2018 / 2019 Prospectus Building YOUR Quality … Qualification Prospectus 2018... · develop the skills of individuals whose current or future role ... Complete a portfolio of evidence

SHSCT Quality Improvement Prospectus Page 1 Updated: April 2018

2018 / 2019 Prospectus Building YOUR Quality Improvement Capacity and Capability

OCN NI Level 3 Award in Quality Improvement

OCN NI Level 3 Certificate in Quality

Improvement

OCN NI Level 5 Diploma in Leading Quality

Improvement

Introduction to Quality Improvement E-Learning

Introduction to Measures

Advanced Measures

Quality Improvement Clinics

Sharing and Learning Events

SHSCT Quality Improvement Prospectus Updated: May 2018

Page 2

Contents

Based on “First Steps Towards Quality Improvement: A Simple Guide to Improving Services” 2014

Page Number

1 OCN NI Level 3 Award in Quality Improvement 4

2 OCN NI Level 3 Certificate in Quality Improvement 5

3 OCN NI Level 5 Diploma in Leading Quality Improvement 6

4 Course Timetable 7

5 Quality Improvement E-Learning 9

6 Quality Improvement Measures Programmes 10

7 Quality Improvement Clinics 11

8 Sharing and Learning Events 12

9 Quality Improvement Network 13

10 Self -Assessment Tool 14


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Introduction

In the Southern Trust, our vision is to deliver a first class service where patients receive quality care and experience at each contact.

One of the approaches that will enable us to deliver a safe, quality service is to provide you with opportunities to develop your quality improvement knowledge and skills.

This prospectus outlines the qualifications and training available within the Southern Health and Social Care Trust that will enable Learners to:

develop knowledge and understanding about current good practice in quality

improvement develop the skills of individuals whose current or future role is to deliver quality

improvement activities prepare for managing and / or undertaking quality improvement projects using

appropriate quality improvement tools and methodologies how to drive quality improvement activities and initiatives

Quotes from participants:

“This project has allowed me space & time to investigate issues that otherwise I would not have had time to do. It is easy to get absorbed in your daily workload without taking a step back to think about better ways of working”

“Well organised programme to develop skills in quality improvement, it provides theory and experience in quality improvement that can be applied in future work and projects”

“The programme has helped my personal development, I feel much more confident”


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Who can apply? This qualification is suitable for ANYONE who is interested in improving the quality of their working environment or service. It is open to Staff (particularly bands 1 – 4), Service Users, Carers and Voluntary and Community Organisations within the Southern Trust area.

What are the benefits? The OCN NI Level 3 Award in Quality Improvement qualification has been designed to develop the knowledge and skills of everyone who has an interest in quality improvement activities.

What does the programme involve?

You will be required to complete the Introduction to Quality Improvement e- learning module (indicative time commitment 45 mins)

Full attendance at 3 scheduled workshops Undertake a small step change project (approximately 3 month duration) Complete a portfolio of evidence based on undertaking a small scale quality

improvement project

What type of project is suitable? Any small step change project, for example: Information leaflet design Design of staff, service user, carer training programmes Workplace re-organisation Data use and preparation techniques Communication / team work initiatives Incremental pathway re-design


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OCN NI Level 3 Certificate in Quality Improvement

Who can apply? This programme is open to ALL Trust staff.

What are the benefits? The aim of this programme is to equip staff with the quality improvement tools, techniques and methodologies required to undertake a small step change project. It will provide you with a vehicle to improve quality, safety and patient experience.

What does the programme involve?

You will be required to complete the Introduction to Quality Improvement and Quality Improvement e-learning modules (indicative time commitment 7 hours)

Full attendance at all scheduled workshops Lead a small step change project (approximately 4 month duration) Complete a portfolio of evidence based on leading a quality improvement project

What type of project is suitable? Any small step change project, for example: Service pathway re-design Staff training Standard Operating Procedures Referral process trialling Workplace re-organisation


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OCN NI Level 5 Diploma in Leading Quality Improvement

Who can apply? Trust staff who currently lead teams or services across the Trust wishing to improve their quality improvement knowledge and skills base.

Successful applicants will be supported to undertake an improvement project, which should demonstrate a substantial work based challenge, and reflect one of the two Trust Quality Improvement Priorities (Infection Prevention and Control and Communication).

