brenda creaney presentation

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    C A

    B C

    1 2011

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    Drive for effectiveness and

    efficiencyMeeting access targets PFA

    Reform and modernisation

    Focus on performance

    management

    Refocus on the fundamentals

    Emphasis on patient safety

    A desire to improve the patientexperience

    Encouraging patient and

    public involvement

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    , E

    B (2010)

    F (2010) C (2011)

    A .

    / C

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    =

    . F

    .

    = .

    = E .

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    !

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    ( , 2005, .8)

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    ?

    E :

    A

    .

    C / E

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    B E + ,

    /

    A

    D

    B E + ,

    /

    A

    D

    B E + ,

    /

    A

    D

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    D FA 201112 F 1 2012 C A

    95% F

    F 1

    2012 C A 95%

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    Phase 1: Identification of KPIs and development of ameasurement methodology

    Phase 2: Testing a framework for implementation ofKPIs

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    F

    ..

    ..

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    D

    Regional Consensus Conference (25 June 08)

    Half day workshop (29 May 08)

    Further refinement and testing of KPIs against thecriteria

    38 KPIs

    Top 8 ranked KPIs

    Stage 1

    Stage 2

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    F 8

    Key Performance Indicator

    1. Consistent delivery of nursing/midwifery care against identified need

    2. Patients confidence in the knowledge and skills of the nurse/midwife

    3. Patients sense of safety whilst under the care of the nurse/midwife

    4. Patient involvement in decisions made about his/her nursing/midwiferycare

    5. Time spent by nurses/midwives with the patient

    6. Respect from the nurse/midwife for patients preference and choice

    7 Nurse/midwifes support for patients to care for themselves, whereappropriate

    8 Nurse/midwifes understanding of what is important to the patient

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    8 .

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    (C, 2010)

    A

    /

    A

    /

    D

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    Patient/Client

    OrganisationalIndicators

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    Strongest Source

    of Evidence

    Data Collection Methods

    Asking patient Survey Patient Stories Review of compliments

    and complaints

    Observing practice Observations of practice

    Asking nurses/midwives InterviewReviewing documentation/data Reviewing the patient

    record

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    :

    4 E

    ( & 1989, .50).

    3

    E

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    1. D

    2.

    3. A

    1.

    2.

    3.

    Stakeholder groups are defined as those whohave something at stake in the evaluand

    Guba & Lincoln 1989, p.51).

    A further 3 sites to be agreed

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