Inspired by children
ImERSE
Improving Experience through
Regular Shadowing Events
W Calvert1,2 , C Platt2 , J Minford1
1 Department of Paediatric Surgery, Alder Hey Children’s NHS
Foundation Trust
2 Transformation Team, Alder Hey Children’s NHS Foundation
Trust
Inspired by children
It is only with the heart that one can
see rightly; what is essential is
invisible to the eye.”
Antoine de Saint-Exupéry, The Little Prince
Inspired by children
What we are developing at Alder Hey
Implementing Patient and Family Centred Care
methodology into Quality Improvement1
Engaging medical students in quality improvement2
Providing a unique Medical Education Experience and
encouraging the development of PFCC into Tomorrow’s
Doctors
3
Inspired by children
Where there’s a Will……..
2012: Alder Hey & The King’s Fund – PFCCC
 Acute Abdominal Pain Pathway & Surgical Decision Unit
Surgical Department Meeting; October 2013
• Medical Students already shadowed a family through
surgical day case admission.
• But we were not capturing their observations
• Could we use this opportunity to collect large
amounts of qualitative data for quality improvement
Inspired by children
How does it work?
Structured patient shadowing collecting direct
observations of hundreds of patient and family
experiences per year…
1
….using this in a system of continuous service
evaluation and improvement…
2
….shaping compassionate healthcare providers now
and for the future.3
Inspired by children
How are we doing this?
• Structured Patient Shadowing Events
ImERSE
3rd Year
Daycase Outpatients
Accident
and
Emergency
4th
Year
5th
Year
Ward Based
(Junior Dr)
Inspired by children
Medical Education…
Social Sciences
Patient
Safety
Quality
Improvement
Interprofessional
Education
Preparation for Practice
Patient and family
Centred Care• University of
Liverpool School Of
Medicine
Vertically integrated spiral
curriculum
Horizontal themes –
Biomedical Sciences
• Support and approval
by Dean
Inspired by children
Student Pack
Inspired by children
Quality Improvement Matrix (AHQAS)
Positive Inconsistency
Individual / Team Excellence
Awards and Recognition
NO RISK
Positive Consistency
Staff Morale
Positive affirmation and
Perception
Publicity
NO RISK
Negative Inconsistency
Rapid Response
Immediate Reaction
Organisational Level
Clinical Level
Preventative Strategies Model
HIGH RISK
Negative Consistency
Continuous Improvement
Model
LOW RISK
+VE
-VE
CONSISTENCYLOW HIGH
EXPERIENCE
Inspired by children
Where do we see it going?
Trust’s Operational Manifests
Quality
Improvement
Education
PFCC Methodology and Practices
All CBU’s
Shadowing
Storytelling
Surveys
ImERSE
Daycase AED Outpatients
Inspired by children
Inspired by children
Inspired by children
Why pursue PFCC/PCC?
It’s what the public and patients want1
An empathic doctors improves patient outcomes2
It will improve everything …….3
Inspired by children
Thank you

ImERSE: Improving experience through regular shadowing events

  • 1.
    Inspired by children ImERSE ImprovingExperience through Regular Shadowing Events W Calvert1,2 , C Platt2 , J Minford1 1 Department of Paediatric Surgery, Alder Hey Children’s NHS Foundation Trust 2 Transformation Team, Alder Hey Children’s NHS Foundation Trust
  • 2.
    Inspired by children Itis only with the heart that one can see rightly; what is essential is invisible to the eye.” Antoine de Saint-Exupéry, The Little Prince
  • 3.
    Inspired by children Whatwe are developing at Alder Hey Implementing Patient and Family Centred Care methodology into Quality Improvement1 Engaging medical students in quality improvement2 Providing a unique Medical Education Experience and encouraging the development of PFCC into Tomorrow’s Doctors 3
  • 4.
    Inspired by children Wherethere’s a Will…….. 2012: Alder Hey & The King’s Fund – PFCCC  Acute Abdominal Pain Pathway & Surgical Decision Unit Surgical Department Meeting; October 2013 • Medical Students already shadowed a family through surgical day case admission. • But we were not capturing their observations • Could we use this opportunity to collect large amounts of qualitative data for quality improvement
  • 5.
    Inspired by children Howdoes it work? Structured patient shadowing collecting direct observations of hundreds of patient and family experiences per year… 1 ….using this in a system of continuous service evaluation and improvement… 2 ….shaping compassionate healthcare providers now and for the future.3
  • 6.
    Inspired by children Howare we doing this? • Structured Patient Shadowing Events ImERSE 3rd Year Daycase Outpatients Accident and Emergency 4th Year 5th Year Ward Based (Junior Dr)
  • 7.
    Inspired by children MedicalEducation… Social Sciences Patient Safety Quality Improvement Interprofessional Education Preparation for Practice Patient and family Centred Care• University of Liverpool School Of Medicine Vertically integrated spiral curriculum Horizontal themes – Biomedical Sciences • Support and approval by Dean
  • 8.
  • 9.
    Inspired by children QualityImprovement Matrix (AHQAS) Positive Inconsistency Individual / Team Excellence Awards and Recognition NO RISK Positive Consistency Staff Morale Positive affirmation and Perception Publicity NO RISK Negative Inconsistency Rapid Response Immediate Reaction Organisational Level Clinical Level Preventative Strategies Model HIGH RISK Negative Consistency Continuous Improvement Model LOW RISK +VE -VE CONSISTENCYLOW HIGH EXPERIENCE
  • 10.
    Inspired by children Wheredo we see it going? Trust’s Operational Manifests Quality Improvement Education PFCC Methodology and Practices All CBU’s Shadowing Storytelling Surveys ImERSE Daycase AED Outpatients
  • 11.
  • 12.
  • 13.
    Inspired by children Whypursue PFCC/PCC? It’s what the public and patients want1 An empathic doctors improves patient outcomes2 It will improve everything …….3
  • 14.

Editor's Notes

  • #2 Good afternoon. My name is Will Calvert, this is Jo Minford and Carol Platt. We represent part of the Patient and Family Centred Care team at Alder Hey Children's Hospital. Background – Surgical Registrar (Clinical Research Fellow for PFCC), Consultant Paediatric Surgeon and Service Improvement Lead
  • #13 This is going to be a video of the student