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CareSearch, NSAP and PCOC Evidence, standards and quality, but what does it actually mean?

This article explores the collaboration between CareSearch, NSAP, and PCOC in improving palliative care in Australia through evidence-based practice and quality improvement. It discusses the drivers for change, health care variability, fragmented care, demand issues, and the dynamic evidence base. The article also highlights the partnership's focus on standards, outcomes, and the use of evidence in practice.

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CareSearch, NSAP and PCOC Evidence, standards and quality, but what does it actually mean?

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  1. CareSearch, NSAP and PCOC Evidence, standards and quality, but what does it actually mean? Tieman JJ, Rawlings D, Mills S, Banfield MPCNA Conference, December 2012

  2. Overview of session • Quality Issues: Drivers, evidence, approaches • Working Together: CareSearch, NSAP, PCOC • Six Questions

  3. Drivers for change • Health care variability • Not receiving recommended care • Fragmented care • Demand issues • Increased demand • Changing patterns of need • Dynamic evidence base • Costs and resources • Health information technology

  4. QI and Evidence • EBM/EBP: Evidence to inform quality care • Evidence as content in QI processes • Value add between EBM and QI • Emerging evidence of value of QI • QI processes as a source of new evidence

  5. Working Together Partnership • CareSearch, NSAP, PCOC • MOU signed in 2010…common interest, informed by different but aligned perspectives, in improving palliative care in Australia by upskilling palliative care services, facilitating quality improvement and encouraging the use of evidence in practice.

  6. Working Together: NSAP, PCOC, CareSearch • All programs funded by Department of Health and Aging • All work with Palliative Care Services to improve Service quality • STANDARDS • NSAP: National Standards Assessment Program • Services complete a self assessment snapshot every 2 years against the standards • Create and implement a quality improvement action plan, based on these results

  7. OUTCOMES • PCOC: Palliative Care Outcomes Collaborative • Utilises standardised validated clinical assessment tools to benchmark and measure outcomes in palliative care • EVIDENCE • CareSearch: Australia’s Palliative Care knowledge baseLatest resources and evidence

  8. Working Together Projects • Integration of current activities • Identification of services • Working Together Change Framework • WTCF Workshops • WTCF Study • Change Management Hub: • Tools registry • QI searches

  9. How do we work together? Evidence Sources for NSAP Self Assessment PCOC: Palliative Care Outcomes Collaboration Outcomes can be used as an evidence source for your NSAP Self Assessment CareSearch Provides links to quality tools which can be used for NSAP Self Assessment Quality Improvement Results and latest evidence for development of a Quality Improvement Action Plan PCOC Report NSAP Results & Key Improvement Areas CareSearch Evidence PCOC CareSearch NSAP PCOC NSAP CareSearch Quality Improvement Action Plan

  10. Working Together Change Framework

  11. Is there a problem? • Question 1: • Think about how you know there is a problem. Describe the problem for others.Be specific about the problem. • Outline how big a problem it is and how it affects your work and your patients. • You also need to consider whether it is a problem that you can solve.

  12. What is causing the problem? • Question 2: • Do some analysis on possible causes • Service characteristics • Patient population • Feedback from patients/staff • Check to see if there are reports or articles on similar problems • Speak with other services about whether similar issues

  13. Question 3: • Check for evidence on the specific issue.Find out if there is evidence for new or different approaches. • Find out if there are tools or measures you could use. • Review what is effective in change management. Think if some of these strategies could be used in your plan. Is there evidence about what to do?

  14. Question 4: • Check your plan indicates • Who • What • By when • Make sure your plan is suitable for your service. • Identify and include measures that can be used to show if things are changing Does your plan address the issues?

  15. Question 5: • Monitor what is happening as you implement the plan. • You may need to vary your plan. Things change.People change. New information may emerge. • Keep a note of why something changed and what you did in response. Were you able to implement your plan?

  16. Have you reviewed what you did? • Question 6: • Review everything that happened.Just because you did something does not mean that what you wanted to, or expected to, happen actually did happen. • Determine if the problem has been solved. Think about whether a different approach is needed.

  17. WTCF Workshop Evaluation • Ethics received for evaluation study • Post-workshop questionnaire • Follow up survey (8 weeks) • Objectives • To determine Workshop participants’ responses to the Working Together Change Framework • To evaluate the effectiveness of the Workshop content and format • To determine if participation in the Workshop led to change activity in the service

  18. Services can identify quality improvement opportunities through PCOC, NSAP processes • Evidence summaries on priority areas available through CareSearch • Workshops and projects to build knowledge and expertise in QI

  19. CareSearch, NSAP and PCOC are funded by the Australian Government Department of Health and Ageing.

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