A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ... A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

13.07.2015 Views

Quality Impact Assessment Process 2013/14BackgroundThe 2012/13 Operating Framework makes clear the requirement for NHS Trusts to ensure that allCIPS include a quality impact assessment and these are agreed by the Medical Director and Directorof Nursing.The requirement for QIAs is also cited in the following publications: Delivering sustainable cost improvement programmes, Monitor, January 2012 How to Quality Impact Assess Provider Cost Improvement Plans, National Quality Board, July2012Transformation Programme CycleThe Transformation Programme/CIP process can be summarised into the following steps:Budgets setDirectorates identify potential CIPS tomatch budgetsCIPS assessed for financial impactCIPS assessed for quality impact (QIA).Standard framework used, quality metricsidentified and linked to directorate qualitydashboard and clinical governancemonitoring structuresQIAs viewed and approved by MedicalDirector and Director of NursingCIPs and QIAs monitored by directoratesand variance or risks reported byexception at TMB monthlyCIPS adjusted accordingly

Quality Impact Assessments 2013/14The above process has been implemented for all transformation programmes (corporate and clinicalschemes) identified for 2013/14.All individual schemes have been quality impact assessed at directorate meetings. Support for the QIAprocess has been provided to directorates by the Transformation Programme Manager and AssociateDirector Clinical Governance.The QIA template has ensured that each scheme identifies the following: Directorate Project reference Scheme title Area of quality (Patient experience, patient outcome, safety) Quality impact (Improve, Maintain or Reduce quality) Risk rating (Improve = Green, Maintain = Amber, Reduce = Red) Data Source (Drop down menu provided linked to primary quality metrics to included on thenew Board and Directorate quality dashboards)AIRsSUIHSMRFriends and Family TestDelayed Transfer of CareReadmissionsMRSACDiffRTTLength of StayRegulatory ComplianceComplaintsSickness AbsenceStaffingAppraisalsMandatory TrainingMonitoring Forum (i.e. where the above metrics will be routinely discussed in addition to thedirectorate management & clinical governance forums)The three year plans incorporated a total of 145 individual clinical work streams, and include theRBCH 13/14 schemes. These work streams were impact assessed by the directorates andsubsequently reviewed by the Medical Director and Director of Nursing. Of the 145 work streamsreviewed, 11 were not approved and further information and assessment has been requested.

Quality Impact Assessment Process 2013/14BackgroundThe 2012/13 Operating Framework makes clear the requirement for NHS Trusts to ensure that allCIPS include a quality impact assessment and these are agreed by the Medical Director and Directorof Nursing.The requirement for QIAs is also cited in the following publications: Delivering sustainable cost improvement programmes, Monitor, January 2012 How to Quality Impact Assess Provider Cost Improvement Plans, National Quality Board, July2012Transformation Programme CycleThe Transformation Programme/CIP process can be summarised into the following steps:Budgets setDirectorates identify potential CIPS tomatch budgetsCIPS assessed for financial impactCIPS assessed for quality impact (QIA).Standard framework used, quality metricsidentified and linked to directorate qualitydashboard and clinical governancemonitoring structuresQIAs viewed and approved by MedicalDirector and Director of NursingCIPs and QIAs monitored by directoratesand variance or risks reported byexception at TMB monthlyCIPS adjusted accordingly

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