The document discusses lessons from the Francis Report on quality and safety failures at Mid-Staffordshire hospital. It notes that non-executive directors lacked clinical experience and were discouraged from involvement in operational matters. Housing association boards also have less developed quality assurance systems and board members feel they do not receive proper assurance about care quality and safety. The changing regulatory environment, including new standards and inspections, creates greater responsibilities for boards to oversee quality.
A RETROSPECTIVE ASSESSMENT OF PEER REVIEW PROCESS SHOWS IT HAS BEEN AN EFFECT...Eduardo
AAI implemented an internal quarterly Peer Review process that provides a 100% review of progress notes and units of service against established standards. This process has specific ground rules with the number one rule being confidentiality. Each staff member is assigned a reviewer number (in place of the reviewer’s name) and the staff member reviews reported units of service and progress notes for another staff member. The main responsibility that comes with any peer view process is that staff members work carefully, discreetly, and consistently while protecting the reviewed staff member’s confidentiality. Any questions or concerns about the work reviewed may only be discussed with the designated supervisor.
The Peer Review has resulted in an overall decrease in missing progress notes with an increase in notes written to current standards. Within the past two years, the percentage of questioned items has fallen from twenty percent (14%) to five percent (5%). Also, the Agency’s fiscal and programmatic audits have improved for the case management service categories.
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It is our view that establishing a governance model for NERC compliance is key to mitigate violations found by auditors and avoid costly fines. Asset owners must provide governance and oversight. We see well-defined compliance processes and open communication with outsourced providers as critical to success.
A RETROSPECTIVE ASSESSMENT OF PEER REVIEW PROCESS SHOWS IT HAS BEEN AN EFFECT...Eduardo
AAI implemented an internal quarterly Peer Review process that provides a 100% review of progress notes and units of service against established standards. This process has specific ground rules with the number one rule being confidentiality. Each staff member is assigned a reviewer number (in place of the reviewer’s name) and the staff member reviews reported units of service and progress notes for another staff member. The main responsibility that comes with any peer view process is that staff members work carefully, discreetly, and consistently while protecting the reviewed staff member’s confidentiality. Any questions or concerns about the work reviewed may only be discussed with the designated supervisor.
The Peer Review has resulted in an overall decrease in missing progress notes with an increase in notes written to current standards. Within the past two years, the percentage of questioned items has fallen from twenty percent (14%) to five percent (5%). Also, the Agency’s fiscal and programmatic audits have improved for the case management service categories.
.
It is our view that establishing a governance model for NERC compliance is key to mitigate violations found by auditors and avoid costly fines. Asset owners must provide governance and oversight. We see well-defined compliance processes and open communication with outsourced providers as critical to success.
Patient Satisfaction Surveys are one of the easiest ways for Community Health Centers to evaluate the quality of care being provided, as well as the needs of the patient population. The distribution of Patient Satisfaction Surveys provides a system for collecting and reporting data and can often be the driver of operational transformation. Faced with a lack of resources and low rates of survey completion, Community Health Centers may question how to maximize the value of implementing a process for collecting data. This webinar will address the following:
• Strategies for Developing Patient Satisfaction Surveys
• Strategies for Implementing Patient Satisfaction Surveys
• HRSA Requirements for Patient Satisfaction Surveys
• Best Practices on how to Use and Report Survey Results
Quality assurance is a way of preventing mistakes and defects in manufactured products and avoiding problems when delivering products or services to customers; which ISO 9000 defines as "part of quality management focused on providing confidence that quality requirements will be fulfilled".
Compliatric webinar series strategies for effective meeting minutesCompliatric
Taking minutes at meetings is one way for health centers to demonstrate compliance in a variety of areas. However, sometimes minute taking isn’t easy; minutes can often lack documentation, or may not express what actually transpired with a discussion. This session will provide participants with the following:
Understanding why meeting minutes are important for HRSA compliance
Identifying what should be included in meeting minutes for topics such as Quality, Sliding Fee Discount Program and Governance
Examples of meeting minutes that can be utilized to develop best practices
This presentation highlights the differences between program health checks and program audits, the factors that influence the choice between internal staff and external consultants to execute the program health check, and the dimensions on which these assessments are done.
Patient Experience Measures: Past and FutureBivarus
What is the value of measuring the patient experience? Kevin Schulman, MD shares data on why measuring the patient experience is important in today's changing healthcare environment.
As Operational Site Visits (OSVs) resume virtually, it is important for Community Health Centers to maintain continuous compliance. Compliatric is excited to continue their “Compliance Webinar Series” where each month, program requirements are reviewed to assist health centers in understanding various elements. Participants will be able to utilize these webinars to increase their knowledge of the requirements, and also take compliance to the next level.
Quality assurance is one of the important topic for our Nursing field this is important for M.Sc. Nursing Final Year students for the subject of management that will also help to all nurses either in the filed of clinical as well as education
Patient Satisfaction Surveys are one of the easiest ways for Community Health Centers to evaluate the quality of care being provided, as well as the needs of the patient population. The distribution of Patient Satisfaction Surveys provides a system for collecting and reporting data and can often be the driver of operational transformation. Faced with a lack of resources and low rates of survey completion, Community Health Centers may question how to maximize the value of implementing a process for collecting data. This webinar will address the following:
• Strategies for Developing Patient Satisfaction Surveys
• Strategies for Implementing Patient Satisfaction Surveys
• HRSA Requirements for Patient Satisfaction Surveys
• Best Practices on how to Use and Report Survey Results
Quality assurance is a way of preventing mistakes and defects in manufactured products and avoiding problems when delivering products or services to customers; which ISO 9000 defines as "part of quality management focused on providing confidence that quality requirements will be fulfilled".
