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QUALITY AND OUTCOMES; USING QUALITY INFORMATION. Stewart Black. 1: OVERVIEW. A) KEY ISSUES IN QUALITY (slides 2-4) B) OUTCOMES (slides 5-6) C) FACTORS AFFECTING THE USE OF INFORMATION ON QUALITY (slide 7) D) CONCLUSIONS FOR CCPS MEMBERS (slide 8). 2: KEY ISSUES IN QUALITY.
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QUALITY AND OUTCOMES;USING QUALITY INFORMATION Stewart Black
1: OVERVIEW A) KEY ISSUES IN QUALITY (slides 2-4) B) OUTCOMES (slides 5-6) C) FACTORS AFFECTING THE USE OF INFORMATION ON QUALITY (slide 7) D) CONCLUSIONS FOR CCPS MEMBERS (slide 8)
2: KEY ISSUES IN QUALITY SOME MAJOR REASONS FOR QUALITY SYSTEMS : - • ACCOUNTABILITY • MANAGEMENT • EXTERNAL VALIDATION • PRESTIGE/PUBLIC RELATIONS • FEEDBACK • IMPROVEMENT • CONTRACTS
3: MAJOR QUALITY SYSTEMS • QUALITY CONTROL • QUALITY ASSURANCE • ORGANISATIONAL QUALITY
4: WHERE DO YOU LOOK FOR ‘QUALITY’? 1 : INPUTS 2 : PROCESSES 3 : OUTPUTS 4 : OUTCOMES
5: WHOSE ‘OUTCOMES’? • SERVICE USERS? • FAMILIES OF USERS/CARERS? • YOUR ORGANISATION? • COMMISSIONING BODY? • REGULATORY BODY? • SCOTTISH GOVERNMENT?
6: WHAT’S IMPORTANT ABOUT ‘OUTCOMES’? • FOCUS NOT CONFINED TO SOCIAL/HEALTH CARE CARE • IN SOME WAYS, NOT NEW • NEW, IN OTHER WAYS
7: FACTORS AFFECTING USE OF QUALITY SYSTEMS • INTENDED AND ACTUAL USES OF SYSTEMS • THE PROBLEM OF ‘SINGLE SOLUTION’ APPROACHES • THE EVIDENCE BASE • WHO’S REPORTING TO WHO • WHAT’S REPORTED
8: CONCLUSIONS • RE-CONSIDER THE REASON(S) WHY QUALITY IS IMPORTANT • CHOOSE THE SYSTEM(S) WHICH IS/ARE MOST APPROPRIATE • CONFIRM/RE-CONFIRM THE OUTCOMES REQUIRED • CHECK HOW THE SYSTEM(S) FOCUS/ES ON ‘OUTCOMES’ • CHECK ‘EVIDENCE’ AND ‘REPORTING’ ARRANGEMENTS
Q 1 In your organisation, what’s the main focus of the quality system(s) a) meeting external requirements (e.g. Care Commission, local authority or health body) b) meeting standards set by your board/trustees c) meeting standards set by senior managers d) something other than a) – c) above.
Q 2 On balance, do you and your colleagues feel that getting the data to provide a routine (at least annual) evidence base for making judgements about quality is successful – or problematic?
Q 3 When the ‘results’ are reported from the quality system(s) in your organisation, what is reported in-house a) numbers only b) qualitative data/case examples only c) a narrative analysis which identifies trends/conclusions, as well as some numbers/case examples d) there’s no written report – just an oral report e) there’s no reporting of any kind?
Q 4 Who receives these reports in your organization, for action?
Q 5 Overall, what single change would you and your colleagues like to make to improve the effectiveness of the quality system(s) you have in place (incl. introducing an additional or new system)?