What are the benefits? The Quality Improvement Leader Programme will provide you with a vehicle to improve quality, safety and patient experience.

What does the programme involve? You will be required to complete the Introduction to Quality Improvement and

Quality Improvement e-learning modules (indicative time commitment 8.5 hours) Full attendance at all scheduled workshops Lead a substantial work based project (approximately 12 month duration) Complete a portfolio of evidence based on leading a quality improvement project

What type of project is suitable? Any substantial work based project, for example: Review and update of operational policies and processes Standardising administrative processes Improving efficiency and communication Improving the patient journey Moving to electronic / IT / modern technology Developing E-Learning programmes


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Course Timetable The OCN accredited courses are scheduled to run in 2018 / 2019 as follows:


24/04/18 Thursday - Awareness 2.00pm - 5.00pm Boardroom, HQ

10/05/18 Thursday - Day 1 Preparation, Getting Started and Problem Diagnosis

9.30am - 4.30pm Bronte Room, Banbridge Health Centre

01/06/18 Friday - Day 2 Measures and Implementation

9.30am - 4.30pm Boardroom, HQ

05/07/18 Thursday – Day 3 Evaluation

2.00pm – 5.00pm Boardroom, HQ

OCN NI Level 3 Certificate in Quality Improvement Date Day Time Venue

24/04/18 Thursday - Awareness 2.00pm – 5.00pm Boardroom, HQ

14/05/18 Monday - Day 1 Prep, Getting Started & Problem Diagnosis

9.30am - 4.30pm Boardroom, HQ

3/07/18 Tuesday - Day 2 Measures and Implementation

9.30am - 4.30pm Bronte Room, Banbridge Health Centre

02/08/18 Thursday – Day 3 Evaluation

9.30am – 2pm Boardroom, HQ

OCN NI Level 5 Diploma in Leading Quality Improvement Date Day Time Venue

17/05/18 Thursday - Awareness 9.00am – 1.00pm Boardroom, HQ

15/06/18 Friday – Day 1 Prep & Getting Started

9.30am – 4.30pm Bronte Room, Banbridge Health Centre

26/6/18 Tuesday – Life QI AM Measures PM

9.30am – 4.30pm IT Training Room Boardroom, HQ

09/08/18 Wednesday- Day 2/3 Problem Diagnosis

9.30am – 4.30pm PWB Room, St Luke's, Armagh

20/09/18 Thursday – Advanced Measures 9.30am – 1.30pm IT Suite, Trust HQ

28/11/18 Thursday – Day 3 / 4 Implementation

9.30am – 4.30pm Navan Room St Luke’s

10/01/19 Thursday – Day 4 / 5 Evaluation



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OCN NI Level 5 Diploma in Leading Quality Improvement (2nd Intake) Date Day Time Venue

04/09/18 Tuesday - Awareness 9.00am – 1.00pm Bronte Room, Banbridge Health Centre

18/10/18 Thursday – Day 1 Prep & Getting Started

9.30am – 4.30pm Boardroom, HQ

01/11/18 Thursday – Life QI AM Measures PM

9.30am – 4.30pm IT Training Room Boardroom, HQ

07/12/18 Friday – Day 2/3 Problem Diagnosis


08/01/19 Tuesday – Advanced Measures 2.00pm – 5.00pm Boardroom, HQ

28/03/19 Thursday – Day 3 / 4 Implementation


04/07/19 Thursday – Day 4 / 5 Evaluation



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Quality Improvement E-Learning

This Quality Improvement E-Learning module is for anyone involved in providing Care & Services for Patients, Service Users and their Carers.

The HSC Learning Centre contains a number of ‘blocks’ that are used to provide access to various sections of the site. It is possible to ‘dock’ these blocks so that they appear as expandable menus at the side of the screen. One advantage of docking these blocks is to provide additional screen space for viewing programme content and avoiding the need for scrollbars.

