Agents of change: Establishment of quality improvement collaboratives to improve the quality of dementia care in Australia

BackgroundAlthough all members of staff can be involved in improving the quality of maternity services, midwives can identify areas in need of improvement through their relationships with women and their families, and can influence care through activities such as crowdsourcing.AimsA service evaluation was undertaken to explore how midwives who attended the workshop viewed their involvement in crowdsourcing, and to examine whether midwives who attended the workshop considered themselves as agents of change for quality improvement in maternity care.MethodsA generic qualitative approach was selected. Data were collected using face-to-face, semi-structured interviews with six midwives who attended the workshop.FindingsFour key themes emerged from analysing the data: improving communication, experiencing different perspectives, shared learning, and positivity.ConclusionsInvolving stakeholders as a ‘crowd’ to find solutions to problems in care is successful and highly rewarding. Midwife participants took pride in sharing their ideas for improvement.

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Improving the quality of tracheostomy care

Breathe ◽

10.1183/20734735.011114 ◽

2014 ◽

Vol 10 (4) ◽

pp. 286-294 ◽

Cited By ~ 3

Author(s):

Hannah Zhu ◽

Preety Das ◽

Ralph Woodhouse ◽

Haytham Kubba

Keyword(s):

Quality Improvement ◽

Quality Of Care ◽

Cost Effective ◽

Education Institution ◽

List Type ◽

Common Purpose ◽

Preventable Harm ◽

The Uk ◽

Quality Improvement Collaboratives

Educational aimsTo understand the current challenges in the care of tracheostomy patientsTo understand principles of quality improvement collaboration and how this can improve the quality of care for tracheostomy patientsSummaryThe UK National Confidential Enquiry into Patient Outcomes and Death illustrates that there remains significant morbidity and mortality relating to patients with a tracheostomy, with much preventable harm. Challenges include the inherent complexity of the patient's underlying condition, wide variations in tracheostomy management, variable delivery of education for staff, patients and families, and difficult coordination of care between such a variety of individuals involved in performing, managing and ultimately removing tracheostomies.Quality-improvement collaboratives are groups of institutions with a common purpose who work together to drive positive change. They help support clinicians in developing skills and teams necessary to design and sustain quality-improvement cycles. They are a cost-effective way of rapidly disseminating improvement strategies and engaging in shared learning across institutions around the world. The Global Tracheostomy Collaborative aims to improve quality of care and outcomes through five interdependent key drivers: coordinated multidisciplinary team care, education, institution-wide protocols, family and patient-centred care, and metrics and outcomes using a specifically designed database.

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Statewide Clinic Registries: The Michigan Surgical Quality Collaborative

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0038-1673350 ◽

2019 ◽

Vol 32 (01) ◽

pp. 016-024 ◽

Cited By ~ 4

Author(s):

Scott Regenbogen ◽

Vahagn Nikolian

Keyword(s):

Quality Improvement ◽

Surgical Care ◽

Population Based ◽

Surgical Quality ◽

Data Infrastructure ◽

Clinical Registries ◽

Strategic Value ◽

Quality Improvement Collaboratives ◽

Future Work

AbstractRegional clinical registries provide a unique opportunity for shared learning and population-based analyses of the quality of surgical care. Through the “Michigan Model” of pay for participation in strategic Value Partnerships, exemplified by the Michigan Surgical Quality Collaborative (MSQC), the state's dominant private insurer, Blue Cross Blue Shield of Michigan, has sponsored 20 statewide clinical quality improvement collaboratives. MSQC represents a partnership among 73 Michigan hospitals with a robust data infrastructure and flexible platform for the promulgation of best practices in surgical quality improvement. This article will describe the organizational structure of the MSQC, the contributions the registry has made to quality improvement in colorectal surgery, and how future work will align to improve the reliability of improvement-relevant registry data.

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Improving the quality of dementia care through establishing a quality improvement collaborative of Agents of Change: an interrupted time series study

10.21203/rs.3.rs-19093/v1 ◽

2020 ◽

Author(s):

Kate Laver ◽

Monica Cations ◽

Gorjana Radisic ◽

Lenore de la Perrelle ◽

Richard Woodman ◽

...

