Kidney Quality Improvement Partnership (KQuIP)

Supporting Renal Community in Improving our Quality of Care

Graham LipkinCo-chair of KQuIP

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Pre-emptive Transplantation Rates

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Home Dialysis: UK Renal Registry-Do we improve?

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B Heart B QEH Basldn Camb Chelms Colchr Covnt Derby Dudley Ipswi Leic Norwch Nottm Shrew Stevng Sthend Stoke Wolve

Why does unwarranted variation persist?

Many reasons:

Specific to each Unit-solutions can only come from those on the front line-you know your system best

Some systematic• Resource?• Leadership & leadership training• Training in QI methodology• Structure• We don’t share good practice (or learn from less good practice)

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Quality Improvement in Renal Units

• Committed to improving patient care on a daily basis• Responsibility for complex system of patient care within budget*

What support/training?Why don’t we learn/share from each other?KQuIP focuses on need to support/train you

Embed QI- triumvirate plus 1 or 2?

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Kidney Quality Improvement Partnership (KQuIP)

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.

Professional Society Led

Multi-Professional

UK

Adults and Children’s Care

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KQuIP Launched 2016

30/10/20167

Programme Board

Work Stream Chairs Group

3 Work Streams

KOG

Faculty

Quality Improvement: Where to Focus?

Pre-dialysis Clinic

Peritoneal dialysis

Pre-emptive Transplant listing & Live donor Tx

AV Fistula

Home HD Shared HD

Conservative Care

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Progressive CKD

Failing Transplant

MPT• Dietetics • Modality choice Counselling/ PD nurse• Access nurse & surgeons• LD Transplant Coordinators

Unplanned starts?

How Will KQUIP Support Quality Improvement

1. Regional Registry/KQuIP QI Days

2. 3 National Priority Projects

3. KQuIP Online Repository

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KQuIP – How will it support Renal Quality Improvement?

08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 10

National

• Advice to Clinical Reference Group.

• Central Registry Project management & faculty

• Online KQuIP Hub repository

• Industry coordination

Regional supporting Renal Clinical Networks

• Renal Registry/KQuIP quality improvement day

• Regional Project management support

• Peer assist

KQuIP - Driving Renal Quality Improvement

08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 11

You & me

• Education & support materials (the Hub)

• Peer assist (Share-’ask a friend’)

• Support for local projects-Regional Project Managers

KQUIP – Partnering with Industry

What sort of relationship is KQuIP Looking for?

• A new model-mature genuine partnership-equal partners at start

Why does KQuIP want to work with Industry?

• Share ambition to improve patient care

• Industry has strong QI expertise & examples of effective collaboration

• Resources

Risks

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KQuIP Hub-Opened April 2017

Repository of Quality Improvement resources

• Education

• Leadership & Training in QI

• Case Studies

• We don’t always have to re-design the same wheel

• We really can learn from each other.

• Please contribute

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KQuIP Hub-QI Case Projects/Case Studies

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3 National KQuIP Priority Projects

Improving access to kidney transplantation; Transplant First

Transplant First, developed in the West Midlands under KQuIP, beingpackaged to enable others to implement.

Improving access to home therapies for suitable patients

KQuIP working with Manchester Dialysis Group

Improving incident and prevalence rates of arteriovenous fistulae access

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Regional days- Designed by Regional Network - KQuiPSupport

• Data-bespoke Regional Registry & PHE report

• Explore barriers/solutions/What we’re good at

• Transplant First and Home Therapies Focus & AKI

• Define Unit QI leads (Clinical and MPT) & Project

• Support existing projects & with what’s next support

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KQuIP Registry Regional Days-Wmids

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KQuIP Support - Post Regional Network

• Central Project management through Registry

• Individual Project Management Support

• Registry metrics, training, peer assist, KQuIP Hub

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Regional KQuIP/Registry Events 2017

• Wmids

• Yorks and Humber

• East Midlands

• Manchester North West

• 2018 coming to you

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Supporting the next generation-QI training

23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin

For Current and Potential Senior Leaders up toDirector Level

Renal CD Leadership Programme

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Renal units also need support to make the right decisions…

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KQuIP welcomes you……enabling you and your team to improve quality and safety

www.thinkkidneys.nhs.uk/kquip/

Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin