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The Quality agenda for safer and better Healthcare in General Practice/Primary Care
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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