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Improving Quality in Stop Smoking Services

Improving Quality in Stop Smoking Services. David Tumilty. Dr Gillian Gilmore. Health Intelligence Manager Public Health Agency, Belfast. Senior Health & Social Wellbeing Improvement Officer Public Health Agency, Belfast. UKNSSC, 12 June 2014, London. Overview. Setting the context

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Improving Quality in Stop Smoking Services

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  1. Improving Quality in Stop Smoking Services David Tumilty Dr Gillian Gilmore Health Intelligence Manager Public Health Agency, Belfast • Senior Health & Social Wellbeing • Improvement Officer • Public Health Agency, Belfast UKNSSC, 12 June 2014, London

  2. Overview • Setting the context • Quality Standards & Monitoring Systems • Why Quality Improvement • Quality Improvement Process & Outcomes • key learning & Next Steps

  3. Context to this Quality Improvement Initiative • 2,300 • 50% • 24% • £164m • Ten Year Tobacco Strategy • Improve structure, process and outcomes

  4. Implementation of Strategy

  5. Quality Standards & Stop Smoking Services in NI

  6. Northern IrelandStop Smoking Services – Electronic MonitoringSystem

  7. Quality Improvement Programme

  8. Uptake of Stop Smoking Services NI and 4 week quit rates 2007/08 – 2012/13 Introduction of smoke free legislation Source: Stop Smoking Services monitoring data 2012/13

  9. Examining the success of services 2011/12 Uptake and 4 week quit rate by provider type 2011/12

  10. Online self-monitoring & support services

  11. Pharmacy quality improvement process and outcomes

  12. Pharmacy quality improvement process Notification to all providers of ongoing QI Process Above 45 quit rate 4 week quit rate >35% Service continuity Annual review of quit rates 4 week quit rate < 35% - direct entry into QI programme Steering group 4 week quit rate > 35% End of year review QI support QI support Mid year review

  13. Pharmacy quality improvement process Termination Notification to all providers of ongoing QI Process Above 45 quit rate 4 week quit rate >35% Temporary Reinstatement Annual review of quit rates QI support 4 week quit rate < 35% - direct entry into QI programme Steering group Suspension QI support 4 week quit rate <35% End of year review Mid year review QI support

  14. QI Support mechanisms…… Online exercise

  15. QI Support mechanisms…… Update training • Delivered throughout the region • Aligned with commissioner review timelines • Key learning • Links back to commissioner on attendance • QI Support mechanisms…… Individualised support • Written communication • One to one phone calls • Visits to service • Signposting to other services

  16. Outcomes for supported quality improvement pharmacies • Mid year review • 13 of 69 taken no action - further individualised support • End of year review • 9 /69 providers still under 35% • Continuity of care for current clients but no new registrations. • Further one to one service discussion • Service issues identified/ remedies discussed • End of first QI group -only 1 termination

  17. Impact of quality improvement overall

  18. Key Learning • Joint working approach necessary • Stakeholder communication key • Raises awareness of service issues • Additional pharmacy support fundamental to success • Next steps • Pharmacy - annual process • Promotion of other standards • Work with other providers

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