Date post: | 14-Apr-2017 |
Category: |
Healthcare |
Upload: | informa-australia |
View: | 335 times |
Download: | 0 times |
A lesson in herding cats- Engagement for clinical audit at facility level
Grant Ramke
Clinical Nurse Consultant
Clinical Service Excellence Team
Objectives
• Overview of position
• Challenges
• Strategies for engagement
• Future development
Video
• Cat Herders
CNC Role
• To provide clinical audit expertise, coordination
and management.
• To promote and support a culture that
encourages best practice and continuous
improvement.
• To manage and assist facility Clinical Nurses
Princess Alexandra Hospital
• 600 in-patient beds
• Activity
– 88,417 admissions
– 60,658 ED presentations
– 577,136 outpatient appointments
– 18,709 operating theatre cases.
• 4882 Clinical staff
• 2,997 nurses
• 932 doctors including visiting
medical officers
• 953 health professionals
Queen Elizabeth II Jubilee Hospital
• 180 in-patient beds
• Activity
– 27,903 admissions
– 44,447 ED presentations
– 116,231 outpatient
appointments
– 5,296 elective surgeries.
• 813 clinical staff
• 534 nurses
• 195 doctors including visiting
medical officers
• 84 health professionals
Challenges
Tertiary
• Resources
– Large budget
– Large pool of people
• Time
• Relationships
– Expertise
• Established ‘Magnet’
facility
• Big brother’ syndrome
Medium Metropolitan
• Resources
– Tight budget
– Small pool of people
• Access
– Pockets of knowledge
• Beginning ‘Pathways to
Excellence’ journey
• ‘Mothership’ syndrome
Required attributes
• Resilient
• Flexible
• Data savvy
• Methodical
• Good communicator
• Knowledgeable
• Creative
Engagement - Leadership
• Hospital Executive
• Medical Directors
• Nursing Leadership
Engagement - Direct Care
• Transparency
• Accountability
• Provision of tools
• Reward & Recognition
Audit Schedule
• Negotiation with
stakeholders
– Measurement criteria
– Audit tool
– Frequency
– Reporting lines
• Publication
– Stakeholders
– Intranet
Action Plans
• The seven steps of action planning are:
• Understand your survey results.
• Communicate and discuss survey results.
• Develop focused action plans.
• Communicate action plans and deliverables.
• Implement action plans.
• Track progress and evaluate impact.
• Share what works.
Local QI Project
• Targeted Patient Satisfaction
• Staff surveys
• Service Evaluations
• Process evaluations
• Database creation
Quality Activity Register
• Develop a single registry
• Improve QI knowledge
• Promote QI mentorship
• Influence strategic direction
Herding CatsNot so difficult actually
Take Home Message
• Engagement is crucial
• Remain true to the PDSA
cycle
• Compromise, but play a
long game
Like what you see?Be part of our conversation.
informa.com.au
Join our e-newsletter