Intervention description across the three board QI projects
| Project 1 | Project 2 | Project 3 | |
|---|---|---|---|
| Board | Acute university hospital board | Specialist children's university hospital | Directorate of national health and social care service |
| Number of board members | 14 | 13 | 06 |
| Project aim | Enable 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 delivered | To ensure quality of clinical care indicators have priority, are discussed, assessed and where appropriate recommendations made, and actions taken and reported back to the board | To 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 PDSAs | 10 | 12 | 06 |
| Evaluation and co-design methods | Individual baseline and exit interviews, monthly surveys, in-meeting observer and QI facilitation | Focus group, monthly surveys, board workshop, in meeting observer | Baseline interviews, co-design workshop, follow-up interviews, monthly surveys, focus group, in meeting observer and QI facilitation |
| Project outputs | Case study and toolkit | Case study and toolkit | In progress |
| Duration | Feb 2014–Dec 2014 | Sep 2016–Oct 2017 | Nov 2018–May 2019 |
| Supporting documentation | Monthly cover letter to board members introducing each PDSA | Monthly cover letter to board members introducing each PDSA | Monthly cover letter to directorate members introducing each PDSA |
| Quantitative information | |||
| Title of document | Quality dashboard | Quality dashboard | Quality profile |
| Domains of quality | 04 | 04 | 07 |
| Indicators | 10 | 06 | 12 |
| Display/Analysis | Line chart | Statistical process control (SPC) chart | Statistical process control (SPC) chart and funnel plot |
| Supporting text structured format | Identify, situation, background, assessment recommendation (ISBAR) | Background, assessment, recommendation (BAR) | What, why, interpretation (First World War) |
| Other features | Summary page with icons | Annotations to charts | Summary page with icons |
| Qualitative information | |||
| Patient and staff experience of care stories | No qualitative information | Complaint or compliment read at start of meeting | Four methods tested
|
| Project 1 | Project 2 | Project 3 | |
|---|---|---|---|
| Board | Acute university hospital board | Specialist children's university hospital | Directorate of national health and social care service |
| Number of board members | 14 | 13 | 06 |
| Project aim | Enable 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 delivered | To ensure quality of clinical care indicators have priority, are discussed, assessed and where appropriate recommendations made, and actions taken and reported back to the board | To 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 PDSAs | 10 | 12 | 06 |
| Evaluation and co-design methods | Individual baseline and exit interviews, monthly surveys, in-meeting observer and QI facilitation | Focus group, monthly surveys, board workshop, in meeting observer | Baseline interviews, co-design workshop, follow-up interviews, monthly surveys, focus group, in meeting observer and QI facilitation |
| Project outputs | Case study and toolkit | Case study and toolkit | In progress |
| Duration | Feb 2014–Dec 2014 | Sep 2016–Oct 2017 | Nov 2018–May 2019 |
| Supporting documentation | Monthly cover letter to board members introducing each PDSA | Monthly cover letter to board members introducing each PDSA | Monthly cover letter to directorate members introducing each PDSA |
| Title of document | Quality dashboard | Quality dashboard | Quality profile |
| Domains of quality | 04 | 04 | 07 |
| Indicators | 10 | 06 | 12 |
| Display/Analysis | Line chart | Statistical process control (SPC) chart | Statistical process control (SPC) chart and funnel plot |
| Supporting text structured format | Identify, situation, background, assessment recommendation (ISBAR) | Background, assessment, recommendation (BAR) | What, why, interpretation (First World War) |
| Other features | Summary page with icons | Annotations to charts | Summary page with icons |
| Patient and staff experience of care stories | No qualitative information | Complaint or compliment read at start of meeting | Four 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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