Compliatric webinar series strategies for effective meeting minutesCompliatric
Taking minutes at meetings is one way for health centers to demonstrate compliance in a variety of areas. However, sometimes minute taking isn’t easy; minutes can often lack documentation, or may not express what actually transpired with a discussion. This session will provide participants with the following:
Understanding why meeting minutes are important for HRSA compliance
Identifying what should be included in meeting minutes for topics such as Quality, Sliding Fee Discount Program and Governance
Examples of meeting minutes that can be utilized to develop best practices
This presentation highlights the differences between program health checks and program audits, the factors that influence the choice between internal staff and external consultants to execute the program health check, and the dimensions on which these assessments are done.
Patient Experience Measures: Past and FutureBivarus
What is the value of measuring the patient experience? Kevin Schulman, MD shares data on why measuring the patient experience is important in today's changing healthcare environment.
As Operational Site Visits (OSVs) resume virtually, it is important for Community Health Centers to maintain continuous compliance. Compliatric is excited to continue their “Compliance Webinar Series” where each month, program requirements are reviewed to assist health centers in understanding various elements. Participants will be able to utilize these webinars to increase their knowledge of the requirements, and also take compliance to the next level.
Quality assurance is one of the important topic for our Nursing field this is important for M.Sc. Nursing Final Year students for the subject of management that will also help to all nurses either in the filed of clinical as well as education
quality assurance are the major topic related to Nursing as well as all health care department that are usefull to improve the quality of health care quality assurance models are important to assess the productivity of the services that are usefull in advance nursing care practices
quality assurance slides include components, models, approaches, cycle of quality assurance is included in the slides.
the slide gives a brief ides regarding all the points and gives a comprehensive picture of the topic.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
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Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
What is the point of small housing associations.pptx
Quality and safety: lessons from the Francis Report
1. Quality and safety: lessons from
the Francis Report
Peter Molyneux
Common Cause Consulting
10 February 2014
2.
3. • No NED had current or previous clinical experience
• NED discouraged to get involved in “operational matters”
• Major organizational changes not discussed by the Board
• NEDs accepted reassurance rather than assurance
• Lack of soft intelligence or testing of reassurance
• Lack of clear clinical engagement and leadership
• Lack of tracking of action plans
• No benchmarking
• Foundation status and financial targets a distraction from
other issues
Mid-Staffordshire
4. Survey of Board members of housing associations, 2013:
•Quality management focused on buildings and asset
management
•Quality reports focus on KPIs for arrears, planned
maintenance, repairs, staffing levels, mandatory training, etc
•Quality management systems used a combination of user-
generated feedback, announced / unannounced inspections,
and numbers accessing training and employment
•Quality assurance systems less developed
•Very few board members felt they received proper assurance
around quality and safety of care and support services that
were provided
Quality assurance in housing associations
5. “Whilst quality management systems might be effective there
is little assurance being given and hence not inconsiderable
reputational risk.”
Quality assurance in housing associations
6. • Winterbourne View and Mid-Staffs have undermined public
confidence in health and care system
• Francis Report shows failings not restricted to any single
sector, or type of provider
• Government proposals have significant implications for HA
boards, and how they discharge their responsibility as
stewards of organisational reputation
• Combined with changes to CQC regulatory model, creates
new responsibilities for Boards, and new expectations from
stakeholders
• Introduction of fundamental standards, clear guidance
combined with an enhanced role for HSE
Changing regulatory environment
7. • Set of fundamental standards as part of CQC registration,
with a clear baseline below which care must never fall,
combined with tougher sanctions against providers that do
not meet these standards
• All directors of providers registered with CQC will be
required to meet a new ‘fit and proper person’ test
• CQC will consider the role of the board and individual
directors in any service failure – with the power to insist on
their removal or to prosecute in the case of serious failure
Changing regulatory environment / continued
8. • New statutory duty of candour: providers required to make
sure staff are open with service users and their families if
they believe there have been failings in treatment or care,
and to provide an explanation for it
• An improved and strengthened inspection regime will focus
on a risk based approach using inspection teams that are
more experienced in the delivery and scrutiny of frontline
services
Changing regulatory environment / continued
11. Performance against quality KPI
•Compliance with regulatory requirements and standards
•Key risk areas and mitigations
•Trends and areas for improvement
•Summary of any external assessments / reports / inspection
in period
Incident management
•Narrative, trends and areas for improvements
Quality report
12. Workforce
•Vacancy rates, turnover, bank and agency, etc
•Staff feedback summary
•Staff engagement activity
Customer involvement
•Internally commissioned surveys – customer surveys, real-
time, any-time
•Announced and unannounced visits – discovery visits, spot
checks, customer audits, etc
•Compliments, complaints and MP enquiries
Quality report / continued
13. • High level document for use by the Board
• Sets out strategic risks which threaten the organisation’s
strategic objectives
• Assesses controls and gaps in these
• Records means of assurance and gaps
• Assigns responsibility, timing and monitoring for mitigating
actions on controls and assurances
Board assurance framework
14. 1. Measuring outcomes that matter most to service users
2. Ensuring the organisation has identified the strategic risks to
the delivery of its objectives and desired outcomes, and is
aware of gaps in assurance
3. Demonstrating triangulation of different types of data and
use independent sources of assurance
4. Scrutinising quality and safety, and asking the right
questions: vital to ensuring there is a culture that challenges
the normalisation of variance from required standards
5. Boards are informed about performance against key quality
indicators, risks to delivery of quality
6. Risks to reputation given equal weight to financial risks
Six-step pathway to quality assurance