Dr Mary Browne, QPS Division lead for QA+I Resources, HSE

An Adventure in Quality Improvement

Dr. Mary Browne

Quality and Patient Safety Division

National Primary Care Conference 2013

Defining Quality

• Institute of Medicine– Safety, Effectiveness, Equity,

Timeliness, Efficiency,

Patient-centredness

• NHS Scotland

- Person-centred care, Safe care, Effective care

Quality Dimensions

Capacity and Capability Dimensions

National Standards for Safer Better Healthcare

ManpowerIssues

Diminished Resources

Mediaattention

Frustration with Teams

Fragmentation

Current Pressures

Extra workload

Excellent Access

ICT Systems

Continuity of Care

Delivering Safe, Quality Care

Highly trained,Supported Staff

Not starting from Scratch

Quality improvement initiatives and work

Approaching the National Standards

• Our National Quality Standards

• Making the Standards work for you

• Frame quality improvement work

• Team work

“Here is Edward Bear, coming downstairs now, bump, bump, bump, on the back of his head. It is, as far as he knows, the only way of coming downstairs, but sometimes he feels that there really is another way, if only he could stop bumping for a moment and think of it.”

Winne the Pooh A.A. Milne,

Quality Continuum

Levels of Quality

QA+I Resources: http://www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/qaandImprovement/qaanditool/qaanditoolpdfs.html

Listen to and empower patients

Listen to staff Foster development

and growth

Embrace Transparency

QI skills and knowledge

Where to focus?

Assess and Measure Quality

Person-Centred Care and Support

Effective Care and Support

Safe Care and Support

Better Health and Wellbeing

And will you succeed? Yes! You will, indeed!

(98 and ¾ percent guaranteed.)

Oh the places you’ll go, Today is your day!

Your mountain is waiting. So…get on your way!

Dr. Seuss

Thank You