Upload
mckayla-guernsey
View
216
Download
0
Tags:
Embed Size (px)
Citation preview
WAM GCC
Financial Increasing demand Bureaucracy Institutional inertia GP engagement as well as other
stakeholders Barriers to change Amongst others:
WAM GCC
WAM GCC
WAM GCC
WAM GCC
Incremental improvements in current practice
Corrects only one error No long lasting changes
WAM GCC
Obstetric department of Hospital A examines care of patients through clinical audit.
Gaps are identified between current practice and established standards (ie. Guidelines)
Meetings are held to discuss guidelines, with changes made to working practice. And reporting and feedback on practice
Changes made increase the proportion of patients receiving good care for that area.
WAM GCC
When organisations try to rethink their basic goals, norms and paradigms
WAM GCC
Obstetric department of hospital B. In examining its quality of care decides to
interview some patients. It emerges that the issues which are
bothering women are to do with continuity of care, communication skills, access to information.
Obstetric care is reconfigured but the guidelines are not abandoned but woven into the new pattern of interaction and values.
WAM GCC
Learning to learn Increasing our capacity for learning
WAM GCC
Obstetric care at hospital B was a useful experience.
The experience itself was analysed Through its structure and culture the
organisation encourages the transfer of these valuable lessons.
Other hospital services share the lessons about learning to reconfigure
WAM GCC
Systems thinking Improving individual capabilities Team learning Mental Models Shared Vision
WAM GCC
Learning organisation Curriculum planning Outcomes based and situational analysis Appraisal Skill shares Communicate, communicate, communicate!
WAM GCC
Communicate and engage at early stages Ownership by all involved – including
managers Develop outcomes that look into the future Ways of evaluating and reviewing process
as it occurs feeding in to the change
WAM GCC
Initial stages◦ Masterclass◦ Newsletters and surveys◦ Structure with forums to involve all including managers
Learning organisation Induction process Appraisal processes Review of outcomes and changes in delivery of service
accordingly Moodle System of working and process related to our outcomes
WAM GCC
1. Doctors, managers and the battle for quality 2. Managing Change in Primary Care The chains of education,
experience, and culture David Metcalfe3. Spencer J (2001) Educational outcomes and leadership to
meet the needs of modern health care Qual Health Care 2001;10:ii38-ii45 doi:10.1136/qhc.0100038
4. Future of primary healthcare education: current problems and potential solutions J Lord Postgrad Med J 2003;79:553–560
5. Developing learning organisations in the new NHS Davie et al BMJ 320 : 998 doi: 10.1136/bmj.320.7240.998
WAM GCC
WAM GCC