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30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 1
Kidney Quality Improvement Partnership (KQuIP)
9th UK Dialysis Conference
Graham Lipkin, Co-chair of KQuIP
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
Background
30/09/2016 2
UK Kidney Community has a proud history of innovation, high quality measurement and working together with our
patients
Clinical Practice Guidance: Guidance for UK Practice
30/09/2016 3
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
UK Renal Registry 18th Annual Report 2015
Access at Initiation of Dialysis
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 4
Variation: Pre-emptive Transplantation
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Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
Notable Quality Improvements
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• Dialysis catheter-associated MRSA bacteraemia• Improved AV Fistula access rates…..successful ongoing QI projects
The knowing - doing gap – sustainability• Embed in everyday unit practice• Education-tools for team to build
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
What is key to improving the outcomes of care?
• Recognition of the problem (Conference)
• Commitment and dedication to delivering excellence
• A supportive enabling structure (KQuIP/UKRR)
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Kidney Quality Improvement Partnership (KQuIP)
8
Children and adults
England and Home Countries
Why is KQuIP different?
From within whole community
Constant
Embed quality improvement as part of the day job!
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
Kidney Quality Improvement Partnership (KQuIP)
9
KQuIP is a dynamic network of kidney health professionals, patients carers and Industry …committed to developing, supporting and sharing quality improvement in kidney services…. in order to enhance outcomes and quality of life for patients with kidney disease.
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 10
KQuIP Development
Programme Board
Work Stream Chairs Group
6 Work Streams
KOG
Faculty
KQuIP Workstreams
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DevelopmentDal Hothi and Richard Fluck
Measurement Katie Fielding
Supporting NetworksJohn Stoves
CommunicationPaul Bristow
ProjectsHugh Gallagher
RA/BRS Patient SafetyKaty Jones
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
KQuIP – How will it support Renal Quality Improvement?
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National• Strategic level through advice to Clinical Reference Group• Central UK Renal Registry project management and faculty• Online repositoryRegional supporting existing Renal Clinical Networks • UK Renal Registry/KQuIP quality improvement day• Regional project management support• Peer assist model
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
KQuIP - Driving Renal Quality Improvement
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Local unit, you and me• Education and support materials - the go to place• Peer assist (Share - ‘ask a friend’)• Support for local projects• Clinical QI leads (Projects QI leads - Medical and MDT)
Design Event: Coming together to shape KQuIP
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 14
Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin
Priorities for Quality Improvement
• Improved access to home dialysis therapies• Access to kidney transplantation• Acute kidney injury (prevention, early diagnosis and management)• Improving AV fistula access rates• Paediatric to adult transition • Optimising patient engagement, shared and self care• Improving patient safety
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KQuIP Priorities: Moving to Delivery
1. Enable development of 3 national projects (Workstreams)2. Roll out regional KQuIP/UK Renal Registry days (UKRR/Faculty)3. Web development/knowledge management platform (UKRR)4. Extend faculty 5. Embed education & training QI and leadership (LTMD and MDT)6. Secure further funding & link with NHS QI arms (Workstreams)7. Build link to safety
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Home Therapies QI Project: KQuIP Support?
30/09/2016Kidney Quality Improvement Partnership - 9th UK Dialysis Conference - Graham Lipkin 17
Home First
Project development• Projects WS• Comms• Metrics
Regional scaling• PM support• Network• KQuIP/UKRR day• Education, LTMD
Peer assist modeKQuIP faculty
ConferencesKQuIP sessions
Knowledge managementplatform
KQuIP welcomes youEnabling you and your team to improve access to home dialysis
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www.thinkkidneys.nhs.uk/kquip/