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Posted 30 Apr 2015 in Open for better care

  • Improved care for patients and staff in the Midland district health boards
  • Organisational visibility of issues, risks and complaints
  • Supports shared clinical governance
  • Increased awareness, escalation and resolution of reported events
  • Improved patient safety, staff safety and overall quality of care.

Background

Currently each district health board (DHB) in the Midland region uses a variety of different processes and systems (either paper based or electronic) to manage their incidents, risks and complaints.

Therefore the Midland DHBs identified a need to move to a more efficient and effective integrated quality and risk management system. PowerHealth Solutions with the product Datix was endorsed by the regional project board and the regional business case to the value of $820,000 was approved in February, with implementation being phased across the Midland DHBs from July. The solution is a proven, mature product that will be integrated to each of the DHBs’ patient management systems and human resource systems. Information entered into the quality and risk system will be protected under the Health Information Privacy Code and Privacy Act. However, it is discoverable and therefore material entered must comply with the Official Information Act.

While each DHB has slightly different circumstances, consistent key themes in relation to the problems currently faced due to standalone or manual paper-based systems are evident:

  • absence of an organisation-wide risk management system
  • presence of isolated, standalone silo systems or processes within organisations
  • inability to link risks from complaints or incidents to an organisational risk register
  • limited ability to easily collate or analyse incidents or complaints
  • often manual reporting requiring the interrogation of a number of silo systems followed by manual collation.

The objective of the Midland integrated quality and risk system is:

  • an increased ability to support the national patient safety campaign
  • to support the development of a culture of patient safety
  • improved reporting and ownership
  • a single electronic incident-reporting system
  • to remove all paper-based incident forms
  • to allow risks to be captured at every level.

Benefits

The system will benefit each of the Midland DHBs by delivering:

  • easily accessible online risk, incident, complaint and hazard forms for all clinical and non-clinical users and events, largely replacing all paper-based forms where they exist
  • a single system to log, auto-alert, track, resolve and analyse these events, improving ownership and management of risks, incidents, complaints and hazards
  • increased awareness, escalation and resolution of reported events
  • thematic reporting/analysis of data in a single centralised repository, reducing potential and actual risks, incidents, hazards and complaints by addressing trends and patterns
  • a toolset and information that will support and enhance collaborative regional quality activities
  • improved safety for patients and staff in the Midland DHBs
  • long-term archiving of acquired data
  • support for shared clinical governance
  • improved data quality
  • time saving in analysis and management reporting
  • ability to focus and optimise effort on highest priority areas of risk
  • improved ownership and management of risks, incidents, complaints and hazards
  • reduced potential and actual risks, incidents, hazards and complaints by addressing trends and patterns
  • internal benchmarking by enabling comparative department data/reporting, providing the ability to learn from incidents across the organisation
  • centralised reports at board, executive, management and department levels, increasing the timeliness of awareness, escalation and resolution of reported events.

Key participants in the project

Bay of Plenty DHB: Debbie Brown, Quality and Patient Safety Manager
Ted Harper, Midland health and safety representative on the project board
Lindsay Hyslop, Midland CFO representative on the project board
Lakes DHB: Lesley Yule, Quality and Risk Manager and the project lead
Tairawhiti DHB: Sonia Gamblen, Director of Nursing
Taranaki DHB:

Peter Terlinden, Application Support Analyst
Anne Kemp, Quality and Risk Manager
Ngaio Crook, Midland CIO representative on the project board

Waikato DHB: Mo Neville, Quality and Patient Safety Manager
Ros Morell, Programme Manager
Brett Paradine, Midland Chief Operating Officer representative on the project board

Please contact your local project participant if you have any questions.

 

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