National Standards for Safer Better Healthcare

Dr. Mary Browne

National Standards Implementation Team

Quality and Patient Safety Directorate

National Standards for Safer Better Healthcare

• Officially launched on the 26th June 2012

• Apply to all healthcare services (excluding mental health) provided or funded by the HSE

• 45 Standards – grouped under 8 themes

Quality Dimensions

A quality service focuses on:

Person-Centred Care and Support

Better Health and Wellbeing

Effective Care and Support

Safe Care and Support

Delivering improvements within the quality dimensions depends on capability and capacity in four key areas:

Leadership, Governance and Management

Workforce

Use of Resources

Use of Information

Delivering the Quality Dimensions

Purpose of the National Standards

To drive improvement in quality and safety for service users through:

• describing what high quality safe healthcare should look like

• helping service users to understand what to expect from well run services

• strengthening accountability• identifying strengths, highlighting areas for improvement• providing the basis for day-to-day delivery of quality and

safety• promoting up-to-date, effective practice• promoting better use of resources and information

Theme 1: Person-Centred Care and

Support

take into account the needs and preferences of service users

involve service users provide equitable access based on

assessed need respect the rights, dignity, privacy and

autonomy of service users promote a culture of kindness and respect

Theme 2: Effective Care and Support

provide evidence-based healthcare assess and meet individuals initial and

ongoing healthcare needs while balancing with the needs of others

integrate and coordinate healthcare services

monitor and evaluate their own effectiveness

Theme 3: Safe Care and Support

protect service users from the risk of harm while using healthcare services

manage, respond to and learn from patient-safety incidents

provide patient-safety improvement programmes

promote of a culture of quality and safety

Theme 4: Better Health and Wellbeing

identify and use opportunities to promote, protect and improve the health and wellbeing of their service users.

have effective leadership have clear accountability at all levels have effective management implement monitoring arrangements to achieve

quality improvement

Theme 5: Leadership, Governance and Management

Theme 6: Workforce

plan and manage their workforce to achieve service objectives

recruit effectively ensure their workforce has the

competencies required to deliver high quality safe reliable healthcare

support their workforce in delivering high quality safe, reliable healthcare

plan and manage their resources to deliver high quality safe reliable healthcare

achieve best possible quality and safety outcomes for their service users for the resources used

Theme 7: Use of Resources

Theme 8: Use of Information

use quality information in managing and delivering healthcare

have effective information governance

manage their healthcare records effectively

Role of Quality and Patient Safety Directorate

• Support service providers in implementing the Standards:– Partnership approach: Collaboratives– Building on work already undertaken– Focus on continuous quality improvement– Development of a quality and performance

improvement tool

Defining Strategic Approach

• Setting out aim and objectives

• Identifying and engaging with key stakeholders

• Establishing the Safer Better Healthcare – Acute and Primary Care Collaboratives

Establishing Governance Framework

• Hospital Groups

• Clinical Directorates and Clinical Directors

• Clearly accountability and responsibility for implementation

Translating the Standards

• Identifying Quality Elements

Setting out Levels of Performance

Guidance for evidence that will support validation of assessment

Knowledge hub of national and regional resources

Quality & Performance Improvement

tool

• Roll out of assessment tool • Workshops to support providers in using the tool• Development of a User manual

Liaising with Regulator

• Regular update meetings

•Providing input into Monitoring Framework

• Additional guidance to support implementation

Roadmap for Implementation of the National Standards

Thanks

Contact details:

Dr. Mary BrowneQPS Lead for National StandardsSteevens Hospital

Mary.browne7@hse.ie

Telephone: 01 6352131