1. 30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 1
Kidney Quality Improvement
Partnership (KQuIP)
9th UK Dialysis Conference
Graham Lipkin, Co-chair of KQuIP

2. Background
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 2
UK Kidney Community has a proud history of innovation,
high quality measurement and working together with our
patients

3. Clinical Practice Guidance: Guidance for UK Practice
30/09/2016 3Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

4. UK Renal Registry 18th Annual Report 2015
Access at Initiation of Dialysis
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 4

5. Variation: Pre-emptive Transplantation
30/09/2016 5Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

6. Notable Quality Improvements
30/09/2016 6
• Dialysis catheter-associated MRSA bacteraemia
• Improved AV Fistula access rates
…..successful ongoing QI projects
The knowing - doing gap – sustainability
• Embed in everyday unit practice
• Education-tools for team to build
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

7. What is key to improving the outcomes of care?
• Recognition of the problem (Conference)
• Commitment and dedication to delivering excellence
• A supportive enabling structure (KQuIP/UKRR)
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 7

8. Kidney Quality Improvement Partnership (KQuIP)
8
Children and adults
England and Home Countries
Why is KQuIP different?
From within whole community
Constant
Embed quality improvement as part
of the day job!
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

9. Kidney Quality Improvement Partnership (KQuIP)
9
KQuIP is a dynamic network of
kidney health professionals, patients
carers and Industry …committed to
developing, supporting and sharing
quality improvement in kidney
services…. in order to enhance
outcomes and quality of life for
patients with kidney disease.
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin

10. 30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 10
KQuIP Development
Programme Board
Work Stream Chairs
Group
6 Work Streams
KOG
Faculty

11. KQuIP Workstreams
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 11
Development
Dal Hothi and Richard Fluck
Measurement
Katie Fielding
Supporting Networks
John Stoves
Communication
Paul Bristow
Projects
Hugh Gallagher
RA/BRS Patient Safety
Katy Jones

12. KQuIP – How will it support Renal Quality Improvement?
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 12
National
• Strategic level through advice to Clinical Reference Group
• Central UK Renal Registry project management and faculty
• Online repository
Regional supporting existing Renal Clinical Networks
• UK Renal Registry/KQuIP quality improvement day
• Regional project management support
• Peer assist model

13. KQuIP - Driving Renal Quality Improvement
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 13
Local unit, you and me
• Education and support materials - the go to place
• Peer assist (Share - ‘ask a friend’)
• Support for local projects
• Clinical QI leads (Projects QI leads - Medical and MDT)

14. Design Event: Coming together to shape KQuIP
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 14

15. Priorities for Quality Improvement
• Improved access to home dialysis therapies
• Access to kidney transplantation
• Acute kidney injury (prevention, early diagnosis and management)
• Improving AV fistula access rates
• Paediatric to adult transition
• Optimising patient engagement, shared and self care
• Improving patient safety
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 15

16. KQuIP Priorities: Moving to Delivery
1. Enable development of 3 national projects (Workstreams)
2. Roll out regional KQuIP/UK Renal Registry days (UKRR/Faculty)
3. Web development/knowledge management platform (UKRR)
4. Extend faculty
5. Embed education & training QI and leadership (LTMD and MDT)
6. Secure further funding & link with NHS QI arms (Workstreams)
7. Build link to safety
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 16

17. Home Therapies QI Project: KQuIP Support?
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 17
Home First
Project development
• Projects WS
• Comms
• Metrics
Regional scaling
• PM support
• Network
• KQuIP/UKRR day
• Education, LTMD
Peer assist mode
KQuIP faculty
Conferences
KQuIP sessions
Knowledge management
platform

18. KQuIP welcomes you
Enabling you and your team to improve access to home
dialysis
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 18
www.thinkkidneys.nhs.uk/kquip/