The Quality agenda for safer and better Healthcare in General Practice/Primary Care

1. An Adventure in Quality Improvement
Dr. Mary Browne
Quality and Patient Safety Division
National Primary Care Conference 2013

2. Defining Quality
• Institute of Medicine
– Safety, Effectiveness, Equity,
Timeliness, Efficiency,
Patient-centredness
• NHS Scotland
- Person-centred care,
Safe care, Effective care

3. National Standards for Safer Better Healthcare
Quality
Dimensions
Capacity and Capability
Dimensions

4. Manpower
Issues
Diminished
Resources
Current
Pressures
Frustration with
Teams
Fragmentation
Extra
workload
Media
attention

5. Not starting from Scratch
Delivering Safe,
Quality Care
Continuity
of Care
Excellent
Access
Highly trained,
Supported Staff
Quality improvement initiatives and work
ICT
Systems

7. Approaching the National Standards
• Our National Quality Standards
• Making the Standards work for you
• Frame quality improvement work
• Team work

8. “Here is Edward Bear,
coming downstairs now,
bump, bump, bump, on the
back of his head. It is, as
far as he knows, the only
way of coming downstairs,
but sometimes he feels that
there really is another way,
if only he could stop
bumping for a moment and
think of it.”
Winne the Pooh
A.A. Milne,

9. Quality Continuum
Levels of Quality
QA+I Resources: http://www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/qaandImprovement/qaanditool/qaanditoolpdfs.html

10. Where to focus?
Listen to staff
Foster development
and growth
Listen to and
empower
patients
Assess and
Measure Quality
Person-Centred Care and Support
Effective Care and Support
Safe Care and Support
Better Health and Wellbeing
QI skills and knowledge
Embrace
Transparency

12. Thank You
And will you succeed? Yes!
You will, indeed!
(98 and ¾ percent
guaranteed.)
Oh the places you’ll go,
Today is your day!
Your mountain is waiting.
So…get on your way!
Dr. Seuss