Not to be reproduced - AGPAL & QIP. SAVOY 1 11:35am 12:30pm

Transcription

1 001 Mving h RCG Sanas 5 h Eiin Hw nsu yu pacic ms lss pscipiv sanas SVOY 1 11:35am 12:30pm sking pacics h igh qusins nsu ffciv assssmn agains h lss pscipiv inicas in h RCG Sanas 5h iin sn by: D Jan Fya an Gay Smih N b puc - GL & QI D Jan Fya an Gay Smih

2 002 Ovviw f Sssin T pvi xampls f hw ass h lss pscipiv inicas in h 5h iin Sanas. L G c u p 1: C mul (C) b Mul 11 nw Inicas N C1. Cmmunicain an pain paicipain 3 nw C2. Righs an ns f pains 1 nw C3. acic gvnanc an managmn 3 nw C4. Halh pmin an pvniv aciviis 1 nw C5. Clinical managmn f halh issus 1 nw C6. Infmain managmn 2 nw C7. Cnn f pain halh cs C8. Eucain an aining f nn clinical saff I Q &

3 003 Mul 2: Qualiy Impvmn (QI) 2 nw Inicas QI 1. Qualiy impvmn 1 nw QI 2. Clinical Inicas QI 3. Clinical isk managmn 1 nw Mul 3: Gnal acic (G) 7 nw Inicas N b puc - GL & QI G 1. ccss ca G 2. Cmphnsiv ca 2 nw G 3. Qualificains f u clinical am 2 nw G 4. Rucing h isk f infcin 1 nw G 5. Th mical pacic 1 nw G 6. Vaccin pncy 1 nw

4 004 Manay an aspiainal Inicas Inicas mak wih a manay. Ths Inicas mus b achiv m acciain quimns. N symbl nx an Inica mans h Inica is aspiainal. acics a ncuag m h aspiainal Inicas, hwv his is n ssnial m h quimns f acciain. Blu an black fn Tx highligh blu mnsas vinc which mus b pvi m h Inica an uss h minlgy mus. Tx in black is a lis f suggs pins f hw m h Inica an uss h minlgy cul. This lis is n xhausiv an pacics a ncuag vlp mhs ha bs sui h ns f hi pacic. RCG has claifi ha in h Ming his Ciin scin, h ws ns an muss a us inchangably an man h sam. N b puc - GL & QI

5 005 Exampl f blu an black x Hw pacics gaug if an Inica is m N b puc - GL & QI ll muss b achiv manay Sm culs b achiv. Inica is m whn h Suvy blivs ha h pacic has m h inn f h Inica. Wha s his man f pacics? acics mus unsan h inn f h Inicas an n simply vlp vinc lis un mus. Hw many culs? I is as h iscin f h Suvy as whh hy bliv ha h pacic has m h inn f h Inica.

6 006 scipiv vinc s in h 4h iin Sanas, h a sill sm high isk aas ha a pscipiv as hw h pacic mus m h Inica. scipiv vinc mus b pvi h Suvy m h quimns f h Inica. Th Sanas sa wha is pscipiv, as will cciain. Exampl f pscipiv Inica N b puc - GL & QI

7 007 Nw pcsss un h RCG Sanas 5h iin Explanay ns 1. Inica N b puc - GL & QI Inica b m by pacic 2. Why his is impan Explains hw h Ciin links qualiy an safy 3. Ming his Ciin Explains h Ciin an givs cnx h Inicas 4. Dmnsaing hw yu m his Ciin Inclus pacical ways ha h pacic can m h Inicas

8 008 5h iin RCG wing Why his is impan This scin xplains why h Inicas a impan fm a qualiy an safy pspciv Ming his Ciin This scin ss u ways ha yu pacic can chs mnsa ha yu m his Ciin an/ is Inicas. In h xplanay ns, h ws cul an mus a us as fllws: Cul is us inica ha smhing is pinal. Mus is us inica ha smhing is manay. Ming ach Inica This scin cnains a lis f any manay aciviis yu pacic mus m h Inica, an/ pinal ways yu pacic can chs m h Inica. GL cmmns Ths xplanay ns als cnain Yu mus f h ciin an als us h wing mus hughu h xplanay ns. Th a 161 yu mus manay aciviis. Many f hm, if n aln n m h quimns f h inica. Th a 356 yu cul aciviis. L Wha s his man f pacics? G c u p f Inicas b Inpain N cciain is h ky inpain f h Inicas an shul b us as a l gui pacics hugh a slf assssmn. Th xampls lis in Ming ach Inica is nly pa f h cnsiain. Having pcsss/cumns aligning nly h ims lis as yu mus in h xampls lis, will n cnfim cmplianc. Wha s his man f pacics? Jus ming h mus quimns s n inf cmplianc. acics shul unsan h inn f ach Inica an a h Ciin in full. I Q &

