Key Issues: Quality and Patient Safety Public Health Nursing Service

Donegal.

Eileen QuinnDirector of Public Health Nursing Donegal 16th October 2015

The vision for the PHN Service is that of a universal service delivered with, and to, individuals, families and

communities, which is integrated with primary healthcare for the purpose of achieving a

high-quality, safe, seamless and client-centred holistic service. The focus of the service is to promote health and well-being, protect the public and provide clinical nursing care to the population through the delivery of

high-quality evidence-based nursing care.

Vision for the PHN ServiceQuality Integration and Collaboration: A Strategy for Community Nursing HSE 2015

Code of Conduct and Ethics [NMBI 2014]Scope of Practice [NMBI 2015]

Governance

HSE Quality and Risk Management Standard and Quality and Risk Framework enable the HSE to

measure performance in quality and risk assess against best practice standards

including national standards by the regulator and professional bodies.

[HSE Code of Governance 2004]

Guiding Principles of Governance [HSE 2012]

Background to Quality and Patient Safety

• Code of Governance HSE 2004 [Accountability]• Quality and Risk Management Standard HSE 2007

[Compliance – Documentation]• Building a Culture of Patient Safety DoHC 2008 [No

Blame]• Developing and Populating a Risk Register Best

Practice Guidance HSE 2009 [Risk Notification System]• Integrated Risk Management Policy 2009 & 2011

[Incident- Everbody’s Business - integral]• Safety Incident Management Policy HSE

2014[Incident Screening]

Quality & Clinical Governance- Progression

Quality and Patient Safety Clinical Governance Development – Assurance Checklist HSE 2012

Risk Assessment Tool and Guidance HSE 2013 Developing and Populating a Risk Register Report of the Quality and Safety Clinical

Governance Development Initiative Primary Care HSE 2014 [Integrated]

National Service Plan HSE 2014 / 2015 [Meet objectives at an integrated level – 4 Pillars]

Leadership & GovernanceStructure • Director of Public Health Nursing• AD’s for PHN Service / AD Clinical GovernanceQuality, Safety & Risk Committee, Infection Control, Collation of Information at management team meetings.• Named Leads within each Network -Infection Control, HIQA Standards, Care Planning / Record Keeping, Wound Care Health and Safety, Dementia / Elder Abuse, Oncology Care, Lactation

Consultants,

• Leadership Development• Practice Development / Education Co Ordinator • Advanced Practice • Safe Guarding / Children• Site Preparation for ANP for Tissue Viability • Integrated Care Planning and Delivery

• Educational Training Needs Analysis• Risk / Incident Notifications• Tracking and Trending• Environmental Audits • National Standards • Liason & Discharge Planning Role• Audit Plan – Key Identified Priorities1. Family Health Needs Assessment Records2. Generic Care Plans3. Post Wound Care Educational Audit • Patient Charter/ Satisfaction Surveys• Progression of Work in Progress• Quality Walk Arounds to Commence

Leadership & Governance continued• Professional Development AgendaSafe Guarding Adults & ChildrenSite Preparation for ANP for Tissue Viability Integrated Care Planning and Delivery• Education / Training to promote learning: from

Quality & Patient Safety Information, to inform future Quality Improvement Plans

Compliance with evidenced based PPPG’sCompliance with the implementation of PPPG’SCompliance with outcomes of Quality Improvement

Plans

Professional Forums – Patient & Public Involvement [National Healthcare Charter HSE ]

Feedback on Service Delivery [experience]Identify areas for improvementDecide what is required to inform improvementDiscuss the challenges eg Resource LimitationsDiscuss Professional Development NeedsNotification to Chief Officer of issues that

require resolve at higher management level

Conclusion

• Culture of Awareness of Quality and Patient Safety [Experiential and Education]

• Learning from Risk Notifications [Positive and Negative]

• Learning from outcomes of Quality Improvement Plans to inform Service Improvement Agenda

• Partnership working between the Organisation and the Public.