Benefits include:

Structured approach using blend of Project Management and Quality Improvement Tools

Full control over content including downloads and video content Examples and scenarios from previous improvement projects that staff can relate

to Tools will be directly related to specific stage in the 5 Step Model Flexibility in application – e.g. Process Mapping SHSCT Quality Improvement Branding


Page 10

Quality Improvement Measures Programmes

Measurement for Improvement (MFI) is the analysis and presentation of quantitative and qualitative data to identify opportunities for improvement and to demonstrate if a change has resulted in an improvement.

Its purpose is to drive better decision making and support sustainable improvements in the quality of care. Measurement for Improvement is one of 6 drivers/ key success factors identified in the ‘Framework for Improving Quality in our Health Service’ (HSE, 2016).

The key principles of Measurement for Improvement are:

Measuring only what matters: defining and developing a limited number of qualitative and quantitative measures that are robust and useful in demonstrating and driving improvement

Measuring patient experience and outcomes as well as clinical outcomes

Being smart in how we measure: use available data; measure once use often; look at families of measures (e.g. infection rates, hand hygiene and hospital length of stay); measure variability; trends over time; and benchmark with peers

Seeking transparency in the measuring, sharing and reporting of information

Building capability for extraction and sharing of information from data to provide assurance and support improvement

Building good data collection practices into routine work and record keeping

We offer both an Introduction to Measures and an Advanced Measures course. Please contact us to discuss which would be most appropriate for you / your team to attend ([email protected])

mailto:[email protected]


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Quality Improvement Clinics

Aim Our Trust value statement includes valuing our staff and supporting their development to improve care. Our Quality improvement clinics provide our staff with access to experienced improvement facilitators; supporting staff who are about to embark on a quality improvement project or who are facing a work based challenge.

Methodology

Individuals or teams can schedule a meeting with The Continuous Improvement Team to discuss their proposed quality improvement project or work based improvement challenge (60 minutes)

If required a follow up meeting based on an agreed action plan can be scheduled

All staff contacting the team will be encouraged to undertake The Introduction to Quality Improvement e-learning module to increase improvement capacity and capability


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Sharing and Learning Events

The Continuous Improvement Team are hosting Sharing and Learning Events to enable colleagues to hear about quality improvements throughout the Trust.

Upcoming Sharing and Learning Events: Tuesday 22 May 2018 Banbridge, Bronte Conference Room

Wednesday 13 June 2018 Portadown Health Centre, Conference Room

If you would like to find out more about these events or register your interest to attend please contact us at [email protected]



Page 13

Quality Improvement Network

“Leadership for quality means making it possible for everyone, every day to do a better job with greater satisfaction, learning from and with their colleagues, in order to improve services” (Adapted from Deming, 1986)

The Trust Quality Improvement Network (QI Network) was established in November 2016 and there have been 3 QI Network meetings to date.

The purpose of our Quality Improvement Networks is to:

Drive the quality improvement agenda within the Trust Promote and enable learning and encourage communication across organisational and professional boundaries

Be a forum to connect likeminded people who self- nominate to participate in the network, enabling the exchange of information, mutual support and learning

Be your gateway to other professionals / clinicians / leaders working in service improvement across the Trust Through a variety of mediums, on- line and in person, have the chance to connect with your peers to make collective improvements in the safety and quality of care provided to service users in the Southern Trust area

Aldrina Magwood, Director of Performance and Reform, advises: “The Quality Improvement Networks encourage the pace and spread of improvement through learning, enquiry and knowledge. The key objectives focusing on connecting staff using a combination of virtual and physical meeting space to support learning, enquiry and knowledge exchange.”

If you would like to find out more about the QI Network please contact us at [email protected]


SHSCT Quality Improvement Prospectus Updated: April 2018

Page 14

Quality Improvement Self-Assessment Tool Why not undertake a self-assessment of your quality improvement knowledge and skill to help you decide what quality improvement learning opportunity is right for you why

The Purpose of this assessment is to identify the core foundation knowledge, skills and attitudes required to deliver safe, effective, person-centered care (or person-centered services) related to your role. It is an essential requirement for everyone, either working or in training in health and social care, to be competent in all attributes at this level.

Assessing Yourself

It generally takes about 15 minutes. There are 4 assessment levels depending on your role within the organisation. These levels are described overleaf.