Keyword(s):

Time Series ◽

Quality Improvement ◽

Health Professionals ◽

Interrupted Time Series ◽

Aged Care ◽

Dementia Care ◽

Guideline Recommendation ◽

Quality Improvement Collaborative ◽

People With Dementia

Abstract Background: Non-pharmacological interventions including physical activity programs, occupational therapy and caregiver education programs have been shown to lead to better outcomes for people with dementia and their care partners. Yet, there are gaps between what is recommended in guidelines and what happens in practice. The aim of this study was to bring together clinicians working in dementia care and establish a quality improvement collaborative. The aim of the quality improvement collaborative was to increase guideline adherence to three guideline recommendations. Methods: We recruited health professionals from community, hospital and aged care settings across Australia to join the collaborative. Members of the collaborative participated in a start-up meeting, completed an online learning course with clinical and quality improvement content, formed a quality improvement plan which was reviewed by a team of experts, received feedback following an audit of their current practice and were able to share experiences with their peers. The primary outcome was adherence to their guideline recommendation of interest which was measured using checklists. Data were collected monthly over a period of 18 months and the study used an interrupted time series design to evaluate changes in adherence. Results: A total of 45 health professionals (78% therapists) from different sites joined the collaborative and 28 completed all requirements. Data from 1717 checklists were included in the analyses. Over the duration of the project there was a significant increase in clinician adherence to guideline recommendations with a 42.1% immediate increase in adherence (Incidence Rate Ratio =1.42; 95% Confidence Interval =1.08-1.87; p=0.012). Conclusion: Health professionals working with people with dementia are interested and willing in joining a quality improvement collaborative with the goal of improving non-pharmacological aspects of care. Participation in the collaborative improved the quality of care for people with dementia as measured through adherence to guideline recommendations. Although there are challenges in implementation of guideline recommendations within dementia care the quality improvement collaborative method was well suited as it equipped and empowered clinicians to lead improvement activities and allowed for heterogeneity in terms of service and setting.

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Cognitive Health Counseling 40+

Zeitschrift für Gesundheitspsychologie ◽

10.1026/0943-8149/a000085 ◽

2013 ◽

Vol 21 (1) ◽

pp. 24-33 ◽

Cited By ~ 1

Author(s):

Anne Eschen ◽

Franzisca Zehnder ◽

Mike Martin

Keyword(s):

Outcome Variable ◽

Pilot Phase ◽

Subjective Memory ◽

Cognitive Health ◽

Health Counseling ◽

Agents Of Change ◽

Main Outcome Variable ◽

Further Development

This article introduces Cognitive Health Counseling 40+ (CH.CO40+), an individualized intervention that is conceptually based on the orchestration model of quality-of-life management ( Martin & Kliegel, 2010 ) and aims at improving satisfaction with cognitive health in adults aged 40 years and older. We describe the theoretically deduced characteristics of CH.CO40+, its target group, its multifactorial nature, its individualization, the application of subjective and objective measures, the role of participants as agents of change, and the rationale for choosing participants’ satisfaction with their cognitive health as main outcome variable. A pilot phase with 15 middle-aged and six older adults suggests that CH.CO40+ attracts, and may be particularly suitable for, subjective memory complainers. Implications of the pilot data for the further development of the intervention are discussed.

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SEKOLAH GRATIS DAN MUTU SEKOLAH: STUDI KASUS DI SMAN 2 BABAT TOMAN MUSI BANYUASIN SUMSEL

Jurnal Dinamika Pendidikan ◽

10.33541/jdp.v8i1.108 ◽

2015 ◽

Vol 8 (1) ◽

pp. 1

Author(s):

Afriantoni Afriantoni ◽

Ibrahim Ibrahim

Keyword(s):

Quality Improvement ◽

Qualitative Method ◽

School Quality ◽

School Policy ◽

School Education ◽

Education Quality ◽

Free School ◽

School Costs

This study aimed to describe in depth between the link of school policy and the school quality improvement. The method in this study is a qualitative method using the case study presented descriptively. This research was conducted at SMA Negeri 2 Babat Tomat Kabupaten Musi Banyuasin. Based on this study it was found that the First, free school policy can help the economy / ease the burden of school costs to be incurred by the parents. Second, the policy constraints of the application for free school educa-tion at SMAN 2 Babat Toman is not very effective, so that the students' interest is not increasing, infrastructure is one of the obstacles in the implementation of free school education, how the quality of schools will be increased if it is not supported by facilities and complete infrastructure. Third, the quality of school education free SMAN 2 Babat Toman already realized well with regard to input, input turns unselected maximum, that is the students. Fourth, the implementation of free school education in Banyuasin, the quality of school SMAN 2 Babat Toman Muba Sumsel was not increased. This means that the implementation for free school education quality of school SMAN 2 Babat Toman was not increased.Keywords : free schools, school quality, case studies

