Strategies in knowledge transfer workshop by Maureen Fallon, Assistant Director, Continuous Service Improvement, Cardiff and Vale University Health Board.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Improving access to seven day services - Taunton 4th March 2015
The first of the regional events for the south took place in Taunton on 4 March. Over 100 delegates from local health and social care organisations came together with patient, public and voluntary sector representatives to hear about the expectations, opportunities and challenges of delivering seven day services and to review and further develop plans for their local communities.
Interactions between the delegates in their local health and social care communities, supported by the NHS Improving Quality team, made this a vibrant event with everyone contributing to the table discussions during the day.
Key themes emerging during the day included:
• The need for system resilience group members to fully understand the skills and “offer” that each of them can bring to the table to improve health and social care seven days a week. This was highlighted in discussions around clinical standard 9, which many groups focussed on as their top priority.
• The need to have an effective system of information sharing between all parts of the health and social care system.
• The huge role that patients and public groups have to play in planning services.
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Improving access to seven day services - Taunton 4th March 2015
The first of the regional events for the south took place in Taunton on 4 March. Over 100 delegates from local health and social care organisations came together with patient, public and voluntary sector representatives to hear about the expectations, opportunities and challenges of delivering seven day services and to review and further develop plans for their local communities.
Interactions between the delegates in their local health and social care communities, supported by the NHS Improving Quality team, made this a vibrant event with everyone contributing to the table discussions during the day.
Key themes emerging during the day included:
• The need for system resilience group members to fully understand the skills and “offer” that each of them can bring to the table to improve health and social care seven days a week. This was highlighted in discussions around clinical standard 9, which many groups focussed on as their top priority.
• The need to have an effective system of information sharing between all parts of the health and social care system.
• The huge role that patients and public groups have to play in planning services.
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Assessing the impact of a global health MOOC/OER Sally Parsley
Presentation to OER Global 18, Delft, 24th April 2018 presenting an update on work so far and plans for assessing the impact of a global health MOOC/OER.
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
Hear about the progress on the design and development of NHSScotland’s Quality Improvement Hub and how it will support a culture of continuous quality improvement across NHSScotland and help to shape the further development and implementation of the Hub.
Leadership for safety - learning from Scotland. Joanne Matthews, Head of Safety, Healthcare Improvement, Scotland and Jane Murkin, Head of Patient Safety and Improvement, NHS Lanarkshire
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
How will Sustainability and Transformation Plans (STPs) help deliver the Five Year Forward View?
Matthew Swindells and Simon Enright, NHS England, and Julia Ross, North West Surrey CCG
Day One, Pop-up University 7, 10.00
Evidence to Care: Mobilizing Childhood Disability Research into Practice
Dr. Shauna Kingsnorth
Evidence to Care Lead
Clinical Study Investigator
Assistant Professor (status), Department of Occupational Science
and Occupational Therapy, University of Toronto
Holland Bloorview Kids Rehabilitation Hospital
skingsnorth@hollandbloorview.ca
Presented at: Canadian Knowledge Mobilization Forum
Saskatoon, Saskatchewan June 9, 2014
Solving Interprofessional Clinical Scheduling with ScalabilityAjay Arumugam
Presentation regarding experience with ACEMAPP IPE tool at the All Together Better Health conference, one of the premier global conferences on interprofessional education.
Mobilizing Knowledge to Improve Health and Social Care - Approaches and Challenges by Jacky Swan, Professor in Organizational Behaviour, Director of the IKON Research Centre.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Assessing the impact of a global health MOOC/OER Sally Parsley
Presentation to OER Global 18, Delft, 24th April 2018 presenting an update on work so far and plans for assessing the impact of a global health MOOC/OER.
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Extended Primary Care Access in Southwark Nuffield Trust
Dr Lauren Parry, Improving Health; Rebecca Dallmeyer, Quay Health Solutions and Hayley Sloan, NHS Southwark CCG present on their Extended Primary Care Access programme.
