51

Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

  • Upload
    lyduong

  • View
    214

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 2: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Module 1.3 Continuous improvement - Facilitator guide

Copyright

Australian Aged Care Quality Agency (Quality Agency) encourages the dissemination and exchange of information. All material presented within this handbook and on our website is provided under a Creative Commons Attribution 4.0 Australia, with the exception of:

The Quality Agency’s logo, and content supplied by third parties.

The details of the relevant licence conditions are available on the Creative Commons website, as the full legal code for the CC BY 4.0 AU license.

Attribution

Material obtained from this guide is to be attributed to the Quality Agency as:© Australian Aged Care Quality Agency 2017.

Third party copyright

Wherever a third party holds copyright in material presented in this guide, the copyright remains with that party. Their permission may be required to use the material.

HDB-EDU-0134 v15.0

Qassist Module 1.3 – Continuous improvement2

Page 3: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Contents

What is Qassist?......................................................................................................................4

Accessing Qassist learning modules and fact sheets..............................................................4

Foundation modules.................................................................................................................4

Case management modules....................................................................................................4

Foundation modules.................................................................................................................5

Case management education programs..................................................................................5

Qassist fact sheets...................................................................................................................6

Consumer guides.....................................................................................................................6

Using the Qassist learning modules and fact sheets in the workplace...................................7

How to use the facilitator’s guide.............................................................................................8

Module 1.3 – Facilitation information.......................................................................................9

Facilitator’s resources and references.....................................................................................9

Session plan...........................................................................................................................11

Attachments:

Activity 1 – Continuous improvement cycles

Activity 3 – Developing a Plan for Continuous improvement

Qassist Module 1.3 – Continuous improvement3

Page 4: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

What is Qassist?

Qassist is our regulatory compliance assistance education program. This program and related learning modules are designed to support the aged care sector to improve compliance and consumer outcomes.

Accessing Qassist learning modules and fact sheets

The learning modules and fact sheets fall into two broad categories that inform our compliance assistance program and resources – Foundation modules and Case management modules.

Foundation modules

These modules are designed to provide the sector with an understanding of the regulatory system and its requirements.

These modules provide the foundation for getting to know the Quality Agency, the aged care standards, continuous improvement, risk in aged care, consumer dignity, choice and feedback. They are targeted at everyone in the sector. While these foundation modules have been designed for compliance assistance purposes as part of our case management responses, they can be used by providers as part of their internal staff training and resource provision as required.

The foundation learning modules include a facilitator guide, presentation resources and associated fact sheets. All of these modules are available for download on our website www.aacqa.gov.au .

Case management modules

These modules are focused on supporting services to address non-compliance and are specifically designed to support our regulatory case management and monitoring activity.

These modules are only available as Quality Agency facilitated programs through our compliance assistance education program. To apply for compliance assistance education support you can submit an expression of interest (EOI) on our website. Please note compliance assistance education is provided subject to eligibility criteria. For further details on compliance assistance education go to http://www.aacqa.gov.au/providers/education/compliance-assistance

The case management fact sheets for each module are available for download on our website. www.aacqa.gov.au

Qassist Module 1.3 – Continuous improvement4

Page 5: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Foundation modules

UNDERSTANDING THE REGULATORY SYSTEM AND ITS REQUIREMENTS

Module 1.1 - Aged Care and Quality Agency overview

Provides the opportunity to explore the big picture and the changing environment of aged care where consumer choice and control is the focus. The module also includes the Quality Agency’s regulatory functions and how quality assessment is undertaken.

Module 1.2 - Getting to know the Standards

Provides an overview of the meaning and intent of the aged care Standards, together with an introduction on demonstrating performance and continuous improvement against the Standards.

Module 1.3 - Continuous improvement

Addresses the importance of continuous improvement being undertaken in collaboration with consumers and staff especially in the areas of demonstrating outcomes for consumers, staff and the service.

Module 1.4 - Understanding risk

Addresses risk management in an aged care context and how to approach managing risk while supporting consumer choice.

Module 1.5 – Consumer dignity and choice

Addresses consumers’ right to privacy, dignity and choice in aged care and provides an overview of the legislation and principles that provide the sector with guidance on consumer dignity and choice.

