Kquip networks event 27.6.16
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The Kidney Quality Improvement Partnership (KQUIP) is a collaborative effort involving kidney health professionals, patients, and caregivers focused on enhancing the quality of care for individuals with kidney disease. Its goals include supporting quality improvement projects, sharing best practices, improving patient engagement, and addressing variations in care. KQUIP aims to foster a culture of quality improvement through education, project management, and resource sharing within renal networks.
Kquip networks event 27.6.16
- 1. 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 1 Kidney Quality Improvement Partnership (KQuIP): Launch A dynamic & inclusive and professionally- led partnership supporting improved quality of care for patients with kidney disease Graham Lipkin & Louise Wells, Co-chairs of KQuIP
- 2. K- QuIP Registry Health Foundation KRUK Industry? Patients BKPA/NKF NHS England RA/BRS BTS/BAPN 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 2 Kidney Quality Improvement Partnership (KQuIP) KQuIP is a dynamic network of kidney health professionals, patients and carers …committed to developing, supporting and sharing quality improvement in kidney services in order to enhance outcomes and quality of life for patients with kidney disease.
- 3. Key Ambitions 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 3 Identify the need for and offer support and advice for QI projects Support a QI learning structure through increasing education and sharing good practice and innovation Identify renal QI champions Measure clinical outcomes and use data to identify and respond to unwarranted variation in patient care.
- 4. KQuIP - Driving Renal Quality Improvement 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 4 Nationally at strategic level through advice to Clinical Reference Group. Develop 2 key projects Regionally by supporting existing Renal Clinical Networks and by delivering an annual KQuIP quality improvement/ Registry day. Locally at renal unit level supporting the sharing of good practice, supporting a renal unit peer-assist programme and supporting local quality improvement projects.
- 5. Work so far: Programme Board & Operational Group (KOG) 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 5 Co-Chaired: RA & BRS Programme Board & KOG 6 Active work Streams Building faculty - Q Fellows Seed funding Project management (Registry) Website (Think Kidneys/KQuIP) Operational guide/Governance RIGB Leadership Development: Richard Fluck Supporting Networks: John Stoves Measurement: Katie Fielding Education: Dal Hothi Projects: Hugh Gallagher Communications: Paul Bristow
- 6. Design Event: Coming together to mould KQuIP
- 7. Barriers to Improvement in Renal Community • Perceived lack of time • Limited sharing of good practice • Limited QI resources • Limited training in leadership and QI methodology • Culture of our health system which provides too little support for improving quality. • Constant change 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 7
- 8. Priorities for Quality Improvement • Improved access to home dialysis therapies • Access to kidney transplantation • Acute kidney injury (prevention, early diagnosis & management) • Improving AV fistula access rates • Paediatric to adult transition • Optimising patient engagement, shared and self care • Improving patient safety 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 8 K- QuIP Registry Health Foundati on KRUK Patients BKPA/N KF NHS England RA/BRS BTS/BAP N
- 9. What is needed to enable quality Improvement • Supportive structure for clinicians in combination with patients focused around existing regional delivery structures • Developing ‘basket’ of QI projects • Peer support between units & networks-sharing • Effective educational and leadership resources • Culture change and ongoing commitment • Research in improving quality 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 9
- 10. Variation: Pre-emptive Transplantation & Home Dialysis Rates 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 10 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 0 10 20 30 40 50 60 70 80 90 100 %Hometherapy % urbanisation
- 11. What can KQuIP add in addressing these? 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 11 Cohesive inclusive QI support Project management support Support Renal Networks: advice & education Repository of projects, QI resources, methodology & education QI Education & leadership support (webinar-video, Courses) Professional society support to Renal Units Registry: metrics/expertise/analysis KQuIP: dedicated QI sessions at the UK Renal week Sustainability & stability
- 12. What can KQuIP Support? National CRG •Support QI Priorities •Mandate •KQuIP credibility Regional Networks •Annual KQuIP/Registry day •Projects/metrics/Peer assist •QI Resources •Support trainees Renal Units •Professional Society support •Peer assist •National Meetings •Projects •QI resources 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 12
- 13. Background 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 13 UK Kidney Community is proud of innovation, high quality measurement & working together with patients
- 14. Clinical Practice Guidance: Guidance for UK Practice 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 14 Current Consultation • Protein Energy Wasting in Chronic Kidney Disease Clinical Practice Guideline • Peritoneal Dialysis Clinical Practice Guideline • Clinical Practice Guidelines Post-operative care in the Kidney Transplant Recipient
- 15. Notable Quality Improvements 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 15 • Dialysis catheter-associated MRSA bacteraemia • Improved AV Fistula access rates …..successful ongoing QI Projects
- 16. Guidance on Quality Improvement 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 16
- 17. Deck Chairs on Titanic 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 17
- 18. K- QuIP Registry Health Foundation KRUK Industry? Patients BKPA/NKF NHS England RA/BRS BTS/BAPN 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 18 Kidney Quality Improvement Partnership (KQuIP) KQuIP is a dynamic network of kidney health professionals, patients and carers …committed to developing, supporting and sharing quality improvement in kidney services in order to enhance outcomes and quality of life for patients with kidney disease.
- 19. Key Ambitions 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 19 Identify the need for and offer support and advice for QI projects Support a QI learning structure through increasing education and sharing good practice and innovation Identify renal QI champions Measure clinical outcomes and use data to identify and respond to unwarranted variation in patient care.
- 20. KQuIP - Driving Renal Quality Improvement 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 20 Nationally at strategic level through advice to Clinical Reference Group. Develop 2 key projects Regionally by supporting existing Renal Clinical Networks and by delivering an annual KQuIP quality improvement/ Registry day. Locally at renal unit level supporting the sharing of good practice, supporting a renal unit peer-assist programme and supporting local quality improvement projects.
- 21. Work so far: Programme Board & Operational Group (KOG) 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 21 Co-Chaired: RA & BRS Programme Board & KOG 6 Active work Streams Building faculty - Q Fellows Seed funding Project management (Registry) Website (Think Kidneys/KQuIP) Operational guide/Governance RIGB Leadership Development: Richard Fluck Supporting Networks: John Stoves Measurement: Katie Fielding Education: Dal Hothi Projects: Hugh Gallagher Communications: Paul Bristow
- 22. Design Event: Coming together to mould KQuIP
- 23. Barriers to Improvement in Renal Community • Perceived lack of time • Limited sharing of good practice • Limited QI resources • Limited training in leadership and QI methodology • Culture of our health system which provides too little support for improving quality. • Constant change 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 23
- 24. Priorities for Quality Improvement • Improved access to home dialysis therapies • Access to kidney transplantation • Acute kidney injury (prevention, early diagnosis & management) • Improving AV fistula access rates • Paediatric to adult transition • Optimising patient engagement, shared and self care • Improving patient safety 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 24 K- QuIP Registry Health Foundati on KRUK Patients BKPA/N KF NHS England RA/BRS BTS/BAP N
- 25. What is needed to enable quality Improvement • Supportive structure for clinicians in combination with patients focused around existing regional delivery structures • Developing ‘basket’ of QI projects • Peer support between units & networks-sharing • Effective educational and leadership resources • Culture change and ongoing commitment • Research in improving quality 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 25
- 26. What can KQuIP add in addressing these? 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 26 Cohesive inclusive QI support Project management support Support Renal Networks: advice & education Repository of projects, QI resources, methodology & education QI Education & leadership support (webinar-video, Courses) Professional society support to Renal Units Registry: metrics/expertise/analysis KQuIP: dedicated QI sessions at the UK Renal week Sustainability & stability
- 27. Six active Work Streams: defined scopes and offers 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 27 Leadership Development: Richard Fluck Supporting Networks: John Stoves Measurement: Katie Fielding Education: Dal Hothi Projects: Hugh Gallagher Communications: Paul Bristow
- 28. Focus on Regional Renal Networks 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 28 Networks have a key role in Quality Improvement Enabling Project Management support-now pressing Annual Regional KQuIP meetings: Registry/QI-development. Sharing-Peer Support & assist (Unit & Network) Central repository & Education platform resource: Basket of projects relevant to Region Methodology education & clinical leadership support for clinicians (MPT partnership). Invest for future: Embed QI in registrar & MPT training: Regional QI projects & Curriculum of registrars
- 29. KQuIP Next Steps Formalise links to new CRG Support 6 Work streams to deliver Develop next 2 national projects Support Regional Renal Networks: 27th June meeting KQuIP/Registry QI day for Regional Networks Develop web repository & knowledge management platform Development of ‘Peer Assist’ model Embed QI methodology & leadership in curriculum 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 29
- 30. Key Message for KQuIP: Berwick Report Place the quality and safety of patient care above all other aims for the NHS. (This…is your safest and best route to lower cost.) 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 30
- 31. Join KQuIP- It can help you & your patients 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 31 https://thinkkidneys.nhs.uk/kquip/
- 32. KQuIP Ambitions - Renal Units 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 32 Be credible – professional advisory group: medical and MPT. Build a Repository: ….Projects/methodology, leadership training, project resources Coordinate Peer Assist & Support, Support of Regional networks to deliver QI projects. KQuIP: supports & encourages additional local QI projects K- QuIP Registry Health Foundati on KRUK Patients BKPA/N KF NHS England RA/BRS BTS/BAP N
- 33. Training in Leadership & QI Methods 08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 33