QI Hub Resource Booklet

RESOURCE BOOKLET

Aim...

"Building, supporting & delivering improvement using evidence based methodologies, tools & techniques"

QI @ RCHT

Meet the Team

Royal Cornwall

Ella Stracey, Interim Chief Strategy & Performance Officer

Ian Rowland, Head of QI & PMO

Heather Walker, QI Lead

Sue Preston, QI Lead Catherine Cade, QI Lead Tim Wing, QI Manager

Sue Jenkin, QI Facilitator

Lisa Duckham, QI Manager

Sara Morgan, QI Project Support

Mandy Gorton, QI Manager Jen McFarland, QI Project Support

Kenna Duston QI Manager

Michaela Johnson QI Manager

Serena Knight, QI Lead

Nic White & Beki Shields, QI Administrators

Lisa Mewton, QI Lead

Joanne Smith, QI Manager

What is Quality Improvement?

Quality Improvement is simply about doing things better, safer, more effectively and efficiently.

By placing QI at the heart of everything we do we want to instil a culture where everyone feels empowered to influence change and deliver Brilliant care for our patients.

What does QI mean for you?

The idea of a QI hub initially came through staff feedback. We want everyone to have QI skills relevant to their role; to know how to access support and to ensure we place quality at the centre of everything we do.

QI at RCHT is embedded and supports our whole portfolio of the work we do.

So, what does this mean? Where does Quality Improvement fit?

At RCHT, we use the IHI Model for Improvement which we based our own ‘6 Steps for QI’ on...

Changes don’t have to be BIG to be QI!

What is 15s30m?

1. It encourages you to spend an extra 15 seconds on a task now

2. Which will save someone else 30 minutes (or more!) later on

3. To reduce frustration and increase joy in work for you, your colleagues and patients

15s30m at RCHT

• Fancy wearing a badge to help promote joy in work? Want a cog to award people once they've launched a 15 second mission? You can get them from the QI Hub, just drop us an email! rcht.qihub@nhs.net

• Check out our video on the RCHT YouTube channel

RCHT QI Hub Tools & Techniques

an improvement idea?

If you have an improvement idea that you’d like support with or need signposting, let us know by submitting your idea via our QIdeas© platform.

6 Steps to QI

Remember your stakeholders!

It is key to keep your stakeholders involved throughout the whole improvement cycle process and especially key when closing the improvement to make sure you share your learning and any successes - you can do this throughout the improvement or at the end.

We have lots of ways which we can help you celebrate and share your learning.

Email us: rcht.qihub@nhs,net

THINK STAKEHOLDERS! Share Together All Knowledge, Enthusiasm Honestly and, Openly, Let Developments Encourage Reactions & Successes

What is the problem or opportunity?

Think about:

• What frustrates you or colleagues?

• What causes problems during the working day?

• What effects Patient care & safety?

Top Tips:

• Think about the problem you want to solve, not symptoms or jumping to solutions

• Make sure you fully understand the problem or opportunity before continuing.

What is your aim?

•

•

•

How are you going to measure your improvement?

Change Ideas

Plan, Do, Study, Act Cycles (PDSA)

Celebrating & Sharing your learning

© 2022 QI Resource Booklet Royal Cornwall Hospitals NHS Trust

Getting in touch

Additional Resources

Quality Improvement Hub Intranet Page

If you are an internal staff member to Royal Cornwall Hospital Trust, then you will have access to our Quality Improvement page via the Staff Intranet page. Here you can find lots of resources, links and further ways to contact us along with improvement projects that have already been completed. Find: •

Resource Booklet Royal Cornwall Hospitals NHS Trust

QI Cafes

We are in the progress of re-launching our QI Cafes at Royal Cornwall Hospital Trust. The QI Cafes act like drop in sessions, (at physical locations and held virtually) where you can access advice, signposting or just talk an improvement idea through with us.

If you have ideas about how and what would be a useful part for our QI Cafes, please let us know! We want to ensure that we cater to staff needs and provide you with the best access to the QI Hub possible.

If you are interested in joining our QI Cafes, drop us an email: rcht.qihub@nhs.net or keep your eyes peeled for more information coming soon!

