Transcript Document

Enhancing Quality –
Dementia Pathway
Dr Kate Jefferies
Dementia Clinical Lead
AHSN is the network to drive the
spread and adoption of innovation
that will improve care across Kent,
Surrey and Sussex
Locally we have
the highest
concentration of
health technology
companies in Europe
Nine universities
that offer breadth
and diversity in
research and
teaching expertise
And nationally
regarded Enhancing
Quality & Recovery
programmes that
increase consistency
around the best
standards of care
Our role is to connect
people with a range of
expertise to improve
health and wealth
14/15 Improvement Programme:
Enhancing Quality and Recovery
• Clinically-led, cultural change embeds high quality care
• NICE guidance and quality standards become process
achieving excellence - for every patient, every time
• Robust and transparent data supports benchmarking and
quality improvement
• To tackle variation in care, improve outcomes and save lives
3
Kent Surrey Sussex
Academic Health Science
Network
Current Pathways
Patients’ care audited
Heart
Failure
170,000+
(Acute)
AKI
Heart
Failure
(Community)
Colorectal
Pneumonia
Dementia
Gynaecology
Hip & Knee
Kent Surrey Sussex
Academic Health Science
Network
Enhancing Quality & Recovery (EQR)
E
Q
R
EQR: Clinically led, evidence based.
Every Patient, Every Time.
P
R
O
C
E
S
S
Evidence
Base
Bi-Annually
Monthly
Collaborative
learning
Benchmark
Measures
Industry engagement
Audits
Regular Reports
Commissioners
Providers
CCG Packs CCG Packs CEO Packs
NHSE
CCGs
SCNs
E
Q
R
P
R
O
C
E
S
S
Kent Surrey Sussex
Academic Health Science
Network
The process
• Set-up a
Regional
Project Team
• Identify Clinical
& Programme
leads in each
Trust
• Agreement on
denominator
population for
each pathway
• Agreement on
best practice
measures for
each pathway
Project Team
Trust Team
Pathways
Measures
• Online data
collection
• Collaborative
Learning
Events
• Peer Reviews
• Website /
Forum
• Reporting
• Benchmarking
Reports
Spread
Learning
• Sharing good
implementation
practices
collaboratively
between all
organisation
Supporting
Access to Info
Kent Surrey Sussex
Academic Health Science
Network
Examples of Quality Measures
• Risk assessment
•Off licence medication discussed
•Non drug methods
•Management plan
•Medication review requested in discharge summary
Dementia
A&D
• Full cognitive assessment
• Functional ability
•CT/MRI scan
• Written information
•Dementia advisor
Dementia
AP
Kent Surrey Sussex
Academic Health Science
Network
Dementia
A&D
Care Bundle
Dementia A&D