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A primary care perspective
Implementing Incident Management
Hayley Lord February 2009
• The local journey
• Lessons to be learned
• Where to from here
Outline
Pinnacle Group Ltd (PGL)
A management services organisation supporting: 5 PHOs Pinnacle Incorporated General Practice network 400,000+ ESUs100 general practice teams
A Commitment to Quality
• 12 years of quality plansPractice systemsPopulation healthProfessional development
• Pinnacle network Cornerstone accredited
A Commitment to Quality
• QP – incremental changes, education, support, feedback and rewards
• Special focus: encouraging reporting and learning from events
Pinnacle’s Journey QP6: Meetings to introduce Clinical
Governance (2002) Research re event reporting
Lord & Lillis: nzfp vol32 no4 Aug 2005
Introduced clinical audit
QP7: Clinical Governance practice meetings – key messages:
No blame: no shame culture Cultivate a positive, safe team approach
Pinnacle’s Journey QP8: Practices established and implemented
Incident Management Programme Launched voluntary reporting system QAA obtained
QP9: RNZCGP Accreditation - external confirmation
Lillis, Ward & Lord: nzfp vol34 no3 June 2007
QP10: Integrated PMP into quality programme – support development of PHO quality
platforms. Establish centralised database; encourage reporting
Pinnacle’s Journey Research re Incident Management – how big are
the barriers?Lillis S, Lord H, Ward D NZ Family Physician 2008;35:253-256
QP11: Ongoing reporting; focus on repeat prescribing – audit, errors Publication of results pending
HarpOn launched
• QP12: Ongoing education, support Reaccreditation of general practice teams
Lord H, Lillis S NZ Family Physician 2005: 32: 247-250
Barriers and Solutions to Implementation of Significant Event Management in General Practice
Lillis S, Lord H, Ward D NZ Family Physician 2008;35:253-256
Where to from here
Feedback Feedback Feedback Reporting levels match incident/risk National system
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