Key QI

Key QI is circulated on a monthly basis and is a list of links to articles that relate to:

• Quality Improvement

• Integrated Care

• Population Health & Prevention

• Patients & People

• NHS Strategy & Performance

• Workforce

• Technology & Data

• Events & Training

If you are interested in receiving the

Cornwall Health

https://cornwallhealthlibrary.nhs.uk/

Useful Information Links:

NHS England » Quality, service improvement and redesign (QSIR) tools

Website: Home - 15 Secs 30 Mins (15s30m.co.uk)

Improving Health and Health Care Worldwide | IHI - Institute for Healthcare Improvement

Article: The Neuroscience of Trust (hbr.org) Website: Liberating StructuresIntroduction

Booklet Royal Cornwall Hospitals NHS Trust

Give it a go!

15s30m

(physical or virtual activities/session)

What is 15s30m?

1. It encourages you to spend an extra 15 seconds on a task now 2. Which will save someone else 30 minutes (or more!) later on

3. To reduce frustration and increase

15s30m at RCHT

• Fancy wearing a badge to help promote joy in work? Want a cog to award people once they've launched a 15 second mission? You can get them from the QI Hub, just drop us an email! rcht.qihub@nhs.net

• Check out our video on the RCHT YouTube channel

15s30m Mission Pack

Coin Spinning

(physical or virtual activity)

Learning Objectives: At the end of this activity, you will be able to:

• Explain how to conduct small, rapid PDSA cycles.

• Discuss why theory and prediction are critical to learning when conducing a PDSA cycle.

• Collect real-time data for measurement.

Task Explanation:

• Each have one coin

• Each spin the coin at the same time and record your time

• Feedback to the group and see who has the longest time

• Longest time discuss what they did (surface, coin used etc)

• Agree as group 1 change to make to improve the length of time that you can spin the coin from (taking from learning of longest spinner)

• Repeat process etc.

IHI Quality Improvement Games: Learn How to Use PDSA Cycles by Spinning Coins

You may have thought your coin spinning days ended in school, but it turns out the activity can help you learn about theories, predictions, and PDSA cycles. In the first video in this activity, Niñon Lewis explains what participants will do in the game and what they’ll need to play. In the second part, she talks with Rebecca Steinfield, IHI Improvement Advisor, about some of the key learnings from the game. You can show these videos in a group setting to help you facilitate this activity or watch them by yourself ahead of time.

Youtube link: IHI Quality Improvement Games: Learn How to Use PDSA Cycles by Spinning Coins - YouTube

Build A House

(physical or virtual activity)

Task Explanation:

You can see the house you are building, the architect was very specific. It’s a beautiful home, with sleek black lines, grey sash windows, a blue chimney to blend in with a summers day sky. The architect designed the path with a calming curvature using the finest orange coloured brick. To ensure curb appeal she used her favourite flowers –purple pansies. No house would be complete without a yellow welcome sign. This is the house we want you to replicate.

Point of activity:

Forget the pecking order at work

Organisations are often run according to "the super chicken model," where the value is placed on star employees who outperform others. And yet, this isn't what drives the most highachieving teams. Business leader Margaret Heffernan observes that it is social cohesion — built every coffee break, every time one team member asks another for help that leads over time to great results. It's a radical rethink of what drives us to do our best work, and what it means to be a leader. Because as Heffernan points out:

Cornwall

"Companies don't have ideas. Only people do."

Ted Talk: Margaret Heffernan: Forget the pecking order at work | TED Talk

Systems Thinking: A Cautionary Tale

This whiteboard animation video about systems thinking tells a story of cats in Borneo (a.k.a. Operation Cat Drop parachuting cats) that occurred in the 1950's. It is a reminder that when solutions are implemented without a systems perspective they often create new problems.

We live in complex systems. Systems thinking is important to take into account in our sustainable development to make sure that we take all systems into account before acting and trying to solve our sustainability problems. As a result of not using systems thinking in this story, the World Health Organization decided to parachute live cats into Borneo. “Operation Cat Drop” occurred courtesy of the Royal Air Force and eventually stabilized the situation.

Youtube video: Systems thinking: a cautionary tale (cats in Borneo) - YouTube

Lean Minute: How to Start a Visual Management Board

We know visual management boards are an important part of a Lean Management System, but how do you start. This Lean Minute video provides some practical tips on how to get your visual management board started in a way that engages your people.

Youtube link: TXM Lean Minute - How to Start a Visual Management Board - YouTube

Thank You!

We want to say thank you for all your hard work—we know how much you are all trying to make improvements to encourage better patient care, safety and experiences along with colleagues wellbeing and working environments!