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Innovation & Improvement at HEEM
Orlando HamptonHead of Improvement ProgrammesHealth Education East Midlands
orlando_hampton [email protected]
#inspireQI #loveourlearners
Mel HomanMH OT / HEEM Project ManagerHealth Education East Midlands
HEEM_Melhoman [email protected]
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Aims
• Tell you three things• Make three offers to you• Squeeze that all into 30 minutes
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• Lean: adding value, eliminating waste, striving for improvement.
• How the workplace was organised and managed. • improve services for the customer• supporting a positive work environment for staff • running an effective, high performing organisation
Point One: Origins of Lean
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Point Two: Improvement and innovation in the NHS
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Balancing Lean in the NHS: 2013
NHS Scotland QI Hub, 2013, 2011
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Sustaining improvement at organisation level
www.institute.nhs.uk
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2011
1. Reduce variation2. Better metrics and information3. Systematic delivery mechanisms4. Incentives and investments5. Procurement for quality & value6. Develop our people7. Leadership in innovation8. Mandate the adoption
Latest incarnation
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How this happens
IHW, 2011
Derby Hospitals
Prototype, testing and
manufacture with
commercial provider
DH FlyerBBC article
Expo (London)The
Improvement Network
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In an AHP context ?
IHW, 2011
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Barriers to innovation as an AHP in the NHS
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Barriers to innovation in the NHS
IHW, 2011
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What makes “diffusion” happen?
IHW, 2011
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Models as a timeline
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Models as a timeline
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Models as a timeline
LEAN: Add value and eliminate waste
IMPACT: Any outcome to service or participants
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How the model grows into change
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Eliyahu Goldratt ... “All models are wrong but some are useful”.
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inspire.enable.accelerate.share
Point Three: Improvement at HEEM
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InspireThere is no shortage of great ideas in the NHS but we need to improve the way we test them, evaluate them and then share them. Education plays a central role in this and is our focus.
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EnableToo many innovations stay in one team or organisation and are not made available for everyone to benefit. Developing partnerships across sectors, professions and organisations to enable sharing is a key part of what we do.
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AccelerateWe work in a coordinating role with staff, universities, local authorities and other partners to ensure that the benefits of research and innovation in education are rapidly translated through education into benefits for patients.
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ShareWe are working towards making innovation everyone’s business. In order to achieve this we want to adopt a culture which welcomes change and creativity in the way we work. We want to work towards strengthening our relationships with our stakeholders and drive towards a culture of sharing good practice.
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Improvement at HEEM
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Innovation at HEEM
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• Covers all areas of the LETB• Good progress with sharing of training, resources and learning across areas in
Primary Care, Secondary Care• Example: Pilot for whole practice learning in GP surgery• Survey and training for internal LETB staff: Capuchin• Working with partner organisations such as EM Leadership Academy operation
and emerging leaders training & AHSN • Capturing existing resources, updating them to context of new architecture,
ensuring learning isn't lost• AHP Physio from Derby Hospitals won HEEM funded place at IHI Quality 2014,
reflections coming soon • Starting to link into trust led transformation programmes through education,
best practice, comms and OD
Building improvement and innovation capacity and capability in HEEM
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Higher Education
Institutions (HEI’s)
Known QI activity and training in HEEM remit / Network
Unknown but perceived activity still being scoped
Capuchin
Activity outside of HEEM direct remit but shared learning / working
HEI
Other: Bands 1-4, LBR, CPD, Apprentices,
Post Grad
Building Capacity and capability for innovation
and improvement in Health Education East
Midlands
Leadership Academy
Programmes
(Nat & Local)Academic
Health Science
Network
PGMEGP Foundation
Schools
Medical schools
Royal Colleges
Dentists
PGME
NHS IQ
Trust
Trust and organisation
based programmes
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Higher Education
Institutions (HEI’s)
Known QI activity and training in HEEM remit / Network
Unknown but perceived activity still being scoped
Capuchin
Activity outside of HEEM direct remit but shared learning / working
HEI
Other: Bands 1-4, LBR, CPD, Apprentices,
Post Grad
Building Capacity and capability for innovation
and improvement in Health Education East
Midlands
Leadership Academy
Programmes
(Nat & Local)Academic
Health Science
Network
PGMEGP Foundation
Schools
Medical schools
Royal Colleges
Dentists
PGME
NHS IQ
Trust
Trust and organisation
based programmes
AHP’s
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Adoption and Spread at HEEM
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Three offers
•This slideshow and its references•The adoption and spread starter kit•Opportunity to share the content of the Institute of Healthcare Improvement 2013 and 2014 conference content
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Resources and references
•NHS Scotland Quality Improvement Hub: www.qihub.scot.nhs.uk•The Lean Enterprise Academy: www.leanuk.org/health•The (former) Institute: http://www.institute.nhs.uk/innovation/innovation/introduction.html•The Improvement Network (for now): http://www.tin.nhs.uk/innovation-nhs-east-midlands •Health Education East Midlands Innovation Directorate: http://heeminnovation.co.uk/ •Innovation Health and Wealth link•HEEM Innovation site http://heeminnovation.co.uk/ •Institute for Healthcare Improvement http://www.ihi.org/ •The Health Foundation link
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‘Heavier than air flying machines are impossible’
Lord Kelvin, president, Royal Society, 1895
#HEEMahp #inspireQI #loveourlearners