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North West AAAQIP Network Sustainability Plan

North West AAAQIP Network Sustainability Plan. David Mitchell VS Audit & QI Committee Chair & AAAQIP Project Director. Last Phase of Implementation QIP ends July 2012. X1. X3. X2. X3. X4. X2. X1. X5. X2. X2. X2. X2. X2. QI in action – examples from UK.

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North West AAAQIP Network Sustainability Plan

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  1. North West AAAQIP Network Sustainability Plan David Mitchell VS Audit & QI Committee Chair & AAAQIP Project Director

  2. Last Phase of ImplementationQIP ends July 2012 X1 X3 X2 X3 X4 X2 X1 X5 X2 X2 X2 X2 X2

  3. QI in action – examples from UK

  4. Criteria Led Discharge – Reducing HDU Usage Norfolk EVAR Nursing Care Pathway • EVARS 13 • Post-op • Vascular ward 12 • Planned HDU 1 • Unplanned HDU 0 • No unplanned HDU admissions • All complications dealt with on the ward. (March-July 2011)

  5. Patient Feedback – AAA Recovery Leaflets Patient leaflets tested in all regions Consistently outperform other information leaflets Developed through patient groups Advice based on practical needs 86% response rate

  6. Post-Operative Communication 86% response rate

  7. Medway: Telephone Follow Up Findings: Dietary concerns and lack of appetite revealed Caused extreme anxiety for wives Provided patients as well as partners with reassurance Despite being provided with contact numbers patients reported “we didn’t like to bother you”

  8. North West AAAQIP Progress

  9. NW AAAQIP October Meeting The AAAQIP meetings were felt to be valuable Teams within the NW wished to continue with interventions.

  10. Implementing Change

  11. Act Plan Study Do Adopt protocols throughout region Spreading a change to other locations Make part of routine operations Set criteria and standards for each unit to meet Implementing a change Test under a variety of conditions Test best practice from other units Testing a change Theory and Prediction Developing a change

  12. Sustaining Change Working to a single set of standards nationally (VSGBI/ NAAASP) Measurement of service delivery against standards The new National Vascular Registry Regular reporting to monitor progress Ensure we ‘hold the gains’ and not return to an old level of performance

  13. Key Learning for Change • Local leadership is vital • A mutually supportive network encourages participation • Success more likely if all stakeholders engage; • VSGBI, VASGBI, BSIR, C&S Networks & Commissioners • Regular meetings to share best practice and focus on process and quality

  14. Value in sharing best practice? Another meeting, take turns to host? Input from local C&S Networks and Commissioners? Evidence of best practice from today that should be adopted throughout region? Key areas to standardise in region? Risk assessment, MDT Patient Information Minimum standards Areas that still require testing? Discussion: The Next Steps for the NW?

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