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SIGN Implementation Support. Implementation Strategy. examples. Awareness raising. Education: Sore throat guideline:. NES educational material Practice Based Small Group Learning CPD awarded Evaluation included. Diabetes Guideline Resources. Diabetes guideline implementation:. - PowerPoint PPT Presentation
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SIGN IMPLEMENTATION SUPPORT
IMPLEMENTATION STRATEGY
Improved processes: Awareness raising & Education: Robust dissemination process More interactive website
Local clinical champions Awareness raising activities Patients as champions for change Training modules linked to CPD
Networking: Implementation support resources: Linking with professional
networks Linking with national projects Meetings with NHS Boards
Algorithms & Care Pathways Resource implications calculator Audit tools Electronic decision support tools Slide sets
EXAMPLES
AWARENESS RAISING
EDUCATION: SORE THROAT GUIDELINE:
• NES educational material
• Practice Based Small Group Learning
• CPD awarded
• Evaluation included
DIABETES GUIDELINE RESOURCES
DIABETES GUIDELINE IMPLEMENTATION:
• National co-ordinated approach
• Collaborating with Diabetes MCNs
• Scottish Government Diabetes Action Plan
• Raising awareness
• Partnering with Diabetes UK & ABPI to deliver local workshops
• Auditing key recommendations through the National Diabetes Audit
ASTHMA
• Electronic decision support tools
• BlueBay screen on GP system
GP prompted to measure peak flow.
The assessment tools shows that PFR is around 66% of predicted. Evidence of airways obstruction.
All information is correctly Read coded back to the encounter.
Guideline is fully integrated with the underlying GP system.
Asthma management screen shows options available.
ANOTHER IMPLEMENTATION OPPORTUNITY:LINKING TO QUALITY OUTCOMES FRAMEWORK
• SIGN is now part of NHS Evidence
• Revision of QoF uses NHS Evidence as its main evidence base
• SIGN recommendations are now considered when QoF is revised
QOF CHANGES 2011-12
IMPLEMENTATION WEB RESOURCES
AUDIT TOOLS
WEBSITE STATISTICS PER MONTH
• 1.5 million successful requests
• 50,000 downloads of recent guidelines
• 10-20k downloads of older guidelines
SIGN APPS
SUMMARY
• Implementation support now integral to SIGN
• Fewer guidelines• SIGN works with Government & NHS
partners to support implementation• Targeted implementation strategy for each
guideline• More reliance on electronic tools in future
CONTACT
Dr Ali El-Ghorr
Implementation Adviser
SIGN & Healthcare Improvement Scotland
Elliott House | 8-10 Hillside Crescent | Edinburgh | EH7 5EA
t: 0131 623 4607 | f: 0131 623 4299