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Edukasi dan Peningkatan Kualitas Pengelolaan Obat di Rumah Tangga: Studi Kasus di Dusun Sidasari Wetan Desa Kubangkangkung Kawunganten Cilacap (Education and Quality Improvement of Drug Management in Family: A Case Study at Dusun Sidasari Wetan, Kubang

JATI EMAS (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) ◽

10.36339/je.v2i2.160 ◽

2018 ◽

Vol 2 (2) ◽

pp. 93

Author(s):

Hendri Wasito ◽

Hening Pratiwi ◽

Adi Wibowo ◽

Nia Kurnia Solihat

Keyword(s):

Quality Improvement ◽

Home Visit ◽

Behavioral Changes ◽

Drug Management ◽

Educational Effort ◽

The Family ◽

Service Activity ◽

Knowledge And Attitude

Drugs are an important component of health services that are the needs of the community. There is still a lack ofcommunity knowledge of medicines and management especially for family members, hence an educational effort as well asimprovement of quality of drug management in family through training program and mentoring by pharmacist. Thiscommunity service activity aims to determine the knowledge and attitude of the community in managing drugs in the familyand improve the quality of drug management by the community in the family. The activity was conducted in SidasariWetanKubangkangkung Village Kawunganten Cilacap. The workshop on drug management in family was conducted by pharmaciststo the 33 participants. Data collection was done by using questionnaire and observation through home visit. The result of theactivity shows that the increase of knowledge and attitude of the society in managing drugs in the familywere 10% and 7%,respectively. Workshop activities and mentoring by pharmacists can provide benefits and behavioral changes in family drugsmanagement.

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Engaging community pharmacists in quality improvement (QI): a qualitative case study of a partnership between a Higher Education Institute and Local Pharmaceutical Committees

BMJ Open Quality ◽

10.1136/bmjoq-2020-001047 ◽

2021 ◽

Vol 10 (1) ◽

pp. e001047

Author(s):

Asam Latif ◽

Nargis Gulzar ◽

Fiona Lowe ◽

Theo Ansong ◽

Sejal Gohil

Keyword(s):

Quality Improvement ◽

Focus Groups ◽

Qualitative Methodology ◽

Positive Impact ◽

Community Pharmacists ◽

Educational Institute ◽

Collaboration And Communication ◽

Improve Service Quality ◽

The Impact

BackgroundQuality improvement (QI) involves the use of systematic tools and methods to improve the quality of care and outcomes for patients. However, awareness and application of QI among healthcare professionals is poor and new strategies are needed to engage them in this area.ObjectivesThis study describes an innovative collaboration between one Higher Educational Institute (HEI) and Local Pharmaceutical Committees (LPCs) to develop a postgraduate QI module aimed to upskill community pharmacists in QI methods. The study explores pharmacist engagement with the learning and investigates the impact on their practice.MethodsDetails of the HEI–LPCs collaboration and communication with pharmacist were recorded. Focus groups were held with community pharmacists who enrolled onto the module to explore their motivation for undertaking the learning, how their knowledge of QI had changed and how they applied this learning in practice. A constructivist qualitative methodology was used to analyse the data.ResultsThe study found that a HEI–LPC partnership was feasible in developing and delivering the QI module. Fifteen pharmacists enrolled and following its completion, eight took part in one of two focus groups. Pharmacists reported a desire to extend and acquire new skills. The HEI–LPC partnership signalled a vote of confidence that gave pharmacists reassurance to sign up for the training. Some found returning to academia challenging and reported a lack of time and organisational support. Despite this, pharmacists demonstrated an enhanced understanding of QI, were more analytical in their day-to-day problem-solving and viewed the learning as having a positive impact on their team’s organisational culture with potential to improve service quality for patients.ConclusionsWith the increased adoption of new pharmacist’s roles and recent changes to governance associated with the COVID-19 pandemic, a HEI–LPC collaborative approach could upskill pharmacists and help them acquire skills to accommodate new working practices.

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