Developing a Quality
Improvement Action Plan
Public Health England leads the NHS Screening Programmes
London Forum for Screening Coordinators & Screening
Support Sonographers, 9th June 2017
Presented by Allison Thompson
Introduction
What is Quality improvement?
• A systematic approach to assessing services and improving them on a
priority basis
Why is it important?
• It is important for the safe effective and efficient deliver of the 6 antenatal
and newborn screening services
2 Developing a Quality Improvement Action Plan
What does a good action plan look like
• Demonstrates actions to address the issue identified
• Is written in consultation with key stakeholders
• Is written in grammatically correct language and presented in a clear
layout
• Is concise and written clearly
• Identifies priorities, specific targets and outcomes
• Is clearly focused on improvements
• Includes a manageable action list for reaching achievable standards
• Includes action for monitoring of achievable outcomes
• Includes indicators and criteria for recognising improvements
3 Developing a Quality Improvement Action Plan
Process for developing a quality
improvement action plan
Construction
ImplementationEvaluate
Audit
4 Developing a Quality Improvement Action Plan
Things to consider
Where are we
now
Where do we
want to be
How will we get
there
How will we
know we are
there
How will we
know if we
have been
successful
What was
identified as the
required
improvement
following an
incident or QA
assessment
Standard Resources
required
How will it be
monitored
What is your
action to
measure
success
Service
Specification
Who has the
expertise
Who will monitor
it
Is this written
clearly concise
and specific
Who is
responsible
When will it be
monitored
What is the
deadline for
completion
What is the
quantative
targets against
which to judge
progress
Goals written
down in realistic
steps
5
Developing a Quality Improvement Action Plan
Activity
• Please develop what they think should be in an action plan for the
recommendation assigned to your table. 10 mins
6 Developing a Quality Improvement Action Plan
Action Plan - Evidence
Recommendation Priority Where do you want to be
Ensure that the data used to calculate
coverage KPIs and populate tracking
spread sheets is cohort booking data.
High
due
25/5/17
S chort data for eligible
(booked) population
M available for audit
A yes
R yes with assistance from IT
T by 1st May 2017
Enable the screening Support
sonographer (SSS) to have dedicated
time to undertake the training and audit
role in line with national
recommendations. This should be
supported by a deputy
High
S Job description reflects the
dedicated hours and deputy
role,
M monitored by NHS England
A yes
R yes
T at the next Performance and
Quality Board for ANNB on
10th May 2017
7 Developing a Quality Improvement Action Plan
Summary
An action plan works when
• Leaders have clear oversight of its implementation
• Everyone is aware of their expected action
• Resources are available to implement, evaluate, and audit the quality
improvement action plan
• Processes are in place to evaluate the effectiveness of actions taken
8 Developing a Quality Improvement Action Plan
Reflection on return to your clinical
area
Do you have a quality improvement action plan in place for antenatal and
newborn screening?
Do you think your unit requires one?
9 Developing a Quality Improvement Action Plan

9. Developing a quality improvement action plan

  • 1.
    Developing a Quality ImprovementAction Plan Public Health England leads the NHS Screening Programmes London Forum for Screening Coordinators & Screening Support Sonographers, 9th June 2017 Presented by Allison Thompson
  • 2.
    Introduction What is Qualityimprovement? • A systematic approach to assessing services and improving them on a priority basis Why is it important? • It is important for the safe effective and efficient deliver of the 6 antenatal and newborn screening services 2 Developing a Quality Improvement Action Plan
  • 3.
    What does agood action plan look like • Demonstrates actions to address the issue identified • Is written in consultation with key stakeholders • Is written in grammatically correct language and presented in a clear layout • Is concise and written clearly • Identifies priorities, specific targets and outcomes • Is clearly focused on improvements • Includes a manageable action list for reaching achievable standards • Includes action for monitoring of achievable outcomes • Includes indicators and criteria for recognising improvements 3 Developing a Quality Improvement Action Plan
  • 4.
    Process for developinga quality improvement action plan Construction ImplementationEvaluate Audit 4 Developing a Quality Improvement Action Plan
  • 5.
    Things to consider Whereare we now Where do we want to be How will we get there How will we know we are there How will we know if we have been successful What was identified as the required improvement following an incident or QA assessment Standard Resources required How will it be monitored What is your action to measure success Service Specification Who has the expertise Who will monitor it Is this written clearly concise and specific Who is responsible When will it be monitored What is the deadline for completion What is the quantative targets against which to judge progress Goals written down in realistic steps 5 Developing a Quality Improvement Action Plan
  • 6.
    Activity • Please developwhat they think should be in an action plan for the recommendation assigned to your table. 10 mins 6 Developing a Quality Improvement Action Plan
  • 7.
    Action Plan -Evidence Recommendation Priority Where do you want to be Ensure that the data used to calculate coverage KPIs and populate tracking spread sheets is cohort booking data. High due 25/5/17 S chort data for eligible (booked) population M available for audit A yes R yes with assistance from IT T by 1st May 2017 Enable the screening Support sonographer (SSS) to have dedicated time to undertake the training and audit role in line with national recommendations. This should be supported by a deputy High S Job description reflects the dedicated hours and deputy role, M monitored by NHS England A yes R yes T at the next Performance and Quality Board for ANNB on 10th May 2017 7 Developing a Quality Improvement Action Plan
  • 8.
    Summary An action planworks when • Leaders have clear oversight of its implementation • Everyone is aware of their expected action • Resources are available to implement, evaluate, and audit the quality improvement action plan • Processes are in place to evaluate the effectiveness of actions taken 8 Developing a Quality Improvement Action Plan
  • 9.
    Reflection on returnto your clinical area Do you have a quality improvement action plan in place for antenatal and newborn screening? Do you think your unit requires one? 9 Developing a Quality Improvement Action Plan