9 009 Inping h inn If saff a h pacic unsan h inn f an Inica an hf why hy a implmning pcsss: hy a m likly b ngag in applying h pcsss. hy can chs hw hy lik ass h quimns f h Inica in way ha aligns wih hi pacic s wn pcsss. pcsss a m maningful an lvan h pacic. C Mul N b puc - GL & QI

10 010 C mul: nw Inicas C1. Cmmunicain an pain paicipain C.1.4C Ou pains can accss sucs ha a culually apppia, ansla an/ in plain English. C2. Righs an ns f pains C2.1 E Ou clinical am cnsis hical ilmmas. C3. acic gvnanc an managmn C3.1 Ou pacic plans an ss gals aim a impving u svics. C3.1B Ou pacic valuas is pgss was achiving is gals. C3.1 C Ou pacic has a businss isk managmn sysm ha inifis, mnis an miigas isk in h pacic. C6. Infmain managmn C6.4 F Ou pacic has a plicy abu h us f mail. C6.4 G Ou pacic has a plicy abu h us f scial mia. C.1.4C Ou pains can accss sucs ha a culually apppia, ansla an/ in plain English. N b puc - GL & QI Inn f h Inica? Suggsins f vinc? Wha shul b inclu in h vinc m h inn f h Inica?

11 011 C1.4 C Inn vi imly an accua cmmunicains ha a pain cn. aciins hav a pfssinal bligain cmmunica ffcivly an unsan hi pains halh cncns. ains hav a igh unsan h infmain an cmmnains pvi by hi paciins. C1.4 C Yu cul N b puc - GL & QI Mainain a lis f wbsis svics wh pains can accss ansla sucs. Kp infmain shs in h cmmn languags f h pain ppulain in h cnsulain spacs. Infmain shs in cnsulain spacs/ h Kp infmain shs in h cmmn languags f h pain ppulain in h cnsulain spacs.

12 012 C3.1 Yu mus lan an s businss gals. Yu cul Wi a samn f h pacic s hics an valus. Mainain a businss sagy. Mainain an acin plan. L Businss gals: lan an s businss gals Managmn inviw: Ds h pacic plan an s businss gals? Wh is invlv in h pcss? Is i cumn? Hw fn a h gals viw? G c u p C3.1B Ou pacic valuas is pgss b was achiving is gals. N Inn f h Inica? Suggsins f vinc? Wha shul b inclu in h vinc m h inn f h Inica? I Q &

13 013 C3.1 B Inn Mainaining an impving h qualiy f ca pvi pains. acic am wk gh was a cmmn gal. Managmn Evalua pgss. Inviw Businss pain sysms pm cnsisncy, cninuus D yu valua qualiy impvmn an qualiy assuanc. h pgss was achiving Yu mus yu businss gals? N Yu cul Mainain pgss ps agains h businss sagy acin plan. Ca a sagy f cninuus qualiy impvmn. Implmn qualiy impvmn iniiaivs. Cmmunicain via mail I is n manay implmn cmmunicain via mail. N b puc - GL & QI If a pacic chss n us mail scial mia, hy sill qui a plicy, which wul sa ha hy n us mail/ scial mia. If mail cmmunicain is implmn, a plicy is qui mnsa cnsn fm pain f cmmunicain via mail. Evinc is qui ha h assign mail ass is cc.

14 014 Qualiy Impvmn Mul Qualiy impvmn mul: nw Inicas N b puc - GL & QI QI 3. Clinical isk managmn QI 3.2 Ou pacic fllws an pn isclsu pcss ha is bas n h usalian Opn Disclsu Famwk. This is a fcus cncp in ay s aining.

