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KQuIP presentation UKWW 2017

Kidney Quality Improvement Partnership (KQuIP) Supporting Renal Community in Improving our Quality of Care Graham Lipkin , Co-chair of KQuIP

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Kidney Quality Improvement
Partnership (KQuIP)
Supporting Renal Community in
Improving our Quality of Care
Graham Lipkin
Co-chair of KQuIP
23/03/2017 | 1
Pre-emptive Transplantation Rates
30/10/2016 2
Home Dialysis: UK Renal Registry-Do we improve?
23/03/2017 3
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
B Heart B QEH Basldn Camb Chelms Colchr Covnt Derby Dudley Ipswi Leic Norwch Nottm Shrew Stevng Sthend Stoke Wolve
Why does unwarranted variation persist?
Many reasons:
 Specific to each Unit-solutions can only come from those on the
front line-you know your system best
 Some systematic
• Resource?
• Leadership & leadership training
• Training in QI methodology
• Structure
• We don’t share good practice (or learn from less good practice)
30/10/2016 4
Quality Improvement in Renal Units
• Committed to improving patient care on a daily basis
• Responsibility for complex system of patient care within budget*
What support/training?
Why don’t we learn/share from each other?
KQuIP focuses on need to support/train you
Embed QI- triumvirate plus 1 or 2?
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 5
Kidney Quality Improvement Partnership (KQuIP)
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.
Professional Society Led
Multi-Professional
UK
Adults and Children’s Care
25/11/2016 6
Ad

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KQuIP presentation UKWW 2017

  • 1. Kidney Quality Improvement Partnership (KQuIP) Supporting Renal Community in Improving our Quality of Care Graham Lipkin Co-chair of KQuIP 23/03/2017 | 1
  • 3. Home Dialysis: UK Renal Registry-Do we improve? 23/03/2017 3 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 B Heart B QEH Basldn Camb Chelms Colchr Covnt Derby Dudley Ipswi Leic Norwch Nottm Shrew Stevng Sthend Stoke Wolve
  • 4. Why does unwarranted variation persist? Many reasons:  Specific to each Unit-solutions can only come from those on the front line-you know your system best  Some systematic • Resource? • Leadership & leadership training • Training in QI methodology • Structure • We don’t share good practice (or learn from less good practice) 30/10/2016 4
  • 5. Quality Improvement in Renal Units • Committed to improving patient care on a daily basis • Responsibility for complex system of patient care within budget* What support/training? Why don’t we learn/share from each other? KQuIP focuses on need to support/train you Embed QI- triumvirate plus 1 or 2? 23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 5
  • 6. Kidney Quality Improvement Partnership (KQuIP) 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. Professional Society Led Multi-Professional UK Adults and Children’s Care 25/11/2016 6
  • 7. KQuIP Launched 2016 30/10/20167 Programme Board Work Stream Chairs Group 3 Work Streams KOG Faculty
  • 8. Quality Improvement: Where to Focus? Pre-dialysis Clinic Peritoneal dialysis Pre-emptive Transplant listing & Live donor Tx AV Fistula Home HD Shared HD Conservative Care 30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 8 Progressive CKD Failing Transplant MPT • Dietetics • Modality choice Counselling/ PD nurse • Access nurse & surgeons • LD Transplant Coordinators Unplanned starts?
  • 9. How Will KQUIP Support Quality Improvement 1. Regional Registry/KQuIP QI Days 2. 3 National Priority Projects 3. KQuIP Online Repository 30/10/2016 9
  • 10. KQuIP – How will it support Renal Quality Improvement? 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 10 National • Advice to Clinical Reference Group. • Central Registry Project management & faculty • Online KQuIP Hub repository • Industry coordination Regional supporting Renal Clinical Networks • Renal Registry/KQuIP quality improvement day • Regional Project management support • Peer assist
  • 11. KQuIP - Driving Renal Quality Improvement 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 11 You & me • Education & support materials (the Hub) • Peer assist (Share-’ask a friend’) • Support for local projects-Regional Project Managers
  • 12. KQUIP – Partnering with Industry What sort of relationship is KQuIP Looking for? • A new model-mature genuine partnership-equal partners at start Why does KQuIP want to work with Industry? • Share ambition to improve patient care • Industry has strong QI expertise & examples of effective collaboration • Resources Risks 30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 12
  • 13. KQuIP Hub-Opened April 2017 Repository of Quality Improvement resources • Education • Leadership & Training in QI • Case Studies • We don’t always have to re-design the same wheel • We really can learn from each other. • Please contribute 08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 13
  • 14. KQuIP Hub-QI Case Projects/Case Studies 08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 14
  • 15. 3 National KQuIP Priority Projects Improving access to kidney transplantation; Transplant First Transplant First, developed in the West Midlands under KQuIP, being packaged to enable others to implement. Improving access to home therapies for suitable patients KQuIP working with Manchester Dialysis Group Improving incident and prevalence rates of arteriovenous fistulae access 25/11/2016 15
  • 16. Regional days- Designed by Regional Network - KQuiP Support • Data-bespoke Regional Registry & PHE report • Explore barriers/solutions/What we’re good at • Transplant First and Home Therapies Focus & AKI • Define Unit QI leads (Clinical and MPT) & Project • Support existing projects & with what’s next support 23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 16
  • 17. KQuIP Registry Regional Days-Wmids 23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 17
  • 18. KQuIP Support - Post Regional Network • Central Project management through Registry • Individual Project Management Support • Registry metrics, training, peer assist, KQuIP Hub 23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin 18
  • 19. Regional KQuIP/Registry Events 2017 • Wmids • Yorks and Humber • East Midlands • Manchester North West • 2018 coming to you 30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 19
  • 20. Supporting the next generation-QI training 23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin
  • 21. For Current and Potential Senior Leaders up to Director Level Renal CD Leadership Programme
  • 22. 30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 22
  • 23. Renal units also need support to make the right decisions… http://latinamericagoesglobal.kccsobamb8iq2te1et7s.netdna-cdn.com/wp-content/uploads/2016/07/181571_600.jpg
  • 24. KQuIP welcomes you… …enabling you and your team to improve quality and safety www.thinkkidneys.nhs.uk/kquip/ Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin