Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.
-
Upload
joella-porter -
Category
Documents
-
view
218 -
download
0
Transcript of Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.
![Page 1: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/1.jpg)
Quality Account: Update
David Emerton
Medical Director
Cath Siddle
Deputy Director of Nursing
![Page 2: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/2.jpg)
The Patient
![Page 3: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/3.jpg)
• Hospital and community and experience first
• Similar format• New guidance Dec 2010• Electronic and hard copy• Consultation• Third party narrative
Format
![Page 4: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/4.jpg)
• Mortality– Infection– Falls– Medicine safety– Cardiac arrests – Dementia (new)
• Effectiveness– Discharge– Full EAU assessment within 2-hours– Communication/documentation
• Patient experience– Is care good (compassion/respect/dignity)– Recommendation– Compliments and complaints– Environment– Patient surveys– External reviews (LinKs, PEAT, peer, CQC,
commissioner)– Staff surveys
2011/12 feedback
![Page 5: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/5.jpg)
3 priorities
![Page 6: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/6.jpg)
National priorities
• Patient safety
• Effectiveness of care
• Patient experience
![Page 7: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/7.jpg)
Our priorities
Priority Hospitals Community
1. Patient safety Reduce number of patients that die in our hospitals
Develop and introduce an early warning score for use in the community
2. Effectiveness of care
Improve clinical documentation and communication
Increase use of tough-books
3. Patient experience
Care with compassion Care with compassion
![Page 8: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/8.jpg)
• Monday SUI panel• Monthly GTT reviews• Mortality reviews• Sepsis• Infections (MSSA)• Dementia• Deterioration; falls
Reduce mortality (hospital)
![Page 9: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/9.jpg)
• Early warning score• Early intervention• Reduce deterioration• Avoid admission
Reduce mortality (community)
![Page 10: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/10.jpg)
• Single contemporaneous record
• Reduce duplication• Improve communication
between and across teams• Maximise effectiveness of
care
Improve documentation and communication (hospital)
![Page 11: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/11.jpg)
• Tough-books• Computerised
documentation• Speedy access to key
information and support• Release time to care
Improve documentation and communication (community)
![Page 12: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/12.jpg)
Care with compassion
![Page 13: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/13.jpg)
Hospital and community
• Quality review panel• Mystery shoppers• Patient voice (carers
diaries)
![Page 14: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/14.jpg)
Timescales
• 18th April final draft* available for comment
• 2nd May deadline for response to draft
• 16th May to printers• 31st May published and
available on-line
* Data to end March included
![Page 15: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/15.jpg)
Mortality was high
![Page 16: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/16.jpg)
Impact
Clostridium difficile
0
5
10
15
20
25
Nov
-08
Dec
-08
Jan-
09
Feb
-09
Mar
-09
Apr
-09
May
-09
Jun-
09
Jul-0
9
Aug
-09
Sep
-09
Oct
-09
Nov
-09
Dec
-09
Jan-
10
Feb
-10
Mar
-10
Apr
-10
May
-10
Jun-
10
Jul-1
0
Aug
-10
Sep
-10
Oct
-10
Month/year
Nu
mb
er r
epo
rted
£387,000 cost reduction
![Page 17: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/17.jpg)
MRSA bacteraemia
01234567
NovFeb
May Aug Nov
FebM
ay Aug NovFeb
May Aug Nov
Feb-1
0
May
-10
Aug
Month/year
nu
mb
er
Impact£47,300 cost reduction
(06/07 difference £120,400)
![Page 18: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/18.jpg)
Influencing care pathwaysLOS over 21-days (2010 data)
0
100
200
300
400
500
600
Month 1 Month 2 Month 3 Month 4 Month 5 Month6 Month 7
Month (4-weekly data)
Nu
mb
er
of
bed
days
![Page 19: Quality Account: Update David Emerton Medical Director Cath Siddle Deputy Director of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022062410/5697c01c1a28abf838cd00b4/html5/thumbnails/19.jpg)
Summary
We know what we aim to do ; now we have to complete writing the quality account !!