15 015 Qualiy impvmn mul: nw Inica, sam cncp QI 1.1 C Ou pacic sks fback fm h am abu u qualiy impvmn sysms an h pfmanc f hs sysms. This cncp is n nw h Sanas as i was inclu in h xplanay ns f h 4h iin; hwv, h w n Inicas spcific his quimn. Rf Ciin (4h iin). L G c u p b N QI 1.1 C Ou pacic sks fback fm h am abu u qualiy impvmn sysms an h pfmanc f hs sysms. Inn f h Inica? Wha h vinc cul m h quimns f his Inica? I Q &

16 016 QI 1.1 C Inn Making qualiy impvmns h pacic s sucus, sysms an clinical ca, bas n h pacic s infmain an aa, las impvmns in pain safy an ca. Ensuing ha pacic saff a ngag wih h pacic s safy an qualiy sysms hlps h pacic implmn is qualiy impvmn aciviis. Yu mus Kp a c f fback fm h pacic am abu qualiy impvmn sysms. Yu cul Hav nic bas suggsin bxs h am can us cnibu hi ias. Ca sh suvys f h am cmpl ha a incpa in a qualiy impvmn plan. Qualiy impvmn aciviis Qualiy impvmn aciviis may la changs h ay ay pains f h pacic, spcifically sign impv clinical ca. Impvmns may b in spns : fback fm pains. fback fm saff. an aui f clinical aabass. an analysis f na misss an s. Fback n QI sysms/ h Kp a c f fback fm h pacic am abu qualiy impvmn sysms. Managmn Inviw Hw yu sk fback fm h pacic am gaing qualiy impvmn sysms? N b puc - GL & QI acics may a qualiy impvmn aciviis as a saning agna im b iscuss a am mings.

17 017 QI 3.2 Ou pacic fllws an pn isclsu pcss ha is bas n h usalian Opn Disclsu Famwk. Inn f h Inica? Wha vinc cul m h quimns f his Inica? QI 3.2 Inn Cmmunicaing pnly an hnsly is impan f h pain : Mv n Dvlp b lainships wih clinicians B m invlv in hi wn ca Yu mus N N b puc - GL & QI

18 018 QI 3.2 aciin Inviw Ds h pacic fllw an pn isclsu pcss? RCG yu cul guilins Mainain an pn isclsu pcss an ncuag all mmbs f h pacic am fllw h pcss Dvlp an implmn plicis an guilins ha align wih h usalian Opn Disclsu Famwk Kp a c f any iscussins an aplgis Implmn qualiy impvmn iniiaivs (.g. vlp a bchu giv pains m infmain n a paicula issus) Rc any incins in h pain s c Eucain paciins abu h usalian Opn Disclsu Famwk f small pacics s ha hy unsan whn hy migh n unak pn isclsu Discuss pn isclsu a am mings Discuss pn isclsu uing inucin. Opn isclsu finiin Opn isclsu is an pn iscussin wih a pain abu an incin(s) ha sul in ham ha pain whil hy w civing halhca. N b puc - GL & QI Elmns f pn isclsu a: 1. n aplgy xpssin f g, which shul inclu h ws I am sy w a sy 2. facual xplanain f wha happn 3. n ppuniy f h pain, hi family an cas la hi xpinc 4. iscussin f h pnial cnsquncs f h avs vn 5. n xplanain f h sps bing akn manag h avs vn an pvn cunc.

19 019 Opn Disclsu civiy Exampl 1. Opn isclsu xpinc gis nus misaknly gav insulin an lly pain wh i n hav iabs. Th nus immialy cgnis his an bugh i h anin f h pain an f h saff. Th nus aplgis h pain f h. Th pacic k immia acin an aang h pain s hspial ansf. Th pain was ami an bsv, bf uning an ag ca faciliy. 2. Oucm Th Dpamn f Halh f h cmplain cncning h h Cmmissin. In is invsigain, h Cmmissin fun ha h nus fully an immialy ami h incc aminisain f h insulin. Fllwing his ciical vn, h nus ha unakn fuh aining in micains an ha akn a ang f h masus minimis h pssibiliy f a simila cuing. Th Cmmissin als n ha h ag ca faciliy, af xamining h incin, inifi an implmn sysms impvmns. In viw f his, h Cmmissin mina h invsigain an k n fuh acin. 3. Evinc Rc ha h incin was iscuss wih h pain Discuss h incin a h am ming an minu h iscussin G 2.2 E High isk (siusly abnmal an lif haning) suls inifi usi nmal pning hus a manag by u pacic N b puc - GL & QI Wha is h inn? Wha vinc is qui?

20 020 G 2.2 E Inn Tss suls can affc h chics ha a pain, h G, an h clinicians mak abu h pain s ca. Clinically significan suls n b cmmunica quickly an apppialy, s ha apppia acin can b akn, which can uc h liklih f an avs pain ucm. I is bs pacic infm pains f clinically significan suls fac fac, s ha h pain can ask qusins an civ avic fm h G. Failu call a pain may sul in an avs pain halh ucm, an h spnsibl paciin may fac mic lgal acin. G 2.2 E Yu mus N b puc - GL & QI Giv iagnsic svics h cnac ails f h paciin wh h invsigain. Hav a pcss f managing high isk suls inifi usi f nmal pning hus. Yu cul Euca pacic am mmbs abu hw anyn wh pvis iagnsic svics civs high isk suls usi f nmal pning hus can cnac h pacic am mmb/s wh hav accss pain s halh c. vi cun cnac ails iagnsic svics. vi h cnac ails f h pacic am mmbs wh can b cnac usi f nmal pning hus whn a iagnsic svic civs high isk pain suls usi f nmal pning hus.

