health:mk

Our mission: Engaging primary care clinicians

in a shared quality agenda:

London, June 2009

Dr Nicola Smith – GP Champion

Sue Lacey Bryant – Programme Manager

Quality:MK

health:mk

QMK-evidence based, primary care led, patient centred

• Clinicians involved in every QMK project- diabetes, mild to moderate depression, weight management, dyspepsia, carpal tunnel syndrome, patient empowerment, complex patients

• EVIDENCE BASED DISCUSSION GROUPS- 4 practices + 5 in provider services. 54 clinicians

• Prescribing projects

ENGAGEMENT (1) Traditional

Promotional events: celebrating success, lessons learned, ‘PLT’ conference

Marketing materials - mugs, pens memory sticks, PUNS & DENS booklet

NewsletterWeb pages hosted on PCT sitePromotional film

Branding

Evidence Based

Primary Care Led

Patient Centred

Quality:MK

So What’s the Problem?

Although many GPs have been touched by Quality: MK projects they are not aware of the principles

GP Education leads highlight problem of communication

Funding for expenses and backfill not attracting practices to engage

We asked ourselves

Why would a GP want to engage with Quality: MK?

How could they get involved?

Could Social Marketing be the solution?

Our Solution- (1) Marketing

Rebranding...“Evidence Based Discussion Groups”

IMPACTE groups Improving Medical Practice by Assessing CurrenT Evidence

Also: IMPACTE on line IMPACTE central

Our Solution (2) Innovative

• Practice visits - social marketing

- IHI document

• Competition

- Quality Improvement

Social marketing

• Team brainstorming / education session

• List of practices & GPs in each practice

• Previous experience/ interaction with Quality:MK and its projects/attendance at meetings

• Specific interests of individual GPs e.g. prescribing leads, GP educators, GPwSI,

• Local knowledge

Engaging Physicians in a Shared Quality Agenda-www.ihi.org

• Individual autonomy vs system quality improvements

• Understanding existing culture• Physician led, evidence based and data driven• Ownership of success+ early engagement• Clinical Champions- at challenging times• Cautious Laggards• Potential candidates-body language• Generate light not heat with data• Effective use of clinician’s time

Engaging Physicians in a Shared Quality Agenda (2)

• Use of recent harm event• Link something that distresses clinicians

greatly to something they do not want to change

• Morbidity and mortality reviews-systems• Variations in common practice and the

effects this has on the system of care• Share results of safety + quality measures

with different departments

Planning our visits

• The benefits of QMK• Specific reasons why this particular GP or

practice would want to engage.• Culture of the practice• Planning aims of meeting and what we want to

achieve specific to each practice - rather than adopting a generic format

• Prioritising practices depending on their characteristics e.g early adopters

Quality:MK micrositeRoadmap to quality improvement

in Milton Keynes

Best practice

Guidance on “how to”

Tools, techniques to deliver Quality Improvement

Explaining the system

Setting out the process