{"id":471,"date":"2023-12-11T12:00:12","date_gmt":"2023-12-11T12:00:12","guid":{"rendered":"https:\/\/internationalforum.bmj.com\/london\/?p=471"},"modified":"2024-04-04T00:15:38","modified_gmt":"2024-04-04T00:15:38","slug":"b7-designing-quality-improvement-projects-and-programmes","status":"publish","type":"post","link":"https:\/\/internationalforum.bmj.com\/london\/2023\/12\/11\/b7-designing-quality-improvement-projects-and-programmes\/","title":{"rendered":"B7: Designing quality improvement projects and programmes &#8211; learning from three case studies"},"content":{"rendered":"<br><p><strong>Thursday 11 April 2024 | 13:15\u201314:30<\/strong><\/p><br><p><em>Format: Presentation<\/em><\/p><br><p><em>Stream: Science<\/em><\/p><br><p><em>Content filters: Co-presented with patients, service users or carers<\/em><\/p><br><p><a href=\"https:\/\/internationalforum.bmj.com\/london\/2024\/01\/11\/james-hoffman\/\" target=\"_blank\" rel=\"noopener\"><strong>James Hoffman<\/strong><\/a> St Jude Children&#8217;s Research Hospital, USA (Chair)<\/p><br><p><br><br><strong>PART 1: 3-stage national discovery phase: triangulation in a maternity\/neonatal learning cycle<\/strong><\/p><br><p>Establishing deep understanding of the context, nature and scope of the problem\/s is fundamental to any improvement work.\u00a0 The national NHS Wales Maternity &amp; Neonatal Safety Support Programme (MatNeoSSP) applied rigour to the Discovery Phase of its work, undertaking a 3-stage discovery which drew out qualitative and quantitative findings using the IHI Framework for Safe, Reliable and Effective Care and Trigger Tool methodologies.\u00a0 To support this process, the IHI Framework was utilised innovatively (including development of a bespoke interactive data analysis tool).\u00a0 The impact of the robust MatNeoSSP Discovery Phase is being felt even before the national improvement work commences, with findings already influencing improvements to clinical practice and culture.<\/p><br><p>As a result of this session, participants will be able to:<\/p><br><ul><br><li>Understand the national and international context within which the NHS Wales MatNeoSSP was established<\/li><br><li>Consider how the MatNeoSSP Discovery methodologies and approaches could apply or be adapted, to own improvement projects<\/li><br><li>Reflect on how a rigorous Discovery\/Learning phase adds value to an improvement project<\/li><br><li>Apply lessons learnt by the NHS Wales MatNeoSSP Discovery Phase to their own work<\/li><br><\/ul><br><p><a href=\"https:\/\/internationalforum.bmj.com\/london\/2023\/12\/08\/sarah-patmore\/\"><strong>Sarah Patmore<\/strong><\/a>\u00a0Improvement Cymru, Wales<\/p><br><p>\u00a0<\/p><br><p><br><br><strong>PART 2:\u00a0 Evaluating improvement collaboratives: design variations and their impact<\/strong><\/p><br><p>Leading health systems have invested in substantial quality improvement capacity building, but little is known about the aggregate effect of these investments at the health system level.<\/p><br><p>Collaborative learning is one of the educational approaches of using groups to enhance learning through working together.\u00a0 Research shows that collaborative experiences that are active, social, contextual, engaging and student-owned lead to deeper learning.<\/p><br><p>This session will discuss and compare different designs of collaboratives and evaluate a collaborative learning system within a large organisation covering a wide geographical area and providing a diverse range of services such as community, mental health, health &amp; justice, and addictions services.<\/p><br><p>As a result of this session, participants will be able to:<\/p><br><ul><br><li>Explore and compare different improvement collaborative designs and their suitability for specific contexts<\/li><br><li>Demonstrate how improvement collaboratives align to achieve organisational-wide objectives<\/li><br><li>Understand CNWL\u2019s Added Value framework to evaluate improvement collaboratives in terms of their impact and effectiveness covering both tangible and intangible benefits<\/li><br><li>Explain the importance of leadership and cultural factors in collaborative design<\/li><br><\/ul><br><p><a href=\"https:\/\/internationalforum.bmj.com\/london\/2023\/12\/08\/geetika-singh\/\"><strong>Geetika Singh<\/strong><\/a>\u00a0Central and North West London NHS Foundation Trust, England<\/p><br><p><a href=\"https:\/\/internationalforum.bmj.com\/london\/2023\/12\/08\/janet-seale\/\"><strong>Janet Seale<\/strong><\/a>\u00a0Expert by Experience Advisor, England<\/p><br><p>\u00a0<\/p><br><p><br><br><strong>PART 3: A\/B testing and quality improvement: bringing tech tools to healthcare<\/strong><\/p><br><p>NYU Langone\u2019s Rapid RCT team will describe how they integrated rapid A\/B testing into \u2018business as usual\u2019 within NYU Langone, transforming it into a learning healthcare system. Taking tech industry tools, they developed a unique approach to quality improvement, blending the robustness of randomisation with the speed and responsiveness of quality improvement. This approach is fresh, highly practical, and timely \u2013 the ability to evaluate innovations rapidly and flexibly is even more important with the growth in AI in healthcare. The team will share their experience building the team and process within NYU, and with our burgeoning partnerships with Bronx Care, Center for Medicare &amp; Medicaid Innovation and NHS trusts.<\/p><br><p>As a result of this session, participants will be able to:<\/p><br><ul><br><li>Understand the value of rapid RCTs in healthcare \u2013 where, when and what innovations they are useful for\u00a0<\/li><br><li>Identify the building blocks \u2013 data, culture, and team \u2013 necessary to start running Rapid RCTs in their system<\/li><br><li>Form partnerships with other interested organisations and experts\u00a0<\/li><br><\/ul><br><p><a href=\"https:\/\/internationalforum.bmj.com\/london\/2023\/12\/08\/holly-krelle\/\"><strong>Holly Krelle<\/strong><\/a>\u00a0NYU Langone Health, USA<\/p><br><p>\u00a0<\/p><br>","protected":false},"excerpt":{"rendered":"<p>Thursday 11 April 2024 | 13:15\u201314:30Format: PresentationStream: ScienceContent filters: Co-presented with patients, service users or carersJames Hoffman St Jude Children&#8217;s Research Hospital, USA (Chair)PART 1: 3-stage national discovery phase: triangulation in a maternity\/neonatal learning cycleEstablishing deep understanding of the context, nature and scope of the problem\/s is fundamental to any improvement work.\u00a0 The national NHS [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-471","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/posts\/471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/comments?post=471"}],"version-history":[{"count":0,"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/posts\/471\/revisions"}],"wp:attachment":[{"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/media?parent=471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/categories?post=471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/london\/wp-json\/wp\/v2\/tags?post=471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}