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Audit, projects & the e-portfolio. What is it?. Audit is a cyclical process of measuring actual practice against standards and then improving practice. Working in pairs. Draw the audit cycle List the types of audit you have conducted in the past. The audit cycle. What do we audit?.

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Audit, projects & the e-portfolio


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    1. Audit, projects & the e-portfolio

    2. What is it? • Audit is a cyclical process of measuring actual practice against standards and then improving practice

    3. Working in pairs • Draw the audit cycle • List the types of audit you have conducted in the past

    4. The audit cycle

    5. What do we audit? • Structure: Physical attributes of health care- surgery building, practice equipment, record, staff • Process: What the GP actually does- practice activity such as prescribing habits, hospital referrals, lab usage • Outcome: Changes in patients current and future health status that can be attributed to antecedent health care- prevention of disease-prevention of premature death-patient satisfaction with care provided

    6. Types of audit • Self audit • Peer review/audit • External audit

    7. Working in pairs • What potential information/data sources do you have in General Practice which you can use to audit?

    8. Potential sources of data • Routine practice data • Medical records • External data (PCT) • Practice activity analysis • Prospective recording of data • Surveys • Interviews • Direct observation

    9. 10 top tips • Can you reduce the aim of the audit to a simple question (Aims)? • Can you specify what things you need to measure to be able to answer this question (Objectives)? • Can you identify a recognised ‘gold’ standard? • Is your proposed methodology achievable and feasible within the time constraints and resources you have available to you (Methods)? • Can you analyse and make sense of the results that you expect to obtain? • Have you had a test run with just a few cases to identify any unforeseen problems? • Have you discussed it with a second party with an interest in audit to see if they can identify and solve any flaws or potential problems? • Have you considered what you or your practice will do with the results (Implementing Change)? • Have you considered how, when and by whom the audit cycle will be repeated (Sustaining Improvements)? • Have you uploaded the details of your audit into your e-portfolio?

    10. Working in pairs • What are the benefits and risks of being involved with audit?

    11. Benefits • May reduce frustration in GP, e.g. by improving procedures in GP • Bring about change • Reducing organisational and clinical error • Improving efficiency and effectiveness • Demonstrating good care • Meeting patients needs and expectations • Stimulating education • Promoting higher standards of community care • Bidding for resources • Securing effective medical defence through risk avoidance • Makes you e-portfolio look great!

    12. Costs • Time and effort • Commitment may not be shared equally by different members of the team • A willingness to be inspected • A receptive attitude to constructive criticism and the flexibility to change.

    13. The e-portfolio entry • Clear statement of a specific and answerable question • Clearly expressed account of relevance to their own practice/organisation • Brief account of the results and how they feed back to the practice. Personal learning points clearly identified • Definite and specific plans for future practice expressed in terms of personal change and system changes and phrased in terms of knowledge, skills and feelings • Demonstrates ability to express learning needs that are specific, measurable and achievable, and relate to the reflection on the subject of the audit/ project • Realistic and definite plans described

    14. Group work – ‘snowballing’ • Discuss two potential audit topics you could tackle in the next two months • Then form up with two other pairs to create six potential audit topics defining the aim, objectives, methodology and required resources • Group feedback to HDR

    15. 10 top tips – a reminder • Can you reduce the aim of the audit to a simple question (Aims)? • Can you specify what things you need to measure to be able to answer this question (Objectives)? • Can you identify a recognised ‘gold’ standard? • Is your proposed methodology achievable and feasible within the time constraints and resources you have available to you (Methods)? • Can you analyse and make sense of the results that you expect to obtain? • Have you had a test run with just a few cases to identify any unforeseen problems? • Have you discussed it with a second party with an interest in audit to see if they can identify and solve any flaws or potential problems? • Have you considered what you or your practice will do with the results (Implementing Change)? • Have you considered how, when and by whom the audit cycle will be repeated (Sustaining Improvements)? • Have you uploaded the details of your audit into your e-portfolio?

    16. Time for coffee!

    17. Projects - Top tips • Can you reduce the aim of the project to a simple question (Aims)? • Is your proposed methodology achievable and feasible within the time constraints and resources you have available to you (Methods)? • Can you assess the value or impact of your project? • Have you had a test run to identify any unforeseen problems? • Have you discussed it with your Trainer? • Have you considered what you or your practice will do with the project once it has been completed? • Have you uploaded the details of your project into your e-portfolio?

    18. The e-portfolio entry • Clear statement as to the projects aims • Clearly expressed account of relevance to their own practice/organisation • Brief account of what you learnt by conducting the project • Brief account of the outcome and its implications • Demonstrates ability to express learning needs that are specific, measurable and achievable, and relate to the reflection on the subject of the project

    19. Group work – ‘snowballing’ • Discuss two potential project topics you could tackle in the next two months • Then form up with two other pairs to create six potential projects defining the aim, objectives, methodology and required resources • Group feedback to HDR

    20. Top tips – a reminder • Can you reduce the aim of the project to a simple question (Aims)? • Is your proposed methodology achievable and feasible within the time constraints and resources you have available to you (Methods)? • Can you assess the value or impact of your project? • Have you had a test run to identify any unforeseen problems? • Have you discussed it with your Trainer? • Have you considered what you or your practice will do with the project once it has been completed? • Have you uploaded the details of your project into your e-portfolio?