Sarah Collins- Emerging Leader Specialist Dietitian/Improvement Researcher
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Transcript of Sarah Collins- Emerging Leader Specialist Dietitian/Improvement Researcher
© NHS Institute for Innovation and Improvement, 2010
Sarah Collins- Emerging Leader Specialist Dietitian/Improvement Researcher Julia Hickling- Sponsor/ AQuA Director
Development of COPD Improving Outcomes Pack
The Team
AQuA Team
NHS NWNHS NW
Respiratory TeamNHS Lung
ImprovementNW Respiratory patient group
Outside organisationsNHS outside
of NWVanguard
VALS
NHS Vanguard Programme
Resources and Tools
Seminars Expert tuition Belief in ‘us’ as emerging leaders as
agents of change
SUPPORT
VALSSPONSOR TEAM
Personally My Story.......I reconnected with values and reasons why passionate about improving health and reducing health inequalities.......“ I don’t want to see patients on a ward awaiting a below knee amputation at the point of diagnosis of diabetes...” THE PATHWAY FAILED NOT THE PATIENT
Provided Structure and Focus
Importance of metrics and measurements
Opportunity to think differently and creatively
• Mark 1/ Version 1• Develop a web based resource to
demonstrate how NW organisations can improve outcomes for COPD Care across North West.
• Reducing mortality• Developed against NICE
Quality Standards for COPD• Aligns data/ knowledge/
improvement opportunity
The Business Critical Project
Mark 2/ Version 2 • Promote importance of self
management for people with LTC• Address culture change• Identify savings to reducing
mortality and also improving quality of experience
• Addresses operating framework around Quality of experience
• Linked to National LTC QIPP work-stream
• Test measurements of LTC 6• Lessons learnt = pursue energy
matrix and sustainability sooner rather than later, strengthen engagement- developing a steering group and senior support within project
The Impact...... And putting Learning into Practice
On Project 1
• Difficult to quantify• Early days
demonstrating project weakness....
• Individual teams will be measuring decreases in mortality
• Improvement of patient satisfaction and outcomes PREMS and PROMS
On Project 2• Outcomes
embedded from outset= LTC6
• Improvement in quality of experience patients and staff
• Increased stakeholder engagement
• AIM to demonstrate reduction in avoidable admissions/ complications
• Ensure care at right place at right time
• Empowered patients• Decreased mortality
Personal impact
• A switch from apathy to YCMAD
On The System........spread learning via eCLN Networks, AQuA members, Project teams
• Project 2• Built into the plan to spread from
the beginning.• Sharing learning from National
pilot sites of Diabetes Year of Care to incorporate care planning into LTC services, and also from Co Creating Health around culture change for self management support.
• Sharing with future emerging clinical leaders via eCLN
• Local network to embed improvement methodologies and quality into everyday practice
• Project 1• AQuA COPD IOP accessed by over
100 people to date• Spread via respiratory network
virtually online and via workshops• Organisations tasked with aligning
to their QIPP plans and measuring improvements.
• Found examples of good practice in data capture, using data and benchmarking to drive change.
• Whole system redesign and new COPD ‘pathways ‘being developed in Ashton Wigan and Leigh.
Onward Spread of the Learning and Project