Everything you wanted to know about the Quality Measurement Framework … ..

1. Everything you wanted to know about the Quality Measurement Framework…..

2. Outline • The Quality Measurement Framework • Any questions? • The combined theory of absolutely everything • Into the Dragon’s Den!

3. QUALITY MEASUREMENT FRAMEWORK

4. Quality Ambitions Person-CentredThere will be mutually beneficial partnerships between patients, their families and those delivering healthcare services which respect individual needs and values and which demonstrate compassion, continuity, clear communication and shared decision-making. SafeThere will be no avoidable injury or harm to people from healthcare they receive, and an appropriate, clean and safe environment will be provided for the delivery of healthcare services at all times. EffectiveThe most appropriate treatments, interventions, support and services will be provided at the right time to everyone who will benefit, and wasteful or harmful variation will be eradicated.

5. QUALITY OUTCOMES • Everyone gets the best start in life, and is able to live a longer, healthier life • People are able to live well at home or in the community • Healthcare is safe for every person, every time • Everyone has a positive experience of healthcare • Staff feel supported and engaged • The best use is made of available resources

6. QUALITY OUTCOME INDICATORS • Healthcare experience • Staff engagement and potential • Healthcare Associated Infection (HAI) • Emergency admission rate/bed day • Adverse events • Hospital Standardised Mortality Ratio • Under 75 mortality rate • Patient/User Reported Outcome Measures (PROMs) • Self-assessed general health • Percentage of time in the last 6 months of life spent at home or in a community setting • Early years indicator • Resource use indicator

7. The Unified Theory of Everything Linda Semple, NHS Ayrshire & Arran Assistant Director NHS Ayrshire and Arran

8. Background/Context • Quality Ambitions, outcomes, indicators • Broad SG ambition to develop “Outcomes-focused” approach to Performance Management e.g. bundling approach • Messy landscape of internal plans, processes, strategies, scorecards etc • Some scrutiny in place • governance and staff/public engagement and accountability

9. uToE Framework • Where do we want to be? – vision/outcomes • How will we get there? – action plans • How do we know what to do? – evidence • How will we check progress? – KPIs • How will we know when we get there? – targets • How will all this be monitored? Scrutiny and governance

10. Process • Identify high level outcomes and how they relate to ‘vision’ • Use evidence to identify activities required • For each activity, map requirements for delivery • For each requirement, identify actions • Allocate actions to individuals • Performance manage delivery and report

12. The healthiest life possible for the people of Ayrshire and Arran VISION NATIONAL PERFORMANCE FRAMEWORK PERSON-CENTRED SAFE EFFECTIVE LONG TERM GOALS QUALITY AMBITIONS INTERMEDIATE GOALS QUALITY OUTCOMES IMPROVE QUALITY OF CARE RESHAPING CARE FOR OLDER PEOPLE SHORT TERM GOALS HEAT LOCAL OUTCOMES SCORECARDS ACTIVITIES PDR (all staff) ACTION PLANS SUPPORTING ACTIVITIES

13. NOW MEET THE DRAGONS…..

14. Quality Strategy in the Dragons’ Den • Smoking cessation services • Developing a physiotherapist-led musculo-skeletal pathway for orthopaedic referrals • High-cost drug therapy