Hear about the progress on the design and development of NHSScotland’s Quality Improvement Hub and how it will support a culture of continuous quality improvement across NHSScotland and help to shape the further development and implementation of the Hub.
Leadership for safety - learning from Scotland. Joanne Matthews, Head of Safety, Healthcare Improvement, Scotland and Jane Murkin, Head of Patient Safety and Improvement, NHS Lanarkshire
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
How will Sustainability and Transformation Plans (STPs) help deliver the Five Year Forward View?
Matthew Swindells and Simon Enright, NHS England, and Julia Ross, North West Surrey CCG
Day One, Pop-up University 7, 10.00
Evidence to Care: Mobilizing Childhood Disability Research into Practice
Dr. Shauna Kingsnorth
Evidence to Care Lead
Clinical Study Investigator
Assistant Professor (status), Department of Occupational Science
and Occupational Therapy, University of Toronto
Holland Bloorview Kids Rehabilitation Hospital
skingsnorth@hollandbloorview.ca
Presented at: Canadian Knowledge Mobilization Forum
Saskatoon, Saskatchewan June 9, 2014
Solving Interprofessional Clinical Scheduling with ScalabilityAjay Arumugam
Presentation regarding experience with ACEMAPP IPE tool at the All Together Better Health conference, one of the premier global conferences on interprofessional education.
Mobilizing Knowledge to Improve Health and Social Care - Approaches and Challenges by Jacky Swan, Professor in Organizational Behaviour, Director of the IKON Research Centre.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Maxim Zhvirblya and Natallia Makarevich have presented on Belarus SharePoint User Group meetup and shared their experience in configuring, implementing, and working with Work Management Service Application in SharePoint 2013.
This slide presentation was made to share my international classmates how to be polite in Cambodia. If you plan to visit Kingdom of Cambodia, please read this slide presentation. I hope it can make you adapt with Cambodia culture, and it helps reduce your culture shock.
Looking back to move forward - Train the Trainer Study Day for NIVASSarah Phillips
On the eve of a New Year it is wise to look back so we can value and appreciate progress made, but importantly determine ways we want to move forward positively to improve vascular access for our patients. Healthcare remains challenging in many ways including finite resources, but it continues to be dynamic and fast paced with driven clinicians who strive for the best. Here Sarah emphasises that focus remains key and not losing sight of these commonly practiced skills in the complex organisations of healthcare.
VeinTrain co-chaired this fantastic Train the Trainer day for NIVAS - National Infusion Vascular Access Society at the Royal College of Surgeons, London on 12th October 2015.
This presentation shows an overview of key things that work in Vascular Access for Private and Public Sector. The day encouraged lots of lively discussion and engagement on things clinicians find challenging in vascular access training. Vein Train shares some of the decades of experience in this sector including large training projects in the private sector and NHS, including NHS Direct, Chelsea and Westminster NHS Foundation Trusts, Guys' and St Thomas's NHS Foundation Trust and King's College University (Medical School).
Information about tools, networks, programmes, training and publications to help improve the quality of services across health and social care - See more at: http://www.nhsiq.nhs.uk/resource-search/publications/prospectus.aspx
The slides from the ELFT QI open morning on 23 December 2015 - suitable for those wanting to learn more about the approach to quality improvement at East London NHS Foundation Trust
What are Global Governance Checks? The NISCHR Permissions Co-ordinating Process (PCP) by Matthew Harris.
Presented at the Cardiff & Vale University Health Board Research and Development Conference, June 2014
The Role of Health Research Wales in supporting Industry Research in Betsi Cadwaladr University Health Board (BCUHB)
International Clinical Trials Day 20th May 2014
Presented by Rebecca Burns, Health Research Wales, Industry Manager
The Welsh Knowledge Transfer Study by Alison Bullock, Professor of Medical & Dental Education, Cardiff University.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
JRF/ASCC ‘Simple but not simplistic – developing evidence enriched practice’ project by Nick Andrews, Research & Practice Development Officer, All Wales Academic Social Care Research Collaboration, Swansea University.
