Exploring the Benefits of the Service Improvement Project

INNOVATIVE THINKINGFOR THE REAL WORLD

Exploring the Benefits of the Service Improvement Project

Lynne Harrison, School of Health

INNOVATIVE THINKINGFOR THE REAL WORLDINNOVATIVE THINKINGFOR THE REAL WORLD

Advanced Work Based Practice Project:Setting the Context

Design and Construction Structured proposal 3000 words Learning contract and story board: Project planning competencies

Delivery and Implementation Conference poster presentation, including an oral defence Learning contract and storyboard: Critical reflection of

implementation learning journey Evaluation

Evaluation report 7000 words, including process and outcome evaluation

Learning contract and storyboard: QIPP , SWOT analysis


Project Core Conditions. The project must:

Based in clinical practice and have some benefit for patients, other practitioners and the organisation.Patients as the central focus.Based on an area of weakness (identified or

assumed/perceived).

Be desired by the organisation. Fit with the mission, values, of the organisationCommensurate with business planning policies



Be based on evidence of need (base line on data).Problem or challenge needs to be surfaced and analysed to

ascertain the root cause.Baseline data required.

Approved by the line manager.Confirms the need and support in terms of business planningActs as a filter and conduit with university.



Conform to trust policies and regulations.As an employee and as a registered practitionerProtection of the publicCollection and dissemination/use of data.

Adopt evidence-based approaches to care and service delivery.Critical appraisal of evidence base for innovation



Be resourced (if required) by the practice setting/organisation.Potential for income generation, increased turn

–over/throughput, cost savings, workforce re-engineering. Be agreed by the module leader/project supervisor

as meeting the academic requirements of the module.Requirement of an academic programmeTripartite relationship and work based learning model


Model for Improvement and PDSA Cycle.

Tenant that students must work with right from day 1.1. Check that you are doing things

right – process evaluation

2. Check that you are doing the right thing - outcome

evaluation. Have the changes resulted in any improvement?


Evaluation: What is it?

A systematic assessment of the implementation and impact of a project, programme or initiative.

Judges the value of something by gathering information

Data gathering mechanisms and data analysis processes must be robust.


Metrics that have been used: Some examples

Improved access across servicesAllergy testing service

Quality care when the patient needs it.Paramedic community pathway for COPD

Reduced waiting times.Cardioversion clinic.



Income generation.Post op cardiac surgery clinic

Workload redistribution and expansion of services.Cardio version clinic

Patient satisfactionInvolvement in own assessment of risk



Reduction in length of stay.Passport to emergency cardiac surgery

Improve documentation and compliance with guidelines.UCC minor injuries assessment proforma

Increase time spent therapeutically with patients.Mental health in-patient observation

documentation and strategy.


Comments from students

“……..I embarked on this journey with very little experience in this field. However, guidance and structure during the contact university days, equipped me with the skills to bring the innovation to fruition. It has been extremely beneficial to my practice and the skills I have learned will be transferable to many situations, not just in terms of project development, but leading my team of clinicians through change. I feel a significant learning experience has been the concept of continual evaluation and engaging with the ‘plan do study act’ cycle from the outset. As the project developed, so did my knowledge and competence and I was seeing where improvements could be made and it was important these were incorporated. ……..”


“The work-based practice project has certainly been challenging but at the same time rewarding. It has provided the tools and experience in their utilisation to facilitate the service improvement role expected within my post as an Advanced Nurse Practitioner, and instilled confidence in myself as someone who can change practice for the benefit of both our patients and Trust.”


External Examiner Feedback

“The framework utilised within the proposals facilitates structure and focus for the students and this is strength. There was evidence of well thought through and articulated practice innovation initiatives and this is clearly the aim of the module (and wider programme) – I’m sure there are many delighted service managers!”


Over to our ‘delighted’ Service Managers!

With reference to the project current students are undertaking. Identify the:Focus/aim of the project.The drivers/need.The innovation to be introduced.The potential benefits/evaluation markers

Exploring the Benefits of the Service Improvement Project

Documents

Transcript of Exploring the Benefits of the Service Improvement Project