T he Role of HIQA in Supporting Community Health Nursing

1. The Role of HIQA in Supporting Community Health Nursing Rachel Flynn, Director of Health Information and Standards HIQA

2. mission The Health Information and Quality Authority (HIQA) is an independent statutory authority established to promote safety and quality in the provision of health and social care services for the benefit of the health and welfare of the public.

3. How does hiqa support community health nursing?

4. National Standards

5. National Standards for the community

6. NATIONAL STANDARDS FOR ADULT SAEGUARDING • HIQA and the Mental Health Commission jointly developed National standards for adult safeguarding to apply to all health, mental health and social care services recognising that people interact and move between a wide range of services • While not all such services are within HIQA’s or the MHC’s regulatory remit the expectation is that all services will work to achieve these standards and promote and protect the rights of adults at risk of harm

7. Putting standards Into Practice https://www.youtube.com/watch?v=x51BzIV3vJY

8. GUIDANCE DEVELOPMENT • Purpose • to support service providers to understand the various national standards and • to help them to practically implement them for the delivery of safe and effective health and social care services.

9. GUIDANCE ON A HUMAN RIGHTS-BASED APPROACH TO CARE AND SUPPORT IN HEALTH AND SOCIAL CARE SETTINGS • Purpose • Raise awareness of human rights and a human rights-based approach among staff delivering health and social care services. • Support service providers and staff in understanding and implementing national standards • Ensure effective delivery of care and support by putting the needs and rights of people using services at the heart of the service. • Promote the use of a human rights-based approach to improve the quality of care, safety and quality of life of people using services

10. NATIONAL SERVICE-USER EXPERIENCE SURVEYS

11. NATIONAL CARE EXPERIENCE PROGRAMME • Established in 2019 • To encourage people to share their experiences of care and to use this information to improve the quality and safety of these services • The parent body for the National Patient Experience Survey and the forthcoming National Maternity Survey • Two further surveys planned by 2021

12. NATIONAL PATIENT EXPERIENCE SURVEY • Ireland’s first acute inpatient experience survey carried out in 2017 and repeated in 2018 • Move towards patient-centred care, policy and regulation • Using patient feedback to improve quality and safety of care • Third survey currently underway as of today – 1st May 2019

13. OVERVIEW NPES RESULTS 2018 • Experiences of hospital care were mostly positive • Patients experience high levels of dignity and respect in hospital • The majority of patients also had confidence and trust in staff • An important number of people highlighted issues of communication and information-sharing • Emotional support from staff was not always available • Some hospitals perform better than others

14. DISCHARGE STAGE OF CARE • Lowest rated stage of care, 2017 & 2018 • Many patients felt that they did not get enough information on how to safely care for themselves when they left hospital • Patients who are not sufficiently informed about their condition are at higher risk of complications and being re-admitted • After-effects felt in community health nursing

15. IMPROVING THE DISCHARGE PROCESS • HIQA, through the NCEP, is supporting quality improvement initiatives • All participating hospitals implemented improvements to their discharge processes e.g. introduced or revised patient information booklets on discharge Saolta HG UH Limerick Mercy UH, Cork

16. THE NATIONAL MATERNITY SURVEY Currently in development A national survey of women’s experiences of their maternity care Providing women who have recently given birth in Ireland with the opportunity to share their experiences of maternity services The aim is to learn from the experiences of these women to improve the safety and quality of the care they and their baby receive Scheduled for early 2020

17. DEVELOPING THE NATIONAL MATERNITY SURVEY In collaboration with National University of Ireland, Galway (NUIG)

18. THE NATIONAL MATERNITY SURVEY QUESTIONNAIRE Capturing the whole pathway of care You and your baby Care while you were pregnant (antenatal care) Your labour and the birth of your baby Care in hospital after the birth (postnatal care) Feeding your baby Care at home after the birth Overall experience You and your household Themes:

19. NATIONAL MATERNITY SURVEY METHODOLOGY Model Design A retrospective survey design Eligibility Criteria • Women who are 16 or over, resident in Ireland, during the survey period Exclusion Criteria • Women who have had a stillbirth in the index pregnancy and women who have died or whose baby has died Mode of contact • Post Mode of response • Online primarily • Paper option made available in second reminder letter and on request

20. NATIONAL MATERNITY SURVEY TIMELINES Sampling Survey When babies are 3 months old

21. COMMUNITY MATERNITY CARE The National Maternity Strategy, Irelands’ roadmap for a safer, better maternity service states: PHNs have a key role in supporting child health, families and new babies, screening for postnatal depression, providing breast feeding support and checking the baby’s development, amongst other services

22. NATIONAL STANDARDS FOR SAFER BETTER MATERNITY SERVICES Standards relevant to community health nursing: 4.1.26Healthcare professionals in the community support women and their partners to make a confident and effective transition to parenthood and to develop parenting skills. 4.1.27 Women are advised of breastfeeding supports in the community and provided with materials containing contact information for these groups. 4.1.28 The lead healthcare professional for the postnatal period coordinates timely access to the following services for women and or their babies as required:…..

23. HOW CAN THE NMS BENEFIT COMMUNITY HEALTH NURSING? • The National Maternity Survey will support community health nursing to meet its responsibilities as outlined in the National Maternity Strategy and the National Standards for Safer Better Maternity Services. • It will do this by: • Identifying which areas of post-natal community maternity care should be targeted for quality improvement • Identifying which areas of post-natal community care maternity are working well • Contributing to a safer better maternity service in Ireland

24. health information • HIQA’s remit extends to providing leadership in defining the health information landscape in Ireland • Driving improvements in the quality of health information

25. Person-centred view of health information • Used to deliver and monitor safe and high quality care • High quality and collected as close as possible to the point of care • “collected once and used many times” • Data collection should be ‘fit for purpose’ and cost effective

26. Sharing health information • Improving the sharing of information between different healthcare settings

27. In Conclusion HIQA will continue to support community health nursing in its aim to improve the quality and safety of health and care services in Ireland Thank you

28. Do you wish to participate in the Development of the national maternity Survey? Delphi study We require participants to engage in a Delphi study The purpose is to select questions, by consensus, for inclusion in the National Maternity Survey The Delphi Study will be administered through an online tool Two rounds of questions Round 1: 16th – 31st May Round 2: 10th - 21st June Requirement to respond online during these periods We would be very grateful for your participation Should you wish to participate, please e-mail us at: info@patientexperience.ie