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ACHSE 48 th Residential Conference Future Directions for Quality Improvement

ACHSE 48 th Residential Conference Future Directions for Quality Improvement. Patricia Faulkner Secretary Department of Human Services Friday 15 March 2002. Outline. Health system challenges Assuring system performance & quality

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ACHSE 48 th Residential Conference Future Directions for Quality Improvement

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  1. ACHSE48th Residential Conference Future Directions for Quality Improvement Patricia FaulknerSecretaryDepartment of Human ServicesFriday 15 March 2002

  2. Outline • Health system challenges • Assuring system performance & quality • DHS role: promoting quality improvement across the continuum of care • What will success entail? • How do we promote clinician engagement & leadership?

  3. Health System Challenges • Rising public expectation • Ageing population • Assessing new health technologies • ICT & information management • Workforce education & training • Assuring system performance & quality

  4. What is quality of care? • Degree to which health services meet professional standards • Degree to which actions taken/not taken maximise probability of beneficial health outcomes, minimise risk and other outcomes • Quality frequently described as having 3 dimensions: Input Resources (certification and/or training of providers) Service Delivery (appropriate procedures for given conditions) Outcome of Service (improvement in condition or reduction of harmful effects)

  5. Assuring System Performance & Quality • Importance of system performance & quality in the health sector is intensifying • Performance needs to be compared against other health systems & variation analysed • Policy makers need to defend against alternatives

  6. Assuring System Performance & Quality (cont) • For patients: • Improvements & less variation in performance • Greater openness • For professionals: • Systems to measure own & colleagues’ performance • More evidence based treatment • Improved international benchmarks • Better systems forstrategic planning, management & evaluation

  7. QUALITY DHS Role: Promoting Quality Improvement Across the Continuum of Care Accessibility Effectiveness • Victorian Quality Framework • Suite of performance indicators • Data feedback to health services • Quality fund supports improvement initiatives Appropriateness Organisational capability Safety Acceptability Continuity

  8. DHS Role: Promoting Quality Improvement Across the Continuum of Care (cont…) • Legislation to support quality • Clinical governance: enhanced hospital board accountability for quality of health services • Consultative councils • Reporting to the community about quality improvement • Quality of Care Reports to consumers • Promoting quality at international, national and state levels

  9. What will success look like? What do health service executives need to ensure?

  10. Success Indicator:Patient Centred Safety & Quality Values are Paramount Key role for health service leaders to provide continuous leadership & high level support for safety and quality Clinician engagement & collaboration to: • Align clinician and management priorities on a hospital wide basis to improve patient safety & quality across the care continuum • Clinician/management focus on performance drivers • Drive evidence based decisions & strategies to maximise take up & system learning

  11. Success Indicator:Leaders are identified Characteristics: • Optimism / energy / enthusiasm • The team comes first • Adaptability – able to refocus goals quickly • Commitment to task • Bold in vision, careful in planning • Willingness to change, seize new opportunities & learn new skills Bruce Barraclough, Chair Australian Council for Safety and Quality in Health Care, Feb 2002

  12. Success Indicator: ….. and leaders are nurtured “Give consistent feedback on performance. Most feel they don’t get enough words of praise and encouragement” Sir Ernest Shackleton, 1874 - 1922

  13. Success Indicators: • Systems are continuously redesigned for improvement • Tools to make necessary changes are available • Measurable safety & quality improvement

  14. Future direction • Develop & support clinician leadership • Continuing support for innovation to create the highest level of clinical practice

  15. ‘The intelligent leader leaves things different – not just relationships but the whole situation’ Charles Mant Intelligent Leadership 1997

  16. New DHS Structure Secretary Policy & Strategic Projects Metro Health & Aged Care Regional & Rural Health & Aged Care Inter- Governmental Relations Policy Projects Nurse Policy Workforce & Service Planning Strategic Projects Funding & Finance Policy Ambulance Quality & Care Continuity Mental Health Service Development ARMC Business Support Public Health Primary & Community Health Rural & Regional Health Aged Care Planning & Resources

  17. ACHSE48th Residential Conference Future Directions for Quality Improvement Patricia FaulknerSecretaryDepartment of Human ServicesFriday 15 March 2002

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