Module 1.6 – Using consumer feedback

Provides practical strategies to facilitate consumer and representative feedback and how it can be used to support service development, delivery and improvement.

Case management education programs

1. DEMONSTRATING PERFORMANCE AGAINST THE STANDARDS

Modules 2.1 – 2.3. Supporting services with compliance issues. Includes undertaking self-assessment and responding to non-compliance. For example, services that may be experiencing compliance issues or new market entrants. These modules are targeted at management with responsibility for addressing and maintaining compliance and are only available through our case management processes.

2. ADDRESSING CONSUMER FOCUS, AREAS OF PREVALENT RISK AND NEW PROGRAMS

Modules 3.1 – 3.3 Improving the sector and consumer focus. Includes ongoing assessment and planning and a person centered approach to risk. These

Qassist Module 1.3 – Continuous improvement5

Page 6: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

modules are targeted at both frontline staff and management and are currently only available through our case management processes.

Qassist fact sheets

Module fact sheets are available to support on the job or workplace based learning for staff.

The fact sheets contain a summary of the key information related to the module topic on the front page and suggested learning activities and questions to support personal exploration of the topic or group discussion on the back page. You can use this in a variety of ways and we encourage you to be creative. Use the factsheets to brainstorm with as many people as you can whether it is through a staff meeting, toolbox talks or in training sessions. More tips on using the resources in the workplace are detailed shortly.

Qassist factsheets are available for all the Qassist modules as listed below:

UNDERSTANDING THE REGULATORY SYSTEM AND ITS REQUIREMENTS

1.1 Aged Care and Quality Agency overview1.2 Getting to know the Standards1.3 Continuous improvement1.4 Understanding risk1.5 Consumer dignity and choice1.6 Using consumer feedback

DEMONSTRATING PERFORMANCE AND CONSUMER OUTCOMES

2.1 Responding to non-compliance2.2 Undertaking a self-assessment2.3 Governance (proposed)

ADDRESSING CONSUMER FOCUS, AREAS OF PREVALENT RISK AND NEW PROGRAMS

3.1 Ongoing assessment and planning with consumers3.2 Person centred approach to risk3.3 Safeguarding vulnerable consumers (proposed)

Consumer guides

In addition to the above factsheets the following consumer guides can be used to support consumer engagement in quality assessment and continuous improvement as a standalone resource or in combination with areas above. These are available on our website www.aacqa.gov.au.

• Consumer guide to accreditation • Consumer guide to quality review

Qassist Module 1.3 – Continuous improvement6

Page 7: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

• Consumer guide to continuous improvement

Using the Qassist learning modules and fact sheets in the workplace

The ways Qassist can be used are wide and varied. Facilitators are encouraged to be creative when deciding how best to use the resources to meet the learning needs. The following three steps may assist in using the learning modules and fact sheets.

Step 1 – Identify learning needs

Consider the core skills and knowledge required to achieve both individual and organisational goals in the areas of:

• Consumer focus • Quality assessment• Understanding the regulatory framework• Requirements for compliance

Consider the following questions to assist in identifying the learning needs:

• How can effective performance in these areas be achieved? • What skills and knowledge need to be developed and by whom? • Are there specific knowledge gaps that need to be addressed?• Has there been any new legislation, policies or procedures introduced?• Are there any performance or work health and safety issues?• Are there any new staff members

Step 2 – Develop a learning plan based on these identified needs.

This could be individual or group based, job role specific or service/organisation delivered, dependent on the needs.

Consider the following questions when developing a learning plan:

• How does formal and informal learning currently happen in your workplace? • Which of the following is available – on-the-job through buddying and mentoring, off-the-job,

network based, formal workplace sessions (e.g. lunchtime ‘hot topic’ discussions)? • How do people prefer to learn? • What is the priority for learning?• What does the training need to achieve – what will be the impact in the workplace?• How will you determine the effectiveness of the training?• What resources are available? Training facilities, presenters, subject matter experts• Do you have a training calendar?

Qassist Module 1.3 – Continuous improvement7

Page 8: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Step 3 – Review the Qassist learning modules and fact sheets, select the ones that will address learning needs, customise for the session, prepare for the learning session and facilitate the session.

