Transcript What is different about interprofessional education? Ali

Taking the tool forward:
Service Improvement
Author: Ali Ewing, Principal Lecturer Learning and Teaching
July 2011
The University of Northampton
Park Campus, Boughton Green Road
NORTHAMPTON, UK. NN2 7AL
What is service improvement?
Improvement is ‘the combined and
unceasing efforts of everyone,…to make
the changes that will lead to better patient
outcomes (health), better system
performance (care) and better professional
development (learning)’ (Batalden and
Davidoff 2007)
Seeing the bigger picture
Adapted from 'The Blind Man and the Elephant' by John Godfrey Saxe (1816 – 1887)
cited by Paul Luvera Journal at
http://www.paulluvera.com/weblog/2007/03/truth_the_poem_.html
Four Parts to Improvement
(Clarke et al 2004)
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Stakeholder involvement:
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Personal and organisational development:
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Recognising different cultures and people
Process and systems thinking
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listening and understanding
Effects of different practices and procedures
Initiating, delivering and sustaining
improvement:
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Plan and measure effects of improvement
Tools for service Improvement
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What is the problem?
Process mapping: What is the current
process?
How long does each part of the process
take?
What is your demand?
What is your capacity?
What are your potential constraints?
Where are potential for improvement?
Three key questions
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What are we trying to achieve?
How will we know that a change is an
improvement?
What changes can we make that will result
in the improvements that we seek?
PDSA Cycle
Plan, Do, Study Act (PDSA) cycle is a way
of testing an idea by putting a change into
effect on a temporary basis and learning
from its potential impact.
Different from traditional approach where
often new ideas are introduced without
sufficient testing.
PDSA Cycle
Plan: agree change to be tested or
implemented
Do: carry out the test or change and
measure the impact
Study : study data before and after the
change and reflect on what was learnt
Act : plan the next change cycle or plan
implementation
Construct (simple) practical
solutions PDSA
For further information on this see the NHS
Institute for Innovation and Improvement
‘Plan, Do, Study, Act (PDSA)’.
http://www.institute.nhs.uk/quality_and_servic
e_improvement_tools/quality_and_service_i
mprovement_tools/plan_do_study_act.html
[accessed 01.09.11]
Why test before implementing?
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Less time money and risk involved
Process is a powerful tool for learning, and
much can be learned from ideas that do
not work as well as those that do
Less disruption for everyone
After involvement if development and
testing often greater enthusiasm for
implementaion.
What might your obstacles be?
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The human dimensions – comfort zone
The organisation – current systems
Over complicate the process
Time!
Change!
References
Batalden P, and Davidoff F,. (2007) What is ‘quality
improvement’ and how can it transform healthcare,
Quality and Safety in Health Care, 16, 2-3
Clarke C, Reed J, Wainwright D, McClelland S, Swallow
V, Harden J, Walton G, and Walsh A,.(2004) The
discipline of improvement: something old, something
new, Journal of Nursing Management, 12, 85-96
NHS Institute for Innovation and Improvement
www.institute.nhs.uk
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the HEA in 2011. For further information see:
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