ASCC ‘Developing Evidence Enriched Practice (DEEP)’ project.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Aneurin Bevan Continuous Improvement by Danny Antebi, Director, ABCi.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Long Term Trends in Referrals for Radiology Diagnostics by Dr David Parker , Consultant Radiologist & John Collins, Head of Systems & Information Management from Betsi Cadwaladr University Health Board.
Presented at "Using Research Evidence to Improve Health and Social Care". A NISCHR AHSC Workshop to Explore Strategies in Knowledge Transfer. 6th May 2014 – Cardiff
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
1. Faculty for Quality Improvement
Cardiff & Vale UHB and Cardiff University
Maureen Fallon
2. Background:
• A joint venture between
Cardiff University and the
Cardiff and Vale UHB
• Critical mass of clinical and
academic staff working
together – the most research
active site in Wales
• Bedside to Bench and Bench to
Bedside (education, training
and CPD)
• Currently ‘virtual’ and working
to a physical site in 2014/15
3. Why set up the Faculty?
• Share good practice
• Support
• Signpost
• Success
4. Faculty For Quality Improvement-
what is it?
Established in 2011 the ambition for the Faculty is:
“to play a major role in fostering a quality improvement and innovation
culture by creating a dynamic environment where excellence comes as
standard”
Key to the Faculty’s success is harnessing the tremendous potential and energy
of our staff; particularly by engaging, encouraging and empowering them.
As a result, the Faculty embraces everyone, whatever their role, on the basis
that every member’s contribution is essential to care quality.
5. Faculty aims:
1. Increase the quality, reliability and effectiveness of care
(Best Care)
2. Develop a culture of 'continuous improvement' through developing a
programme to support capacity and capability in healthcare improvement
methodology and delivery at the coal face and in the educational settings
(Best Place to Work)
3. Build and maximise collaborative relationships with partnership
organisations that seek to advance and promote innovations in promoting
and delivering health care
(Best Health)
4. Add value and improve efficiency by focussing efforts that tackle Harm,
Waste and Variation
(Best Value)
Eliminate harm,
variation and waste
Develop a culture of
continuous improvement
and capacity building
Increase quality
reliability and
effectiveness of care
Collaborative and
partnership
relationships, to
advance and
promote innovation
Best for
Patients
&
Citizens
Best
health
Best
care
Best
value
Best
place to
work
Adapted from AQuA Alliance 2010
6. Secondary DriversPrimary DriversAim & Measures
Aim
To establish a framework to
motivate and build with,
enthusiasm and drive for
delivering high quality care
across the UHB
Measures
By March 2016
Be recognised as an International centre
of excellence
Delivery of 1000 Lives+, AQF and intelligent
targets
Develop and support 100 Improvement
Advisers (IQT Silver Practitioners)
Develop and support 1000 Improvement
Practitioners (OD Programme; LQI; Yellow
Belt; RCN leadership programme
Implement real-time business intelligence to
capture quality outcomes, efficiencies and
financial savings
Best Health
Collaborative and partnership
relationships, to advance and
promote innovation
Establish strategic alliances and partnerships with Cardiff
University Health Care Related Schools and other external
influential organisations
Work with the Welsh Public Health UKCRC to tackle the
underlying determinants of poor physical and mental health
Build on the work of Magic & Expert Patient initiatives to
incorporate shared decision making as part of the UHB’s
Strategy
Establish clinical and governance dashboards
Build on the work of the Pt Experience Team to incorporate
signposting of services & capture outcomes of Exec
Walkrounds & HCS
Promotion of a culture of improvement that has the
patient/citizen at its centre e.g. Transforming Theatres,
ERAS and the Patient flow collaborative
Best Care
Increase quality reliability and
effectiveness of care
Best Place
Culture of quality
improvement:
Can Do
Establish faculty expertise across the key themes of
improvement, education & management
Delivery of core curriculum to support quality improvement
via OD/ IQT training & Breakfast club and web-ex methods
Develop positive staff engagement activities: Chairman’s
Award; competitions & ATP
Establish a business intelligence for real time information
and measurement systems
Working with the SPN collaborative develop a quality cost
matrix to pinpoint savings
Improved performance against productivity benchmarks:
CHKS, WAMI & Intelligent Targets
Best Value
Eliminate harm, variation and
waste
7. Creating the Conditions
Build
Infrastructure
& Capacity
Formal programmes of QI education
Embed QI into all development work e.g.
