health:mk
Quality MK : a whole system approach to quality improvement
Anne Gray, NHS Milton [email protected]
Using the evidence to improve quality and productivity: NHS Evidence and NICE Implementation working with
Chief Knowledge Officers.
13 October 2010, London
health:mk
Implementing organisational change• Who wants the change?• Why?• What is its importance for the service and for
the organization?• What are the measures of success?• Which staff groups are to be involved with this
change?• How do we speed up these changes?
health:mk
Critical success factors for organisational change
What the evidence says• Identifying local priorities for change• Exploring barriers to change• Gaining commitment, building coalitions• Incentives for change• Effective communication• Supporting/managing change• Monitoring change
“Experience, evidence and everyday practice. Creating systems for delivering effective health care.” Kings’ Fund
health:mk
Quality MK: Transforming cultures (film)
http://vimeo.com/33691866
health:mk
Quality: MK
• Whole system improvement across NHS MK• 4 partners
NHS Milton Keynes ; LINKS MK ; health MK
Centre Evidence Based Medicine (Oxford)
• 3 core valuesPublic & patient engagement
Primary care led
Evidence based decision making
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Many projects
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Critical success factors:Quality MK final evaluation
• Sufficient time and flexibility to develop the programme
• Facilitating rather than managing change• A clear brand• Broad ownership• Champions at every level• Strong programme management• Practical resources to support participants• Maintaining a balance between being process driven
and being values led
Confirms research into change management and organisational development
health:mk
Critical success factors for organisational change
What the evidence says• Identifying local priorities for change• Exploring barriers to change• Gaining commitment, building coalitions• Incentives for change• Effective communication• Supporting/managing change• Monitoring change
“Experience, evidence and everyday practice. Creating systems for delivering effective health care.” Kings’ Fund
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Pause for thought
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Quality MK tools & products
Quality MK website www.qualitymk.nhs.uk• Internet• Dynamic• Sustainable • Legacy tools• Transferable
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IMPACTE groupsImproving Medical Practice Through CurrenT Evidence• Model of critical appraisal and implementation
designed for primary care– Clinical Librarian support– IMPACTE toolkit– Prescribing toolkits– PUNS & DENS booklet
• Adapting to meet the current issues and future needs in primary care
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Commissioning Cycle
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“ working tool incorporating checklists and guidance to support work throughout the pipeline”
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“a set standard of working … gives all staff of NHS MK a common understanding and language for use when delivering projects across the organisation.”
Guide to managing projects
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QMK Model of Improvement
• “a consistent, practical approach to service improvement building on the knowledge and experience that already exists in Quality:MK”– Approach– Training– Templates– Action Learning
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Also• Commissioning Librarian post• “Patient and Public Engagement – getting it
right”• “Clinical Engagement – Driving Improvement”• Quality Improvement – tools and resources• QMK Knowledge Zone – key information and
updating resources• QMK Learning Zone
health:mk
Pause for thought
• What are the challenges moving forward in your organisation?
• What tools do you need to meet those challenges?