It can be a good idea to consider using a reflective practice model as part of your learning approach. For example, by exploring these three key questions:

Suggestions for implementing Qassist in your workplace:

• Incorporate different Qassist modules into your workplace induction program. • Select modules to meet identified learning needs.• Use different fact sheets as a focused 10-15 minute ‘tool box sessions’.• Schedule modules as an agenda item at staff meetings. These short and focused sessions will

get staff on the same page, quickly and efficiently. • Link discussions specifically to service delivery strategy and consumer outcomes, and identify

opportunities for improvement.• Use real case studies based on consumers ‘lived experience’ or situations that occur in daily

practice. • Provide the resources to mentors and buddies to assist them in supporting workplace learning.• Follow up learning by seeking feedback, providing/identifying relevant resources and further

learning opportunities. • Identify improvements/changes that participants can implement in their workplace as a result of

the learning.

How to use the facilitator’s guide

This facilitator guide includes detailed notes, PowerPoint slides, discussion prompt questions, activity instructions and resources.

Layout

To make it easy for you to follow the content layout is reflected in the following table format.

Slide Time Facilitator information Resources

PowerPointSlide

number

Section duration Content detail, facilitation process, notes for facilitator Links to activity

resources

Qassist Module 1.3 – Continuous improvement8

Page 9: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

For example

Slide Time Facilitator information Resources

3 5 mins

ASK participants what they understand is meant by the term “quality care”?

Brainstorm what does “quality” mean?Record responses on a whiteboard or flipchart

Information in italics is for facilitator to use as prompts and/or ensure all information is covered

Fact sheet 1.3Whiteboard or

flipchart

Qassist Module 1.3 – Continuous improvement9

Page 10: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Module 1.3 – Facilitation information

Aim The session aims to enhance participants understanding of continuous improvement. This includes designing, implementing and evaluating improvements in collaboration with consumers, staff and other key stakeholders.

Learning outcomesThrough active participation participants will be able to:

• Describe continuous improvement.• Describe and demonstrate the results of continuous improvement.• Identify ways to maximise continuous improvement opportunities.• Improve consumer engagement in continuous improvement activities.

Target audienceThis session is designed for management and staff who are working in residential care services, home care services and National Aboriginal and Torres Strait Islander Flexible care programs.

Session overviewDuration approximately 105 minutes

Time Session content/activities/notes

5 mins Introduction to the session

20 mins Continuous improvement in the aged care sector

20 mins Activity 1 – Continuous improvement cycles: What do they look like?

10 mins Continuous improvement and quality systems

20 mins Activity 2 – Demonstrating outcomes and results

20 mins Activity 3 – Developing a plan for continuous improvement (optional)

10 mins Learning and reflection

Facilitator’s resources and references

Session PlanThe session plan contains detailed information relating to the topic, discussions and activities. The session plan guides the facilitation of the session and assists the facilitator in relation to content, timing and resources. The PowerPoint presentation is used as guidance for facilitators and does not contain as much detailed information as the session plan. Facilitators should refer to the session plan in the first instance to ensure they have a thorough understanding of the topic and delivery method.

Qassist Module 1.3 – Continuous improvement10

Page 11: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Module 1.3 ResourcesEnsure you have the following resources:• Session specific

- Accreditation Standards, Home Care Common Standards or NATSI Flexi Care Standards handout (whichever is applicable)

- Activity 1 – Continuous improvement cycles - card sort – at the back of this guide- Activity 2 – Demonstrating outcomes- Activity 3 – Plan for continuous improvement (optional) – at the back of this guide- Factsheet

- 1.3 Continuous Improvement- PowerPoint presentation – Continuous Improvement (including printed copies with note

taking area to be handed out to participants)• Laptop• Data projector – speakers• Flipchart paper• Highlighter pens• Whiteboard markers

References• Aged Care Legislation – https://legislation.gov.au• Aged Care Road Map – https://agedcare.health.gov.au• Let’s Talk About Quality: Shaping the future. National consultation report December, 2015.

