Page 13 - Regional Services Plan 2016/19

Objective
Actions to deliver improved performance
Measure
Reporting
To reduce the number of falls
 Complete an update on falls reduction activity across the Midland DHBs
 Falls: 90 percent of older patients are given a falls risk assessment
Q2 and Q4
 Update falls pathway on Map of Medicine
 Increase consumer engagement in the falls reduction programme
 Falls: 98 percent of older patients assessed as at risk of falling receive an individualised care plan addressing the risks identified
Q4
To improve hand hygiene
 Increase publicity and awareness campaign across all DHBs
 Hand hygiene: 80 percent compliance with good hand hygiene practice
 Midland region: 82% compliance
Q1-Q4
Safe surgery
 Continue current phase 1 project and ensure that data is being collected prior to the ‘go live’ of the new QSM in July
 Safe surgery: a new marker measuring the use of the checklist as a teamwork and communication tool will be in use from 1 July 2016. This marker will be finalised by February 2016.
Q2-Q4
Surgical site infection
 Present quarterly SSI report to Midland quality meetings
 Action to be taken where results are below target
 SSI: 95 percent of hip and knee replacement patients receive cefazolin ≥ 2g or cefuroxime ≥ 1.5g as surgical prophylaxis
Q1-Q4
 Develop business case for ICNet and discuss / agree if a regional approach is appropriate
 SSI: 100 percent of hip and knee replacement patients receive prophylactic antibiotics 0-60 minutes before incision
Q2 and Q4
Medication safety
 Continue discussions on feasibility of achievement of medicines reconciliation by proposed HQSC date of 2016/17
 Define and implement a Medicine safety programme
o implement the opioid bundle
from the opioid collaborative work
 Medication Safety: implementation of the electronic medicine reconciliation platform
Q2 and Q4
To promote consumer engagement
 Develop / refine the consumer engagement framework for the region
 Performance updates published by HQSC and included in DHB local quality accounts
 Quarterly Reporting on patient experience
as set out in performance measure DV3 ‘Improving patient experience’
Q2 and Q4
REGIONAL SERVICES PLAN 2016-2019
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