An Adventure in Quality Improvement

Dr. Mary Browne
Quality and Patient Safety Division
National Primary Care Conference ...
Defining Quality
• Institute of Medicine
– Safety, Effectiveness, Equity,
Timeliness, Efficiency,
Patient-centredness

• N...
National Standards for Safer Better Healthcare
Quality
Dimensions

Capacity and Capability
Dimensions
Manpower
Issues
Diminished
Resources

Current
Pressures

Frustration with
Teams

Fragmentation

Extra
workload

Media
atte...
Not starting from Scratch
Delivering Safe,
Quality Care

Continuity
of Care

Excellent
Access

Highly trained,
Supported S...
Approaching the National Standards
• Our National Quality Standards
• Making the Standards work for you
• Frame quality im...
“Here is Edward Bear,
coming downstairs now,
bump, bump, bump, on the
back of his head. It is, as
far as he knows, the onl...
Quality Continuum

Levels of Quality

QA+I Resources: http://www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/qa...
Where to focus?
Listen to staff
Foster development
and growth

Listen to and
empower
patients

Assess and
Measure Quality
...
Thank You
And will you succeed? Yes!
You will, indeed!
(98 and ¾ percent
guaranteed.)
Oh the places you’ll go,
Today is yo...
Dr Mary Browne, QPS Division lead for QA+I Resources, HSE
Dr Mary Browne, QPS Division lead for QA+I Resources, HSE
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Dr Mary Browne, QPS Division lead for QA+I Resources, HSE

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

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Dr Mary Browne, QPS Division lead for QA+I Resources, HSE

  1. 1. An Adventure in Quality Improvement Dr. Mary Browne Quality and Patient Safety Division National Primary Care Conference 2013
  2. 2. Defining Quality • Institute of Medicine – Safety, Effectiveness, Equity, Timeliness, Efficiency, Patient-centredness • NHS Scotland - Person-centred care, Safe care, Effective care
  3. 3. National Standards for Safer Better Healthcare Quality Dimensions Capacity and Capability Dimensions
  4. 4. Manpower Issues Diminished Resources Current Pressures Frustration with Teams Fragmentation Extra workload Media attention
  5. 5. Not starting from Scratch Delivering Safe, Quality Care Continuity of Care Excellent Access Highly trained, Supported Staff Quality improvement initiatives and work ICT Systems
  6. 6. Approaching the National Standards • Our National Quality Standards • Making the Standards work for you • Frame quality improvement work • Team work
  7. 7. “Here is Edward Bear, coming downstairs now, bump, bump, bump, on the back of his head. It is, as far as he knows, the only way of coming downstairs, but sometimes he feels that there really is another way, if only he could stop bumping for a moment and think of it.” Winne the Pooh A.A. Milne,
  8. 8. Quality Continuum Levels of Quality QA+I Resources: http://www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/qaandImprovement/qaanditool/qaanditoolpdfs.html
  9. 9. Where to focus? Listen to staff Foster development and growth Listen to and empower patients Assess and Measure Quality Person-Centred Care and Support Effective Care and Support Safe Care and Support Better Health and Wellbeing QI skills and knowledge Embrace Transparency
  10. 10. Thank You And will you succeed? Yes! You will, indeed! (98 and ¾ percent guaranteed.) Oh the places you’ll go, Today is your day! Your mountain is waiting. So…get on your way! Dr. Seuss

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