AACQA – https://aacqa.gov.au• Practices and processes guide, November 2015. AACQA – https://aacqa.gov.au• Results and processes guide, October 2014. AACQA – https://aacqa.gov.au

Qassist Module 1.3 – Continuous improvement11

Page 12: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Session planModule 1.3 – Continuous improvement

Slide Time Facilitator information Resources

1 5 mins IntroductionNB: be aware of using acronyms, terminology and/or specific sector language during the session. Some participants may be new to the sector.

• Welcome• Acknowledgement of country (I would like to begin by acknowledging the Traditional Owners of the land on

which we meet today. I would also like to pay my respects to Elders past and present)• Introduce topic (Session will go for approximately 2 hours with inclusion of activity 3, or 1.5 hours without

activity 3)• Quick Ice Breaker (name, how long people have been working in the sector, how long took to get

here, previous job).

https://en.wikipedia.org/wiki/5_Whys

2 5 mins Learning outcomesOutline the learning outcomes for the session:

• Describe continuous improvement.• Describe and demonstrate the results of continuous improvement.• Identify ways to maximise continuous improvement opportunities.• Improve consumer engagement in continuous improvement activities.

Inform participants that the session is designed to be interactive and their active participation will increase their learning.

Qassist Module 1.3 – Continuous improvement12

Page 13: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

3 10 mins Continuous improvement in aged careASK –• Does anyone know the difference between continuous improvement and quality assurance?

- Continuous improvement - Improving compliance against the Standards, going beyond compliance, process and system focused, proactive, many involved. (e.g. adding to menu after feedback from consumers)

- Quality Assurance - Measuring compliance against the Standards, meeting the Standards, audits, inspections, issue focused (eg monitoring food temperature)

ASK –• Does anyone have any examples of quality assurance and/or• Continuous improvement they may have been/are involved in• What has been the impact or results of a continuous improvement project?• What change this had on their role or outcomes for consumers?

Legislated requirements for CI• The Quality Agency Principles 2013 set out the requirements for continuous improvement, and having a

continuous improvement plan, for Residential care services and Home care services.• The Quality of Care Principles 2014 identifies the Accreditation Standards and the Home Care Common

Standards which both include expected outcomes that specify continuous improvement.

How does NATSI Flexi fit Although not legislated, the Quality Review for NATSI Flexible Aged Care Program has an overarching

principle of continuous quality improvement (CQI). This principle is about always looking to improve services and outcomes for people. It means looking for better ways to do things.

White board or Flip charts

Quality Agency Principles

Quality of Care Principles

Quality Review for NATSI Flexible Aged Care Program

Qassist Module 1.3 – Continuous improvement13

Page 14: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

Continuous improvement in aged careIn aged care continuous improvement (Ci) is a systematic, ongoing effort to raise a service’s performance against the Standards:

• Essential part of a quality system• Documented improvements should include:

- Where the idea came from (input)- What actions were taken (output)- What was the result/achievement (outcomes)

• Ranges from small initiatives to significant strategic projects

ASK –Are there any planned continuous improvement initiatives/projects currently underway in your workplace?

4 5 mins The Standards and continuous improvement(Select Standards applicable to participants)(NOTE - Module 1.2 – Getting to Know the Standards provides more information re the Standards and expected outcomes)

Accreditation Standards (Residential Aged Care)Hand out the Standards Fact SheetRefer participants to expected outcomes 1.1, 2.1, 3.1, 4.1 – Continuous improvement

ASK –What are the key words within each of those outcomes? Actively, pursue, continuous(Key words are words that provide focus and specific meaning to the direction of what the service

Accreditation Standards

Qassist Module 1.3 – Continuous improvement14

Page 15: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

needs to do to demonstrate it meets the requirements of each expected outcome).What are the meanings of those words in relation to CI?• Actively – showing involvement or energy, in a deliberate and positive way• Pursue – strive for something, follow• Continuous – without ceasing, constant, ongoing

Why is it important to identify key words for CI?

ASK –Has anyone identified a better way to do things or made a suggestion to have something changed to improve a process, or, outcomes for consumers.