21 021 G 2.2 E aciin Inviw Wha is yu pcss f managing high isk suls ha hav bn inifi usi f nmal pning hus? L Ds h iagnsic svic hav h abiliy cnac yu usi f nmal pning hus? G c u p b N G 3.1 C Ou clinical am is ain us h pacic s quipmn ha hy n pply pfm hi l. Wha is h inn? Wha vinc is qui? I Q &

22 022 G 3.1 C Inn T nsu ha all clinical saff a suiably qualifi an ain, which ucs h isk f s an nsus ha h pacic pvis saf, high qualiy ca. G 3.1 C Yu mus B abl mnsa ha h pacic am has bn pvi wih aining n h saf us f quipmn. Yu cul Kp aining lgs ha c aining ha paciins hav cmpl, paiculaly in h us f spcialis mgncy quipmn. Kp a aining an vlpmn calna, shwing whn fsh aining ns b cmpl. Cnuc annual pfmanc viws ha inify laning an vlpmn gals. S cumns ha c aining ns an cmpl aining f ach mmb f h pacic am. Euca clinical am mmbs s hy knw hw us h pacic quipmn lvan hi l. N b puc - GL & QI

23 023 G 3.1 C aciin an Clinical Inviw Wha aining in lain h saf us f pacic quipmn hav yu unakn? Saf us f quipmn aining cs/ h B abl mnsa ha h pacic am has bn pvi wih aining n h saf us f quipmn. L G c u p acic quipmn aining b N Tips fm GL Suvys: Taining in quipmn is qui if i is lvan h am mmb s l Evinc f aining cul b inclu in inucin f nw saff acics shul cumn vinc f aining.g. a aining lg f ach pic f quipmn in h pacic. Risks asscia wih quipmn us shul b c. Suvys may viw h us f na misss an avs vns fm n if any issus wih quipmn hav bn c. I Q &

24 024 G 3.1 D Ou clinical am is awa f h pnial isks asscia wih h quipmn hy us. Wha is h inn? Wha vinc is qui? L G c u p D b G 3.1 N Inn T nsu ha all clinical saff a suiably qualifi an ain, which ucs h isk f s an nsus ha h pacic pvis saf, high qualiy ca. Yu mus B abl mnsa ha h clinical am has bn uca n h saf us f quipmn. Yu cul Kp a gis f issus, na misss, avs vns la h us f quipmn. aciin an Clinical Inviw Wha pnial isks a asscia wih h quipmn yu us? I Q &

25 025 G 4.1F Ou pacic cs h silisain la numb fm h sil bai sysm in h pain s halh c whn sil ims hav bn us, an cs h pain s nam agains hs la numbs in a silisain lg lis. Wha is h inn? Wha vinc is qui? G 4.1 F Inn I is impan kp pains an saff saf fm infcin. Infcin pvnin an cnl ucs h isk f infcin avlling fm pain pain, pain pacic saff. Silisain acking cs/ h N b puc - GL & QI Tacing pains an acking mical vics may b usful if h is a failu in pcssing pcssing if h is a mic lgal issu laing infcin cnl. Yu mus N Yu cul Shw vinc ha silisain la numbs a c in h pain s halh c whn sil ims hav bn us. Hav a lg lis ha cs h pain s nam agains silisain la numbs.

26 026 G6.1 D Ou pacic has a win, pacic spcific plicy ha ulins u cl chain pcsss. Wha is h inn? Wha vinc is qui? L G c u p D b G6.1 N Cl Chain Managmn Inviw Inn Th succss f a vaccinain pgam pns n h pncy f vaccins whn hy a aminis pains. If vaccins a n ansp an s wihin h saf mpau ang, hy bcm inffciv. Hw yu nsu yu cl chain managmn plicy an pcus a align cun an bs pacic? Cl chain plicy (qui) Mainain a cl chain managmn plicy an pcu. Yu mus Mainain a cl chain managmn plicy an pcu. Yu cul Rviw h cl chain managmn plicy nc a ya. Discuss h cl chain managmn plicy in am mings. I Q &

27 027 Qusins? N b puc - GL & QI