Patient Safety Conference

National Clinical Effectiveness Committee

Dr Kathleen Mac Lellan7th November 2014

The extent to which specific clinicalinterventions do what they are intended to do.

•The Right care•In the Right place •At the Right time•With the Right information•Within available resources

Clinical Effectiveness

“Systematically developed statements, based on a thorough evaluation of the evidence, to assist practitioner and patient decisions about appropriate health care for specific clinical

circumstances, across the entire clinical spectrum”

• Provide guidance and standards for improving the safety, quality and cost effectiveness of care across healthcare services in Ireland

• Implementation provides for a model of care that can reduce variability and improve quality of patient decisions

• Implementation supports services in providing consistent evidence-based healthcare

Dissemination, communication, implementation and audit of National Clinical Guideline

Minister for HealthEndorsement of National Clinical Guideline

Feedback to Guideline Development Groups Feedback to Guideline Development Groups

Quality Assurance Criteria

•Feasibility •Scope and purpose•Rigour of development•Stakeholder involvement•Applicability/implementability•Clarity of presentation•Editorial independence

Prioritisation Criteria

•Burden of clinical topic• Evidence analysis• Economic impact• Variability in practice• Potential for addressing health Issues• Clinical guideline

Implementation

• Ministerial endorsement – health policy• HSE governance - Accountability Frameworks, HSE Service Plan, National KPIs

(implementation and impact).• Regulation

• HIQA - National Standards for Safer Better Healthcare• Professional regulators• Future licensing requirements

• Alignment with Clinical Indemnity Scheme• Health insurers• Informed patients

Commissioned National Clinical Guidelines • Sepsis Management

• Chair Dr V Hamilton• Chair NSSC Dr F Fitzpatrick

• Maternity Early Warning System • Chair Prof M Turner

• Paediatric Early Warning System• Chair Dr J Fitzsimons

• Clinical Handover• Chair Ms E Croke (Maternity services)• Chair Ms E Croke and Dr C Henry (Acute hospitals)

2015

• Users – based on need e.g. clinical programmes• Driven by overall health priorities

NCEC Prioritisation Considerations

Patient Safety Issue

Burden of disease

Evidence analysis

Economic impact

Variability in practice

Potential for health improvement

Clinical guideline implementation

Where will future guidelines come from?

Planning for 2015+

Weighting of Criteria•Everything cannot be accomplished at once•Uncertainty about the best use of resources

•Specific improvement goals are sought

www.health.gov.ie/patient-safety/ncec

@NCECIreland