5 Home Care Common Standards (Home Care Packages and Commonwealth Home Support Program)(Module 2 – Getting to Know the Standards provides more information re the Standards and expected outcomes)Hand out the Standards Fact SheetRefer participants to expected outcome 1.5

ASK –What are the key words within the outcome? Actively, pursue, demonstrates, continuous(Key words are words that provide focus and specific meaning to the direction of what the service needs to do to demonstrate it meets the requirements of each expected outcome).

What are the meanings of those words in relation to CI?

Home Care Common Standards

Qassist Module 1.3 – Continuous improvement15

Page 16: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

• Actively – showing involvement or energy, in a deliberate and positive way• Pursue – strive for something, follow• Demonstrates – clearly show existence of, give proof or evidence, describe and explain with

examples• Continuous – without ceasing, constant, ongoing

Why is it important to identify key words for CI?

ASK –Has anyone identified a better way to do things or made a suggestion to have something changed to improve a process, or, outcomes for consumers.

6 NATSI Flexi Care Standards(Module 2 – Getting to Know the Standards provides more information re the Standards and expected outcomes) Hand a copy of the overarching principle re CI from the Quality Review (pg. 15-16).

The NATSI Flexi Care Program is not legislated.One of the overarching principles that underpin the standards in the Program is Continuous Quality Improvement.

Continuous quality improvement (CQI) defined as:• making ongoing (continuous) effort to improve the quality of services and outcomes for people.

CQI focuses on improving systems, rather than on the performance of people or things.• it is used to assess how well systems are working, the quality of care being provided and to bring

about sustained improvement

NATSI Flexi Program

Qassist Module 1.3 – Continuous improvement16

Page 17: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

ASK –What does CQI mean in relation to the Standards?It’s about working to improve services and outcomes for people; it means looking for better ways to do things. It’s about focusing on improving systems, rather than the performance of people or things.

To be effective, CQI must be a core focus within the service and is understood and accepted by all management and staff.

7 5 mins Consumer focusQuality management and continuous improvement must be consumer focused.

ASK –Why it is important to have a focus on consumers to support continuous improvement?What does consumer focus mean?How is it demonstrated in your workplace?

Things you need to consider:• Provide information to consumers and representatives.• Seek and receive information from consumers and representatives.• Determine how this is best used.• Involve consumers / representatives in developing improvements that meet their needs.• Increase choice and flexibility of care and service provision.• Actively encourage and involve consumers in decision making processes.• Demonstrate current practices deliver results for consumers

Qassist Module 1.3 – Continuous improvement17

Page 18: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

ASK –Are these effective?Is there anything else that could be done to enhance these points?How would these be demonstrated to an assessment team? (choose 2-3 to discuss)What information could you provide to demonstrate there is a consumer focus?

For example – consumer representation on quality committee, analysis of consumer feedback, actions following analysis and outcomes for consumers, consumer meeting minutes, outcomes for consumers.

Important to remember when talking about quality in aged care, it is about placing the consumer front and centre of care and service delivery and listening to the voice of older people.In order to make improvements in line with this, the consumer needs to be involved.

8 -9 20 mins Activity 1 – Continuous improvement cycles – What do they look like?Prior to commencing activity 1 ensure you have enough copies of the sets of words to give each group a set. The words are provided at the end of the session plan and should be cut up prior to handing out.

In small groups –• Hand out sets of Activity 1 word cards – 1 set per group. Include blank cards in each set (see end of

facilitator guide for cards)• Groups review their cards (they are all the same) and determine which cards could demonstrate an

improvement cycle that could achieve results• Each group must reach a consensus about which cards to use

Sets of words cut out (1 set per group)

Qassist Module 1.3 – Continuous improvement18

Page 19: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

• There is no limit on the number of cards used• Groups develop a CI cycle

FeedbackHave each group feedback as to why they chose their words.

ASK –Was there a lot of discussion required?Was the decision on which cards to use unanimous?

DebriefNote any similarities between group’s cycles.Did all groups include a reference to outcomes or results? Why/why not?If anyone used words that were more specific or culturally appropriate – ask why.

Key messageThere is no prescribed way to undertake continuous improvement. The effectiveness is measured by the results. Quality assessment focuses on outcomes.