leadership and management development
Enabling people to lead improvement
in their daily work processes
•Tools, techniques, support
“Data is our vision - we
must learn from it”
• Real time measurement
and Information systems
Shaping the Culture:
• Will and commitment
• Quality reinforced at every
level by behaviour, action and
communication
• Patient/Family/Carer
centredness at all times
9. Our Journey So Far…..
Awareness
•Safer Patient Initiative
•Change & Innovation Plan
•Faculty for Quality Improvement
Education
•Learning from 1000 Lives+, Qulturum, Tayside and the IHI
•Links to Harmonisation; C21 and HEI programmes
•Improvement experts and practitioners training – LQI/IQT
•Board Effectiveness Development Programme
CSI
• Lean and Rapid Improvement work
• Real time data and measurement for improvement
Redesign
•Improvement as a Systems Property
•Triple Aim – Excellence at a lower cost per capita
•Co-production / Prudent Healthcare
Movement
• Task force
•System Infrastructure - IQT and LIPS
•Creating Breakthrough and Leverage
Scaling Up
•Public Health
•Working with Communities
• Clinical innovation centre
2010 2012 2016 and Beyond
11. Faculty outputs in action (clinical training)
Academic NHS
Research New Instruments
Smoke remover surgical innovation
Further development of surgical skills
Advancing clinical practice
Centre of excellence
Education/ QI Post Graduate Skilled workforce
Training Spin-out opportunities New model of training
Innovation/ CSI Simulation Reduce Harm, Waste and Variation
Shared
Purpose
Medicentre – shared facility
Collision Space - Faculty
Cedar – shared facility
Collision Space - Faculty
12. Will
NCEPOD Report ‘
Caring to the End’
(2009) highlighted that
poor communication
between teams at
handover contributed
towards 13.5% of adverse
outcomes in Acute
Hospitals.
14. Delivery ~ what we Did
• 13th Aug – 15th Sept
e-learning package
• 17th Sept – 4th Nov
e-handover training
Support- HANDS ON)
• …….PDSA…….
Feedback from Junior Doctors
5th Nov……….Software updated
17. Sustainability
UHL UHW
0
20
40
60
80
100
120
140
1 3 5 7 9 11 13 15 17 19 21
number of
requests
requests on w/e&
BH
0
20
40
60
80
100
120
140
160
1 3 5 7 9 11 13 15 17 19 21
number of
requests
requests on
w/e& BH
Mean: 88/week; 70 at w/ends
Mean: 94/week; 68 at w/ends
18. Spread
I am moving to Surgery next month....I
can’t believe that they don’t use e-
handover………what can we do?
F2 - Catherine
Emma F1 – Medical Assessment Unit
Why can’t we use e-handover……..it
would be much safer and easier to keep
a track on patients
- Emergency Unit
- Paediatrics
- Surgery
Visit by Cwm Taf…………..
21. Heat map showing
demand density.
Service nodes in
blue. Demand
nodes on gradated
red (high) – green
(low) scale.
22. In closing
1928: Pencillum discovered by Fleming
1939: Chain and Florey took an interest……..Penicillin
1940’s: Heatley got involved…………..
1945: Nobel Prize for Medicine
Without Fleming, no innovation; without Chain
and Florey, no testing, without Heatley, no wide
scale use of penicillin
23. …but really, we all
know it takes more
than tools to make
real change happen!
And finally……….if you always do………..