The Quality Agenda for Safer
Better Healthcare in Primary
Care
Marie Kehoe-O’Sullivan, Director
Safety and Quality Improve...
Purpose of SQID

Actively supporting and
enabling a culture of patient
safety and quality
improvement
Systems and processes are only
as good as the people who work
within them
Care is Improved
 Development of Evidence-Based Standards
 Development of Evidence-Based Guidance to
support implementat...
People are Informed
 Our standards and guidance are and will be
available in multiple user-friendly formats
 Wide consul...
People are Safeguarded
 National Quality Improvement Programmes
focussed on patient safety – Medication
Reconciliation
 ...
Policy and Service Decisions are
Informed
• Quality Improvement Programmes link back and
inform national patient safety in...
Standards Development
• Launch National Standards for Residential
Services for Children and Adults with a Disability
(May ...
National Standards for Residential Care
Settings for Older People in Ireland

Published in
February 2009
FOCUS GROUPS
• Pre-engagement process prior to development of
draft revised standards
• Purpose – to learn from the experi...
What Questions are we asking?
• In what ways have the Standards impacted on
you?
• How can we improve the Standards?
• Do ...
Who are we asking?
• 8 sites in the country
• Geographically spread across the country, rural
and urban
• public, private ...
Timelines
Q3 -Q4 - 2013

•
•

Q1 - 2014

•
•
•
•

Initial Advisory Group Meeting – July 2013
Pre-engagement - Focus groups...
National Standards for Safer Better
Healthcare - Themes
Guidance Development
•
•
•
•
•
•

Risk Management
Statement of Purpose
Intimate Care
Financial Management
Medication Manag...
Education Programme in Quality
Improvement Science
•
•
•
•
•
•

10 sites – 4 acute hospital, 6 care of older person
10 mem...
Plans for Engagement with GPs

• Link with ICGP
Attend CME groups around the country for a
number of purposes:
• Introduct...
Any questions?
Thank you for your attention.
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Marie kehoe O'Sullivan, Director of Safety and Quality Improvement, HIQA

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

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Marie kehoe O'Sullivan, Director of Safety and Quality Improvement, HIQA

  1. 1. The Quality Agenda for Safer Better Healthcare in Primary Care Marie Kehoe-O’Sullivan, Director Safety and Quality Improvement Directorate (SQID) HIQA
  2. 2. Purpose of SQID Actively supporting and enabling a culture of patient safety and quality improvement
  3. 3. Systems and processes are only as good as the people who work within them
  4. 4. Care is Improved  Development of Evidence-Based Standards  Development of Evidence-Based Guidance to support implementation of the Standards  Supporting National Quality Improvement Initiatives  Supporting improvement through education in Quality Improvement Science  Sharing the Learning from our work
  5. 5. People are Informed  Our standards and guidance are and will be available in multiple user-friendly formats  Wide consultation on all of our programmes  Presentations at conferences  Workshops – use of Innovation Room  Guidance developed at request of system
  6. 6. People are Safeguarded  National Quality Improvement Programmes focussed on patient safety – Medication Reconciliation  Targeted QI programmes based on trends arising from Regulation Directorate, CIS etc.  Protecting the public through the development of Standards of Care
  7. 7. Policy and Service Decisions are Informed • Quality Improvement Programmes link back and inform national patient safety initiatives • Work collaboratively with policy and decision makers in:        DOHC DoCYA HSE Non- statutory Groups Representative Groups Advocacy Groups European and International QI groups
  8. 8. Standards Development • Launch National Standards for Residential Services for Children and Adults with a Disability (May 2013) • Development of National Standards for Children’s Special Care Units (June 2013) • Review of National Quality Assurance Standards for Symptomatic Breast Disease Services (Oct 2013) • Revision of National Quality Standards for Residential Care Settings for Older People (Jan 2015)
  9. 9. National Standards for Residential Care Settings for Older People in Ireland Published in February 2009
  10. 10. FOCUS GROUPS • Pre-engagement process prior to development of draft revised standards • Purpose – to learn from the experience of residents, staff (including GPs) and relatives of Older Persons in Residential Services • To use this information to inform the revised standards
  11. 11. What Questions are we asking? • In what ways have the Standards impacted on you? • How can we improve the Standards? • Do you think we have covered all the areas that are important to you in the Standards? • What additional areas should we focus on? • Any further comments?
  12. 12. Who are we asking? • 8 sites in the country • Geographically spread across the country, rural and urban • public, private and voluntary • 3 focus groups in each site –  Residents (facilitated by Dr. Suzanne Cahill)  Staff including GPs and Medical Officers  relatives
  13. 13. Timelines Q3 -Q4 - 2013 • • Q1 - 2014 • • • • Initial Advisory Group Meeting – July 2013 Pre-engagement - Focus groups/interviews with people living in residential services, their relatives and service providers, frontline staff etc. to reflect over the initial 3 year cycle and current standards. International literature review Develop first draft of revised standards Internal consultation on first draft of standards 2 nd Advisory Group Meeting –Q1 - 2014 Q2 – Q3 - 2014 • • • • Targeted consultation Revision of draft standards post targeted consultation 3 rd Advisory Group Meeting – Q3 2014 Draft standards approved by Board prior to public consultation Q3 - 2014 • Public consultation on the draft standards Q4 - 2014 • • Revision of draft standards post public consultation Final Advisory Group Meeting –Q1 2015 Q1 - 2015 • Approval of draft standards by the Board • National Standards for Residential Services for Older People (Revised) go to the Minister of Health for approval • Publish the National Quality Standards for Residential Care Q3 – 2015
  14. 14. National Standards for Safer Better Healthcare - Themes
  15. 15. Guidance Development • • • • • • Risk Management Statement of Purpose Intimate Care Financial Management Medication Management Restrictive Practices (as requested)
  16. 16. Education Programme in Quality Improvement Science • • • • • • 10 sites – 4 acute hospital, 6 care of older person 10 member multidisciplinary team in each site 16 on line modules over one year 2 modules per month Monthly on site visit and monthly teleconference Action learning component – Medication Reconciliation • Programme completion for Dec 2013 • Graduation January 2014
  17. 17. Plans for Engagement with GPs • Link with ICGP Attend CME groups around the country for a number of purposes: • Introduction to SQID • Consultation on the Older Person Standards • Suggestions for areas in need of Guidance
  18. 18. Any questions? Thank you for your attention.
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