10 5 mins Continuous improvement cycle – Plan, Do, Study, ActThis cycle is on example of CI – there are many more available.

Before explaining what each stage is –ASK –What do you think would be included in this stage?

Qassist Module 1.3 – Continuous improvement19

Page 20: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

Plan – for improvement• Identify and clarify issues, problems or gaps and collect and review information related to the

issues, problems or gaps.• Identify the cause (use a root cause analysis approach) – could briefly explain the 5 why’s

approach.• Include feedback from and consult consumers and other stakeholders.• Identify the objective or the goal.• Clearly identify improvements that can be made.• Develop strategies to implement improvements – consider strategies to get management and staff

support.• Identify how you will measure the success of the improvement and how you will collect the data.• Identify key tasks, resources required (e.g. personnel, equipment) and time frames.

Do – implement the improvement• Gain approval for improvements.• Implement the improvement – assign key tasks, roles and responsibilities.• Implementation may include trialling/piloting the changes initially.• Monitor the implementation – make sure key tasks are completed on time and to expected

standards.• Don’t forget to gather or provide feedback.

Study (review)• Check back against the measures for success to evaluate (identified at planning stage).• Did the improvement work? – what did we do well, what didn’t we do well and what could we do

better?• Collect ongoing data – what does it tell us about the improvement?

Qassist Module 1.3 – Continuous improvement20

Page 21: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

• Don’t forget feedback.

Act• Integrate the change into system/work practices if it the improvement was successful.• If the improvement did not work – what do we need to do?• Consider new data – does it suggest improvements? Are these changes sustainable?• As with all other stages this will include communication, changes to documentation, it may include

training – skill or knowledge development, on the job mentoring/coaching. Changing practice requires support and monitoring (i.e. quality assurance).

• Don’t forget feedback.

ASK –What should be included at each step?Feedback – consultation and communication. Timely, relevant and constructive feedback should be sought/provided – ensures stakeholders are engaged and informed.

Why is feedback important?

11 5 mins Principles of continuous improvementThe principles provide guidance on the elements that contribute to an effective continuous improvement system.

ASK –Has anyone seen/heard of these principles before?Go through each point and ask for examples of how staff are involved.

Qassist Module 1.3 – Continuous improvement21

Page 22: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

Prompts:• How does continuous improvement relate to strategic planning and implementation?

- Improvement is an opportunity to strategically introduce change to the way the service approaches and delivers care and services. It includes linking improvement initiatives to the mission, mission, and values of the service as well as to business and quality plans. When leadership is driven and integrated with the service’s strategic planning process, it ensures changes are implemented systematically and from a whole of organisation perspective to maximise results and ensure initiatives have the greatest chance of success.

• What is the difference between objectives and outcomes?- Objectives describe the goal - more concrete and specific in how the goal will be achieved.

Outcomes are the result / what is achieved.• What is the difference between monitoring and evaluation?

- Difference between monitoring for compliance (quality assurance) – make sure consistently reach a certain level / maintain regular surveillance. Evaluation – assessment of whether go above and beyond that level (continuous improvement). Information from monitoring and evaluation enables services to gauge how effective its changes have been.

• Why should we be encouraging innovation?- Ever changing environment and consumer needs – need new ways to meet new needs.

This involves having a management framework to assist in identifying new ways to deliver care and services, plan and manage their implementation and evaluate results.

• Why should services be encouraged to utilise a range of approaches?- To ensure flexibility and responsiveness, this principle recognises that improvement

activities must be tailored to the specific context and consumer mix of individual services. What is important is the objective or outcome the activity seeks to achieve. The means by

Qassist Module 1.3 – Continuous improvement22

Page 23: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

which this is achieved and the degree of complexity involved is the choice of the service.

12 5 mins Source of continuous improvementIt is important to consider both internal and external sources.CI may be commenced as a reactive or proactive.

ASK –What is the difference between reactive and proactive CI? Reactive is the result of something happening (incident, complaint, hazard), proactive is an initiative.Where would most of the opportunities for improvement come from within your workplace and externally?What are some ways to engage consumers in identifying opportunities for improvement?Should the opportunities for consumer contributions be reviewed? Why? To ensure they are continuing to be effective, especially when there are changes to the consumer group.

