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Using Standards to Improve the      Quality of Healthcare            Marie Kehoe O’Sullivan  Director of Safety and Qualit...
Directorates in HIQASafety and Quality ImprovementRegulationHealth InformationHealth Technology Assessment
FunctionsSetting Standards in health and social carePromoting capacity and capabilityDriving patient safety initiativesSup...
High Reliability Healthcare
The perfect storm
“Don’t waste a good crisis!”First attributed to M. F. Weiner in an article in the journal MedicalEconomics entitled ―Don’t...
Safety     Quality    ReliabilityCulture of Learning    Informed Decision-Making
Systems and processes are only as   good as the people who work           within them
LEADERSHIP COMMUNICATIONS                      RELATIONSHIPS             CULTUREBEHAVIOURS     MULTI-DISCIPLINARY TEAM WOR...
Role of Standards  It is a key driver in quality and safety  Acts as an impetus to recognise good practice and  address po...
MonitoringQuality and Safety  in Healthcare
2012Launch and support understanding of Standards forSafer Better Healthcare (SBHC)Using Standards for SBHC to monitor whe...
Regulatory Pyramid      punishment       Shame for        inactionEducation and Persuasion   about a problem
Responsive Regulation        awards    Informal praise      for progressEducation and persuasion   about a strength
National Standards for Better Safer                  HealthcareQuality Dimensions:• Person-Centred Care and Support• Effec...
National Standards for Better Safer                    HealthcareDelivering the Quality Dimensions – delivering improvemen...
National Standards  for Safer     BetterHealthcare:   Themes
Working with Regulators
Working with RegulatorsImperative that regulators work together to improvequality and safety and reduce burdenHealth and S...
WorkingTogether
Opportunities for Working Together – The HowRegular engagement and information sharingInvolvement and consultation on the ...
Opportunities for Working Together – The WhoClinical Engagement as a priorityLink with all professional collegesLink with ...
―Quality is never an accident. It is always theresult of high intention, sincere effort, intelligentdirection and skilful ...
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Marie Kehoe O'Sullivan, Head of Standards and Methodology, HIQA

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Using Standards to improve the Quality of Healthcare

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Transcript of "Marie Kehoe O'Sullivan, Head of Standards and Methodology, HIQA"

  1. 1. Using Standards to Improve the Quality of Healthcare Marie Kehoe O’Sullivan Director of Safety and Quality Improvement 14 November2012
  2. 2. Directorates in HIQASafety and Quality ImprovementRegulationHealth InformationHealth Technology Assessment
  3. 3. FunctionsSetting Standards in health and social carePromoting capacity and capabilityDriving patient safety initiativesSupporting a culture of patient safetyDeveloping Guidance to Standards
  4. 4. High Reliability Healthcare
  5. 5. The perfect storm
  6. 6. “Don’t waste a good crisis!”First attributed to M. F. Weiner in an article in the journal MedicalEconomics entitled ―Don’t Waste a Crisis — Your Patient’s or YourOwn.‖ Weiner meant by this that a medical crisis can be used toimprove aspects of personality, mental health, or lifestyle.
  7. 7. Safety Quality ReliabilityCulture of Learning Informed Decision-Making
  8. 8. Systems and processes are only as good as the people who work within them
  9. 9. LEADERSHIP COMMUNICATIONS RELATIONSHIPS CULTUREBEHAVIOURS MULTI-DISCIPLINARY TEAM WORKING
  10. 10. Role of Standards It is a key driver in quality and safety Acts as an impetus to recognise good practice and address poor performanceResponsive Regulation Ensures that only fit providers/professionals are providing services, care and support Should be fair, proportionate, risk-based and objective
  11. 11. MonitoringQuality and Safety in Healthcare
  12. 12. 2012Launch and support understanding of Standards forSafer Better Healthcare (SBHC)Using Standards for SBHC to monitor where concerns2013Full monitoring programme for Standards for SBHC2014+Licensing of healthcare facilities
  13. 13. Regulatory Pyramid punishment Shame for inactionEducation and Persuasion about a problem
  14. 14. Responsive Regulation awards Informal praise for progressEducation and persuasion about a strength
  15. 15. National Standards for Better Safer HealthcareQuality Dimensions:• Person-Centred Care and Support• Effective Care and Support• Safe Care and Support• Better Health and Well-being
  16. 16. National Standards for Better Safer HealthcareDelivering the Quality Dimensions – delivering improvements within the dimensions depends on capability and capacity in four key areas:• Leadership, Governance and Management• Workforce• Use of Resources• Use of Information
  17. 17. National Standards for Safer BetterHealthcare: Themes
  18. 18. Working with Regulators
  19. 19. Working with RegulatorsImperative that regulators work together to improvequality and safety and reduce burdenHealth and Social Care Regulatory ForumMemoranda of Understanding: Health and SafetyAuthority, Medical Council, CORU…Joint inspections where appropriate
  20. 20. WorkingTogether
  21. 21. Opportunities for Working Together – The HowRegular engagement and information sharingInvolvement and consultation on the development ofnew activitiesInforming required guidanceOpen door for discussions on improving quality andsafetyProvide education, awareness and training on QImethodologiesPromote national QI initiatives
  22. 22. Opportunities for Working Together – The WhoClinical Engagement as a priorityLink with all professional collegesLink with unionsMeetings with CMO, CNO, Pharmacist, Ambulance andallied health professionalsOngoing relationship with frontline staff and middlemanagement on Patient Safety and Quality initiatives
  23. 23. ―Quality is never an accident. It is always theresult of high intention, sincere effort, intelligentdirection and skilful execution. It represents the wise choice of many alternatives. . . Quality also marks the search for an ideal afternecessity has been satisfied and mere usefulness achieved.‖ William A. Foster, 1917-1945
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