awareness sessions can help ‘demystify’ data for staff • Feed data back to front line staff as soon as possible, with commentary • Utilise different incentive mechanisms

  10. Making sense of Measuring Harm Example harm dashboard

  11. Measuring Harm

  12. Making sense of Measuring Harm

  13. Making sense of Measuring Harm

  14. Making sense of Measuring Harm Can we fill in the gaps? The NHS Safety Thermometer

  15. The NHS Safety Thermometer • Measures harm at the bedside in a systematic way • Ask the right questions about key outcomes • Integrates measurement of harm in to your daily work • Supports patient care and patient experience • Allows you to understand how things can be improved • Measures across the health economy in any care setting • HarmFreeCare A call to action for frontline healthcare professionals – staff at Salford Royal NHS Foundation Trust are using the NHS Safety Thermometer once per month to rapidly review the proportion of patients free from harm: matron Dylan Edwards with patient Kathryn Shuttleworth, and staff nurse Helen Gresty

  16. Question 1: Did the patient experience the harm?

  17. Question 2: Was the patient protected from harm?

  18. Question 3: PROTECTED FROM ALL 4 HARMS ?

  19. HarmFreeCarefrom pressure ulcers, falls, catheters & urine infection & new VTE What’s different about the way we measure ‘Harm Free Care’? NHS Safety Thermometer Harm Free Measure • What does this mean? • Two points outside the control limits • Some organisations reaching 95% on pilot wards

  20. The East Lancashire Story John Goodenough - Deputy Director of Nursing Peter Weller - Associate Director Patient Safety & Governance

  21. Where did we want to be …..? Reduction in harm & the levels of harm Full Health Economy Clinical Engagement Measurement – Measurement to understand Measurement to engage Measurement to improve Measurement because “it was the right thing to do” !

  22. How did we get there …..?

  23. Executive lead Model - Clinically led / Managerially supported Safety & Quality driving principles Understanding Safety Express Compliance with standards & targets were a “given” Full Health Economy engagement “Driving the Drivers”

  24. Measurement for Improvement

  25. Reusing existing measuring systems VTE NHS Safety Thermometer 2. Engaging staff – creating a rising tide of change 3. Using Measurement 4. Commissioning

  26. “A picture is worth a thousand words”

  27. Have you developed an innovative approach to measuring harm? Do you still have any burning measurement questions?

  28. Thank you Go to: www.harmfreecare.org for more information on how you can achieve ‘HarmFreeCare’

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