What is Quality Improvement?
Quality Improvement (QI) is a bottom-up approach to driving change to improve the way we work. Unlike traditional models QI strives for continuous internal improvement rather than relying on externally applied targets. QI achieves this by engaging front-line workers to identify problems and potential solutions. QI focuses on changing processes.
“If you always do what you’ve always done, you’ll always get what you’ve always got” - Henry Ford.
Knowledge of improvement methods is a key skill for leadership development in the healthcare setting. For more information see below document.
How does QI work?
QI identifies areas for improvement and key measurements to make, before implementing small changes to see if the changes result in an improvement.
Before and throughout the process of the QI project we should ask the following three questions (taken from the Institute for Healthcare Improvement – available at: http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx)
- What are we trying to accomplish?
- How will we know that a change is an improvement?
- What change can we make that will result in improvement?
This subsequent change follows the ‘PDSA’ pattern:
- Identify problems and objectives
- Plan data collection
- Carry out the plan
- Collect data
- Document and think about any problems
- Analyse data
- Summarise learning
- Make changes/recommendations
- Think about next cycle
Who is QI for?
QI is for everyone! QI aims to engender a true culture of continuous improvement. This is ideally from ‘board to ward’.
How do I get involved with QI?
If you are interested discuss with your supervisor potential areas for improvement. If you are hospital-based, there is often a QI lead or team within your organisation (although this is still variable) – it is worth looking on your organisation’s website for further details.
There are also a number of other resources available in the Yorkshire and Humber region – please see the ‘resources’ section.
Resources – What Else Is Out There?
The Improvement Academy:
- Based in Bradford but courses run across the region.
- All services free of charge
- “Bronze” training:
An online resource, accessible to all, available at: http://www.improvementacademy.org/training-and-events/bronze-quality-improvement-training.html
An introduction to the concepts of QI.
Takes approximately 90 minutes to complete.
- “Silver” training:
One-day course providing an Introduction to QI methods, tools and techniques.
Requirement to complete “bronze” training prior to taking “silver” training.
- “Gold” training:
A ‘train the trainer’ course run over two days.
Designed to provide the support and materials for candidates to run their own one-day ‘silver’ level course.
- Link to book Gold/Silver training: http://www.improvementacademy.org/training-and-events/
Microsystems Coaching Academy:
- Based at Sheffield Teaching Hospital (STH)
- Base upon The Dartmouth Institute Microsystem Academy (USA)
- Free to STH employees
- Offers ‘Introduction to Quality Improvement’ courses:
One day course - £90 for NHS organisations external to STH
Two day course - £160 for NHS organisations external to STH
- Available at: http://www.sheffieldmca.org.uk
Generic Skills Courses
If you are a doctor in training or SAS doctor in the Yorkshire and the Humber you can sign up to a free 2-day QI course as part of the ‘generic skills’ courses run by Health Education England working across Yorkshire and the Humber.
For further detail please see the Education pages.
- For further information you can scroll through the slides below developed by a previous HEE leadership fellow, Dr Amanda Newnham. Thanks also to Mr Anthony Jesurasa.
- These slides are an introduction to QI aimed at junior doctors.
HEE run an annual QI conference, the last of which was held on 12th July 2018.
The QI Conference 2018 took place on 12th July 2018 in Sheffield. Please click the tabs below for more information.
The theme for the conference was: Working Together for Improvement: Behaviour Change in the NHS