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IPD day: MDT policy updates/initiatives

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Transcript of IPD day: MDT policy updates/initiatives

IPD day: MDT policy updates/initiatives
QTA
Incident Management System
Rationale
What has changed?
Time to evolve current tool – in use since 2007
Overall score does not always give a true reflection of quality in a programme
Does not allow for scoring of ‘red flags’
Misalignment between ‘enforcement notices’ and high scores
Need to emphasise areas of high risk to client safety
Weighted checklist
Clinical governance
10% reduction to Clinical Governance score if marks received are less than or equal to 80%
5% reduction to Clinical Governance score if marks received are less than 90% but greater than 80%
Infection prevention
10% reduction to the Infection prevention if marks received are less than or equal to 80%
5% reduction to Infection prevention score if marks received are less than 90% but greater than 80%
Red flags!
Other observations (for issues not captured by checklist, at discretion of the assessor)

5% reduction against a site’s overall score for observations receiving a Medium risk rating
10% reduction against a site’s overall score for observations receiving a High risk rating
Where more than one ‘red flag’ identified for the site, top score included.

2% reduction to a site’s overall score if it has been agreed that a service will be observed, but that service is not observed.

This will be supported by the introduction of a ‘contract’ into the TOR – through which the programme and assessor can agree in advance of the QTA which services the assessor can expect to observe, based on services that are routinely provided within the programme.
benchmarks
85% = achieving minimum standard for social franchising
communication with country programmes about changes to QTA
communication to country programmes about how this fits into the bigger picture and evolution of quality
What has changed
The Big Picture
IPD support
What has changed?
...and is structured according to levels of staff involved...
a policy that introduces a risk-based reporting system...
...along with the tools to empower programmes to analyse their own incident data.
...plus a section with guidance on key concepts in incident reporting...
Root cause analysis
Types of incidents
Risk-grading an incident
Safety alerts
Levels of investigation
Incident data management and trend analysis
An Excel database for country programmes...
responsibilities/accountability

processes
incident's risk grading
at each level dependent upon an
at each level dependent upon an
incident's risk grading
notification and investigation requirements
at each level dependent upon an
incident's risk grading
time frames
at each level dependent
incident's risk grading
upon an
classifying incidents based on their impact to the client
means we can identify proportional responses to incidents, and build a future-proof system
and MDT can focus its attention and energy on the most serious
Easily identify:
what must be done for red, amber and green incidents
when, it must be completed
and who is responsible for doing it
Incident Notification Form
Proformas & guides
+ a tutorial video on how to use the Excel Notification Tool
Ensuring system set-up in country programmes
Promoting cultural change, ways of incentivising behaviour
IPD support
Rationale
Roll-out strategy
Policy
Excel tools
Guides and proformas
Electronic tutorial
Operational toolkit
How can we better learn from incidents to prevent reoccurrence?
caseload
changes to the QTA are one part of the broader evolution of quality at MSI
operational toolkit includes a structure to support consideration of 3 key questions...
How will you ensure that all clinical service providers understand key concepts?

How will you ensure that all clinical service providers are clear about how practically this system will work in your programme?

Does implementing this new system require a cultural shift within the organisation? If so, how will you address this?
Full transcript