13-14 20 mins Activity 2 – Demonstrating outcomes and resultsActivity can be done as a whole group or a small group activity.

Brainstorm on whiteboard:• What is input?

- Source of the improvement. Where did the idea come from? Why we should do this? What is the issue we are going to solve/address? What does success look like?

• What is output?- What actions were taken? What have we done, changed, documented, who was

Whiteboard

Qassist Module 1.3 – Continuous improvement23

Page 24: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

responsible, over what timeframe• What is outcome?

- Result - What did we achieve? What was the impact on consumers. Was the project/initiative successful?

In small groups –• Identify examples of a recent improvement• Choose one example for the group to discuss (If whole group ask for a recent continuous improvement

example to work through together)

• Discuss –- Where did the idea come from?- What actions were taken and how?- What was the result/achievement?- Can the improvement be linked to a relevant expected outcome?

DebriefASK –Why are monitoring and evaluation important?Monitoring – you know you are on track, and if not can identify what has to happen to get back on track.Evaluation – begin with the end in mind, how do you know if the actions you have taken have led to an improved outcome, that the goal or objective you set out to achieve was met?

Why is it important to include setting the measures to evaluate against as part of initial planning? To ensure you remain on target throughout the process.

14 30 mins Activity 3 – Developing a CI Plan (optional activity)Can be done in small groups or as whole group.

Relevant StandardsButchers paper

Qassist Module 1.3 – Continuous improvement24

Page 25: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

In small groups:• Review the Standards and expected outcomes• Choose an expected outcome and identify an improvement that could be applied to this

outcome• Apply the CI framework

Remember when undertaking this ensure you:• Have clearly defined outcomes and steps in the process• Apply reasonable timeframes• Decide on delegations• Build in review dates if part of a broader project

This can be included in the organisations CI plan.

Template at end of this session plan

15 5 mins ResourcesProvide an overview of the key resources and websites:

On AACQA website:• Other modules available• Workshops• Online fact sheets• Quality Standards Newsletter• Aged care legislation• Standards for Residential, Home care and NATSI Flexicare

Qassist Module 1.3 – Continuous improvement25

Page 26: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Slide Time Facilitator information Resources

16 10 mins Learning and reflectionsASK – participants to name two (2) key things they learnt from their participation in this session.

• How can they use this learning in the workplace?

Does anyone have any questions about what has been covered during this session?Clarify any areas if needed

Revisit learning outcomes:• Understand the processes of continuous improvement• Describe and demonstrate results for continuous improvement• Identify ways to maximise continuous improvement opportunities• Improve consumer engagement in continuous improvement activities.

ASK participants to name two (2) key things they learnt from their participation in this session.How can they use this learning in the workplace?

Thank participants for their participation in the session.

CI Fact Sheet

17 - Conclusion -

Qassist Module 1.3 – Continuous improvement26

Page 27: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Qassist Module 1.3 – Continuous improvement27

Page 28: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 29: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 30: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 31: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 32: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 33: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 34: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 35: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 36: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 37: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 38: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 39: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 40: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 41: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 42: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator
Page 43: Module 1.3 Continuous improvement - Facilitator guide Web viewCQI focuses on improving systems, ... word cards – 1 set per group. Include blank cards in each set (see end of facilitator

Activity resources

Activity 3- Developing a Plan for Continuous improvement

PLAN FOR CONTINUOUS IMPROVEMENTPrepared on: [Date]

Updated on: [Date]

RACS ID:

Home/Service name:

When deciding on an action, you should consider how the action will improve the care and services provided to consumers, and the sustainability of the action. The Results and processes guide (residential aged care) and Practices and process guide (home care), available on our website, may provide information to assist you.

DateRelated

Standard

Issues identifiedInclude source for example,

consumer/ relative, meeting, internal audit

Planned actionThis must include actions, tasks and person responsible for implementing

the improvement

Person responsible

Planned completion

date

OutcomesThis includes the results,

achievement, impact, what you have measured

Continuous improvement plan FRM-ACC-0311 v14.3 Page 43 of 43SENSITIVE