Domain 7: improvement, innovation and transformation

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Standard 7.1: The service develops a quality improvement (QI) plan based on clinical quality metrics and patient/carer feedback.


Evidence Requirements

  • Completed QI plans and timelines.
  • Named lead(s) for QI.
  • Examples of evidence-based QI methodology being used.
  • Evidence of engaging staff and patients/ carers in developing the QI plan.
  • Evidence of dissemination of key areas of the QI plan to staff members, patients/ carers and stakeholders as appropriate.

Guidance

  • The QI plan should include:
    • all potential areas for improvement based on staff feedback, patient/carer feedback, stakeholder feedback and organisational needs
    • measurable objectives and timescales for improvement initiatives
    • metrics for clinical effectiveness
    • information on how the QI plan is reviewed, monitored, reported and evaluated
    • allocation of time, resources and staff members training to achieve the above.
  • Where clinical metrics and/or patient/carer data demonstrates positive results, the QI plan should focus on ways to maintain the results and continue to improve.

Standard 7.2: The service provides staff members with the support, training and protected time to undertake improvement initiatives.


Evidence Requirements

  • Study leave policy (can be trust/ organisational policy).
  • Clinical supervision policy (can be trust/ organisational policy).
  • Evidence of staff training in QI.
  • Evidence of dedicated time allocated to staff to conduct appropriate QI work.
  • Staff feedback about their experience in implementing improvements.
  • Examples of QI projects by the team.

Standard 6.3: The service has an appraisal process for staff members.


Evidence Requirements

  • Evidence of adoption of innovation (service innovations or ways of working) to improve the service.

Guidance

  • Innovation could include:
    • research to develop new ways of working
    • recommendations by national or regional bodies
    • the adoption of technology, facilities and equipment to improve quality/value.

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