1. Mega trends in healthcare quality
Dr Charles Shaw

2. Quality trends in healthcare
• Quality assurance
• Evidence-based medicine
• Rights of patients
• Patient safety
• Performance management
• Universal health coverage

3. Cycle of improvement
Standards Measurement
Improvement
Shaw CD. Aspects of audit 4: Acceptability of audit Br Med J 14 June 1980

4. Direction MoH
Professions Consumers Management
Integrating quality systems
Financing
TrainingAccreditation
Data feedback

5. Technical, or behavioural solutions?
Research
Technology assessment
Clinical guidelines
Care pathways
Indicators
Governance
Leadership
Incentives
Organisation
Systems
Teamwork
Feedback
Training
Evaluation
St John, Newfoundland
-est 300,000,000 tons