When you have decided which level is appropriate for you to complete you should use the following rating scale to assess your learning and development needs against each of the attribute statements

LD I need a lot of development SD I need some development WD I feel I am well developed

When you have finished, review the number of LDs, SDs and WDs. You can then plan, with your line manager, the learning and development activities which are relevant to your role.

Attributes Framework for those providing Care and Services for Patients, Service Users

and their Carers

Strengthening

foundations for

improvement

Delivering

improvement

Driving

improvement

Directing improvement

Everyone working or in

training in Health and

Social Care.

Staff and those in

training, who can lead

small-step-change(s),

with support, in their

Staff who lead

team(s) or

service(s) within

their organisation.

Staff charged with leading

quality improvement across

their organisation and/or

across the Health and

service. Social Care system.

• I understand why and how we put patients/service users at the centre of

everything we do

• I understand how

the culture in my

workplace

influences the quality and safety

of care and

services

• I recognise my

responsibility to

question the way

we work in order to

improve care and

services

• I am able to work

with a team to

achieve small-step-change

• I can explain and

use PDSA3 cycles

to make

small-step-change

to care and

services

• I communicate effectively with diverse

audiences

• I mentor and

teach others

about

improvement

methodology

• I understand,

use and present

data to improve

care and

services

• I influence, negotiate and

lead

improvements

in care and

services

• I strive to

motivate and

energise my

colleagues

• I demonstrate

resilience in order to lead

improvements

in care and

services

• I facilitate and

lead teams to

improve the

quality and

safety of care

and services

• I lead improvement in care and services, aligning priorities and

removing barriers

• I encourage, promote

and support a learning

culture in and/or across

organisations, learning

from engagement with

patients/service users

and their carers/families

• I direct the

implementation and

spread of improvement

methodology across

service boundaries

• I advise/have access to

expert advice on the

development of

improvement measures

in data, using relevant

tools where appropriate

• I monitor the quality

and safety of care,

understanding that

measurement is for

learning, not judgement

• I understand what

contributes to the safety

of patients/service users

and work with my

colleagues to identify

problems and help reduce

risks

• I understand what is

meant by quality

improvement and

collect information in my

area to aid

improvement in patient/service user care

and services

• I understand how I can

play my part in

improving care and

services for


• I take part in activities to

improve the way I do

my job

• I understand the benefits of using small steps to

improve care and services

Supporting Leadership for Quality Improvement and Safety An Attributes Framework for Health and Social Care 5

Attributes Framework for those providing Care and Services for Patients, Service Users

and their Carers continued

Strengthening

foundations for

improvement

Delivering

improvement

Driving

improvement


Everyone working or in

training in Health and

Social Care.

Staff and those in

training, who can lead

small-step-change(s),

with support, in their

service.

Staff who lead

team(s) or

service(s) within

their organisation.

Staff charged with leading

quality improvement across

their organisation and/or

across the Health and

Social Care system.

• I understand the benefits of developing myself in

order to care for others

• I keep my knowledge and

skills up to date

• I develop my skills in

improvement methodology

• I work with my colleagues

as an effective team

member

• I listen to patients/service

users and their

carers/families and share

their comments with

colleagues to help

improve care/services

• I understand my

responsibility to speak up

if something goes wrong

and I know how to do this.

• I can identify where teamwork could be

more effective and I

work with others to

improve team

performance

• I work to involve

patients/service

users and their

carers/families in

planning care and in

quality improvement

activities.

• I encourage, promote and

support a

learning culture

in my workplace

• I listen to the

voices of

patients/service

users and their

carers/families,

using their input

to inform quality

improvement

activities

• I use systems

such as

governance,

quality

assurance and

measurement

for improvement

to identify for

myself and

team members

areas for

development

• I provide/have access to expert advice and

maintain an oversight of

the progress of

improvement

• I use evidence-based

tools, or accepted

guidance, to ensure that

appropriate resources

are used in the

organisation

• I direct the improvement

work across the

organisation and

respond directly, openly

and rapidly to safety

alerts, early warning

systems and complaints

from


and staff

• I promote transparency

across the organisation

• I provide high-level

support to a

multi-organisational

collaborative/network,

in which teams can

learn from, and teach,

each other

• I pay attention to my

own learning so that I

enhance the way in

which I direct

improvement within my

organisation


The Attributes Self-Assessment Tool

Strengthening foundations for improvement

This component of the Attributes Framework identifies the core foundation knowledge, skills

and attitudes required to deliver safe, effective, person-centred care (or person-centred

services) related to your role. It is an essential requirement for everyone, either working or in

training in health and social care, to be competent in all attributes at this level.

