Measuring for Quality Improvement

1. Measuring for Quality Improvement Arun Bhoopal NHS Medical Directorate

2. High Quality Care for All – a vision for quality improvement SAFETY EFFECTIVENESS PATIENT EXPERIENCE Quality as the organising principle of the NHS

3. A Quality Framework to enable quality improvement Bring clarity to quality – standards Measure quality Publish quality performance Recognise and reward quality Clinical leadership Safeguard quality Stay ahead Expanded role for NICE NHS Evidence Metrics – local, national, international Clinical dashboards Quality accounts NHS Choices International measures CQUIN SHAs – Medical Directors; clinical advisory boards National Quality Board Care Quality Commission SHA duty to innovate Innovation funds and prizes Academic Health Science Centres Health Innovation and Education Clusters

4. Key purposes Example product National • Improvement against national priorities • Accountability to taxpayers • International benchmarking • NQB Quality Report • Improvement in quality within the region and progress against the regional vision • Enable benchmarking • Regional quality measures • Services from Quality Observatory Regional Co-production at all levels of the system Local • Service improvement • Board accountability • Provider benchmarking • Provider quality account Subsidiarity • Service improvement • Team benchmarking for improvement • Clinical Team quality measure and dashboards Team Local clinical ownership of indicators Indicators for Quality Improvement – supporting local clinical teams

5. Indicators for Quality Improvement (IQI) What Details of over 200 quality of care indicators Purpose a resource for local clinical teams providing a set of robust indicators from which they can select to support local quality improvement a source of indicators which can be used for benchmarking and comparison Also Selected indicators to support patient choice through NHSChoices Possible use in Quality accounts and CQUIN

6. Indicator Framework Safety Safety Effectiveness Effectiveness Experience Experience Maternity and Maternity and Appropriate indicators Appropriate indicators Newborn Newborn Children’s Children’s Appropriate indicators Appropriate indicators Health Health Staying Staying Appropriate indicators Appropriate indicators Healthy Healthy Long Term Long Term Appropriate indicators Appropriate indicators Conditions Conditions Acute Care Acute Care Appropriate indicators Appropriate indicators Planned Care Planned Care Appropriate indicators Appropriate indicators Appropriate indicators Appropriate indicators Mental Health Mental Health End of Life Care Appropriate indicators Appropriate indicators End of Life Care