Rebecca Dyar th May 2018 - Bristol Patient...

Quality Improvement Fellowship

Rebecca Dyar

18th May 2018

@RebeccaDyar

Outline

What is a QI Fellowship?

My route into QI

Top tips for success

Quality Improvement Fellowships

Trust Fellow

Deanery Fellow

Foundation Fellow

Sir Bruce Keogh Fellow

Health Foundation Fellow

ISQua Fellow

IHI Fellow

Considerations of a post

Opportunities

Time dedicated to

QI

Mentorship Achievement expectations

Associated qualifications

My route into QI

Source: Wikimedia Commons

Patient Perspective

Patient Perspective

Patient Experience

Latest Results10.00 10.00 9.84 10.00 10.00 9.90 10.00 10.00

9.15

10.00 9.89

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

Consistency&Coordination

Respect&dignity

Involvement

Doctors

Nurses

Cleanliness

PainControl

Medicines

NoiseatNight

Kindness&Compassion

DomainAverage

RUN CHARTS

7

7.5

8

8.5

9

9.5

10

10.5

04/10/2017 04/11/2017 04/12/2017 04/01/2018 04/02/2018 04/03/2018 04/04/2018

Dom

ain

sco

re

Date of data collection

Average domain score (10 high; 0 low)

My top tips!

Start with an open mind

Understand your context

SMART aimStep back and reflect

Be enthusiastic!

Bite-size food for thought

Institute for Healthcare Improvement Open School – Basic Certificate in Quality and Safety

• www.ihi.org/education/IHIOpenSchool/Courses/Pages/OpenSchoolCertificates.aspx

How to implement evidence-based healthcare by Trish Greenhalgh; 2018

• ISBN: 1119238528

Don Berwick’s Letter to NHS Staff 2013

• www.gov.uk/government/publications/berwick-review-into-patient-safety

Excerpt from Don Berwick 2013 Letter to the clinicians, managers, and all staff of the NHS

1• Place the quality and safety of patient care above all other aims for the NHS.

2• Engage, empower, and hear patients and carers throughout the entire

system, and at all times.

3• Foster wholeheartedly the growth and development of all staff, especially

with regard to their ability and opportunity to improve the processes within which they work.

4• Insist upon, and model in your own work, thorough and unequivocal

transparency, in the service of accountability, trust, and the growth of knowledge

Take home messages

Use your experience

Context is crucial: actively listen and observe

Be SMART about your project

Engage with enthusiasm

Thank you

rebecca.dyar@nhs.net @RebeccaDyar