Who for:

This applies to all staff who work, or who are in training, in health and social care.

Rating Scale: LD I need a lot of development

SD I need some development

WD I feel I am well developed


Attributes LD SD WD

• I understand why and how we put patients/service users at the centre

of everything we do

• I understand what contributes to the safety of patients/service users

and work with my colleagues to identify problems and help reduce risks

• I understand what is meant by quality improvement and collect information

in my area to aid improvement in patient/service use care and services

• I understand how I can play my part in improving care and services

for patients/service users

• I take part in activities to improve the way I do my job

• I understand the benefits of using small steps to improve care

and services

• I understand the benefits of developing myself in order to care for others

• I keep my knowledge and skills up to date

• I develop my skills in improvement methodology

• I work with my colleagues as an effective team member

• I listen to patients/service users and their carers/families and share their

comments with colleagues to help improve care/services

• I understand my responsibility to speak up if something goes wrong

and I know how to do this

Delivering improvement

This component of the Attributes Framework identifies the knowledge, skills and attitudes

required to make small-step-change in a service which will lead to quality improvement.

Who for:

This applies to staff and those in training, who can lead small-step-change(s), with support, in

their service.





Attributes LD SD WD

• I understand how the culture in my workplace influences the quality

and safety of care and services

• I recognise my responsibility to question the way we work in order

to improve care and services

• I am able to work with a team to achieve small-step-change

• I can explain and use PDSA cycles to make small-step-change to

care and services.

• I can identify where teamwork could be more effective and I work

with others to improve team performance

• I work to involve patients/service users and their carers/families in

planning care and in quality improvement activities

Driving improvement This component of the Attributes Framework identifies the knowledge, skills and attitudes

required to lead quality improvement in the workplace.

Who for:

This applies to staff who lead team(s) or service(s) within their organisation.





Attributes LD SD WD

• I communicate effectively with diverse audiences

• I mentor and teach others about improvement methodology

• I understand, use and present data to improve care and services

• I influence, negotiate and lead improvements in care and services

• I strive to motivate and energise my colleagues

• I demonstrate resilience in order to lead improvements in care and

services

• I facilitate and lead teams to improve the quality and safety of care

and services

• I encourage, promote and support a learning culture in my

workplace

• I listen to the voices of patients/service users and their

carers/families using their input to inform quality improvement

activities

• I use systems such as governance, quality assurance and

measurement for improvement to identify for myself and team

members areas for development


This component of the Attributes Framework identifies the knowledge, skills and attitudes

required to advise on and lead quality improvement across service boundaries.

Who for:

This applies to staff charged with leading quality improvement across their organisation and/across

the Health and Social Care system. in Northern Ireland. These individuals are also responsible for

ensuring that quality improvement is imbedded in the day-to-day work of the organisation.





Attributes LD SD WD

• I lead improvement in care and services, aligning priorities and

removing barriers

• I encourage, promote and support a learning culture in and/or across

organisations, learning from engagement with patients/service users

and their carers/families

• I direct the implementation and spread of improvement methodology

across service boundaries

• I advise/have access to expert advice on the development of

improvement measures and understand variation in data, using

relevant tools where appropriate

• I monitor the quality and safety of care, understanding that

measurement is for learning, not judgement

• I provide/have access to expert advice and maintain an oversight of

the progress of improvement

• I use evidence-based tools, or accepted guidance, to ensure that

appropriate resources are used in the organisation

• I direct the improvement work across the organisation and respond

directly, openly and rapidly to safety alerts, early warning systems

and complaints from patients/service users and staff

• I promote transparency across the organisation

• I provide high-level support to a multi-organisational collaborative

network, in which teams can learn from, and teach, each other

• I pay attention to my own learning so that I enhance the way in

which I direct improvement within my organisation

Documents

2018 / 2019 Prospectus Building YOUR Quality … Qualification Prospectus 2018... · develop the skills of individuals whose current or future role ... Complete a portfolio of evidence