Post on 13-Jun-2015
description
health:mk
Our mission: Engaging primary care clinicians
in a shared quality agenda:
London, June 2009
Dr Nicola Smith – GP Champion
Sue Lacey Bryant – Programme Manager
Quality:MK
health:mk
QMK-evidence based, primary care led, patient centred
• Clinicians involved in every QMK project- diabetes, mild to moderate depression, weight management, dyspepsia, carpal tunnel syndrome, patient empowerment, complex patients
• EVIDENCE BASED DISCUSSION GROUPS- 4 practices + 5 in provider services. 54 clinicians
• Prescribing projects
ENGAGEMENT (1) Traditional
Promotional events: celebrating success, lessons learned, ‘PLT’ conference
Marketing materials - mugs, pens memory sticks, PUNS & DENS booklet
NewsletterWeb pages hosted on PCT sitePromotional film
Branding
Evidence Based
Primary Care Led
Patient Centred
Quality:MK
So What’s the Problem?
Although many GPs have been touched by Quality: MK projects they are not aware of the principles
GP Education leads highlight problem of communication
Funding for expenses and backfill not attracting practices to engage
We asked ourselves
Why would a GP want to engage with Quality: MK?
How could they get involved?
Could Social Marketing be the solution?
Our Solution- (1) Marketing
Rebranding...“Evidence Based Discussion Groups”
IMPACTE groups Improving Medical Practice by Assessing CurrenT Evidence
Also: IMPACTE on line IMPACTE central
Our Solution (2) Innovative
• Practice visits - social marketing
- IHI document
• Competition
- Quality Improvement
Social marketing
• Team brainstorming / education session
• List of practices & GPs in each practice
• Previous experience/ interaction with Quality:MK and its projects/attendance at meetings
• Specific interests of individual GPs e.g. prescribing leads, GP educators, GPwSI,
• Local knowledge
Engaging Physicians in a Shared Quality Agenda-www.ihi.org
• Individual autonomy vs system quality improvements
• Understanding existing culture• Physician led, evidence based and data driven• Ownership of success+ early engagement• Clinical Champions- at challenging times• Cautious Laggards• Potential candidates-body language• Generate light not heat with data• Effective use of clinician’s time
Engaging Physicians in a Shared Quality Agenda (2)
• Use of recent harm event• Link something that distresses clinicians
greatly to something they do not want to change
• Morbidity and mortality reviews-systems• Variations in common practice and the
effects this has on the system of care• Share results of safety + quality measures
with different departments
Planning our visits
• The benefits of QMK• Specific reasons why this particular GP or
practice would want to engage.• Culture of the practice• Planning aims of meeting and what we want to
achieve specific to each practice - rather than adopting a generic format
• Prioritising practices depending on their characteristics e.g early adopters
Quality:MK micrositeRoadmap to quality improvement
in Milton Keynes
Best practice
Guidance on “how to”
Tools, techniques to deliver Quality Improvement
Explaining the system
Setting out the process