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Endoscopy Global Rating Scale and Knowledge Management System

What is the Global Rating Scale (GRS)?. The GRS is a web-based self assessment tool that provides a standard for accreditation and a quality framework for service improvement. Endoscopy Global Rating Scale. . The GRS evolved from a desire to determine whether endoscopy units were providing a p

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Endoscopy Global Rating Scale and Knowledge Management System

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    1. Endoscopy Global Rating Scale and Knowledge Management System Mr Paul Kavanagh Regional Nurse Lead for Endoscopy Northern Ireland.

    2. What is the Global Rating Scale (GRS)?

    3. Endoscopy Global Rating Scale

    4. From this desire a question arose :

    5. What matters to a patient having an endoscopy? At a series of meetings held throughout England endoscopy staff were asked what they thought was important for a patient having an endoscopy from their responses the 12 items, or patient-centred standards, of the Endoscopy Global Rating Scale were created

    6. Twelve patient-centred standards Quality of patient experience equality timeliness choice privacy and dignity aftercare ability to provide feedback

    7. Item 12 - Ability to provide feedback The twelfth item of the GRS, requires an endoscopy service to regularly seek and act upon feedback from its patients This item ensure the GRS captures all important aspects of the patient experience

    8. Other Domains

    9. Endoscopy Global Rating Scale In the first stage of development levels of achievement (D-A) were created, where level D was basic and level A an excellent service Descriptors were formulated for each level

    10. GRS - levels and descriptors for the Quality item Level D Nationally agreed quality standards are published in the department Level C There are processes in place to monitor the standards Level B Action is agreed if performance falls below the standards Level A Action taken in response to poor performance is reviewed to ensure the action has been effective

    11. Endoscopy Global Rating Scale To enhance objectivity of self assessment each descriptor was underpinned by two to five ‘measures’

    13. Endoscopy Global Rating Scale To facilitate reporting of scores a web-based reporting system was created

    14. Global Rating Scale homepage

    16. What has the GRS achieved?

    17. Endoscopy Global Rating Scale National census twice yearly (April and October) Following a pilot in September 2004 in England eight censuses have been held at six month intervals It has now been rolled out to all regions of the UK The GRS is now used as the quality standard for JAG accreditation visits AND therefore Bowel Cancer Screening.

    21. What do these results mean? Scores have been steadily improving at each census across all items, bar the appropriateness item (which was modified recently) The very high completion rates demonstrate that the service values the GRS Tool Extensive feedback indicates that improvements in GRS scores reflect substantial improvements in the patient experience Formal and informal review of evidence supporting self report scores (conducted by peer review teams) indicates that teams are as likely to underestimate achievements as overestimate them

    22. GRS and Service Improvement The GRS provides a framework on which to prioritise tasks The web-based knowledge management system links solutions directly to problems

    23. Knowledge Management System: linking solutions directly to problems

    24. GRS Knowledge Management The Knowledge Management System (KMS): Shares existing knowledge across the service Generates new knowledge to support the service Provides knowledge from outside the service Embeds knowledge of what works Benefits of the KMS Immediate information and support at the frontline Encourages a sharing community Helps teams improve their service more rapidly

    25. Access to the KMS There are various access routes into KMS GRS Home page From each measure Through action plans I will now provide examples of these routes.I will now provide examples of these routes.

    26. To access KMS the user has to be logged on via top of GRS Home page, once this is done simply click on the KMS tab at the top of the page.To access KMS the user has to be logged on via top of GRS Home page, once this is done simply click on the KMS tab at the top of the page.

    27. KMS Home page allows users to view current top 5 KMS downloads and the top 5 latest presentations along with the latest case studies via the drop down menu to the right of KMS Home page.KMS Home page allows users to view current top 5 KMS downloads and the top 5 latest presentations along with the latest case studies via the drop down menu to the right of KMS Home page.

    28. By inputing a key word via the google functionality bar you will access information listed on the KMS where the key word is mentioned.By inputing a key word via the google functionality bar you will access information listed on the KMS where the key word is mentioned.

    29. At present this can only be done via the English and Scotish GRS tool as Northern Ireland’s KMS has yet to be set up.At present this can only be done via the English and Scotish GRS tool as Northern Ireland’s KMS has yet to be set up.

    30. This can also only be done via the English and Scottish GRS sites as KMS has yet to be set up in Northern Ireland.This can also only be done via the English and Scottish GRS sites as KMS has yet to be set up in Northern Ireland.

    31. How do I submit a case study for KMS? There are two ways to do this.

    41. The GRS has achieved a great deal

    42. Conclusion It has taken a long time to develop GRS and it is now time to get it into practice. There is always a constant temptation to improve and refine but this will not be happening. The tool will remain fixed for the foreseeable future. At present we have a tool that provides continuity of measurement while remaining flexible to changes in practise, it is up to us all now to implement the fundamental motives of GRS and ensure it meets it’s desired outcomes. REMEMBER THERE IS NO POINT IN REINVENTING THE WHEEL!!!!

    43.

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