Marie Kehoe O'Sullivan, HIQA, looks at Standards to Improve the Quality of Care to patients in Ireland. This presentation was made at the Socrates National Conference, The Convention Centre, Dublin

1. Standards to Improve the Quality of
Care
Socrates Conference
June 8, 2013
Marie Kehoe O’Sullivan
Director of Safety and Quality Improvement

2. Directorates in HIQA
Safety and Quality Improvement
Regulation
Health Information
Health Technology Assessment

3. Functions
Setting Standards in health and social care
Promoting capacity and capability
Driving patient safety initiatives
Supporting a culture of patient safety
Sharing the learning from the Authority
Developing Guidance to Standards

4. Focus of today’s presentation
Promoting capacity and capability – through
intensive training programme on Quality
Improvement Science
Driving patient safety initiatives – action learning
component of education – focus for 2013
Medication Reconciliation
Development of Standards and Guidance

5. COMMUNICATIONS
LEADERSHIP
MULTI-DISCIPLINARY TEAM WORKING
BEHAVIOURS
CULTUR
E
RELATIONSHIPS

6. Role of Standards
It is a key driver in quality and safety
Acts as an impetus to recognise good practice and
address poor performance
Do NOT improve quality in and of themselves
Responsive Regulation
Ensures that only fit providers/professionals are
providing services, care and support
Should be fair, proportionate, risk-based and objective

7. Regulatory Pyramid

8. Responsive Regulation

9. THE GOAL OF THE
PROGRAMME
High Reliability Healthcare

10. Systems and processes are only
as good as the people who work
within them

11. Safety
Quality
Reliability
Culture of Learning
Informed

12. National Standards for Better Safer
Healthcare
Quality Dimensions:
• Person-Centred Care and Support
• Effective Care and Support
• Safe Care and Support
• Better Health and Well-being

13. National Standards for Better Safer
Healthcare
Delivering the Quality Dimensions –
delivering improvements within the dimensions
depends on capability and capacity in four
key areas:
• Leadership, Governance and Management
• Workforce
• Use of Resources
• Use of Information

14. National
Standards
for Safer
Better
Healthcare
:
Themes

15. Working
Together

16. Opportunities for Working Together – The How
Regular engagement and information sharing
Involvement and consultation on the development of
new activities
Informing required guidance
Open door for discussions on improving quality and
safety
Provide education, awareness and training on QI
methodologies
Promote national QI initiatives

17. Opportunities for Working Together – The
Who
Clinical Engagement as a priority
Link with all professional colleges
Link with unions
Meetings with CMO, CNO, Pharmacist, Ambulance
and allied health professionals
Ongoing relationship with frontline staff and middle
management on Patient Safety and Quality initiatives

18. “Quality is never an accident. It is always the
result of high intention, sincere effort, intelligent
direction and skilful execution. It represents the
wise choice of many alternatives. . .
Quality also marks the search for an ideal after
necessity has been satisfied and mere
usefulness achieved.”
William A. Foster, 1917-1945