Table 1

Intervention description across the three board QI projects

Project 1Project 2Project 3
BoardAcute university hospital boardSpecialist children's university hospitalDirectorate of national health and social care service
Number of board members141306
Project aimEnable board of directors to get a comprehensive “picture” and “understanding” of the quality of clinical care and “Act” to hold the hospital accountable on the quality of clinical care deliveredTo ensure quality of clinical care indicators have priority, are discussed, assessed and where appropriate recommendations made, and actions taken and reported back to the boardTo develop a picture of quality of care, including both quantitative and qualitative information, that supports the directorate in leading the health system in improving quality
Number of PDSAs101206
Evaluation and co-design methodsIndividual baseline and exit interviews, monthly surveys, in-meeting observer and QI facilitationFocus group, monthly surveys, board workshop, in meeting observerBaseline interviews, co-design workshop, follow-up interviews, monthly surveys, focus group, in meeting observer and QI facilitation
Project outputsCase study and toolkitCase study and toolkitIn progress
DurationFeb 2014–Dec 2014Sep 2016–Oct 2017Nov 2018–May 2019
Supporting documentationMonthly cover letter to board members introducing each PDSAMonthly cover letter to board members introducing each PDSAMonthly cover letter to directorate members introducing each PDSA
Quantitative information
Title of documentQuality dashboardQuality dashboardQuality profile
Domains of quality040407
Indicators100612
Display/AnalysisLine chartStatistical process control (SPC) chartStatistical process control (SPC) chart and funnel plot
Supporting text structured formatIdentify, situation, background, assessment recommendation (ISBAR)Background, assessment, recommendation (BAR)What, why, interpretation (First World War)
Other featuresSummary page with iconsAnnotations to chartsSummary page with icons
Qualitative information
Patient and staff experience of care storiesNo qualitative informationComplaint or compliment read at start of meetingFour methods tested
  • Patient/staff story viewed/read

  • Patient/staff attends meeting

  • Patient/staff interviewed by director and story told at meeting

  • Themes from qualitative surveys summarised and presented

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