OUH

 Connect:  an  online  forum  for  Quality  

Improvement  
The  mulH-­‐disciplinary  team   9.  Handover  of  project   1.  The  problem   2.  ObjecHve  
•  Lead:  Dr  Ed  Turnham,  F2  doctor   •  Project  to  be  overseen  from  August  by  me  (Ed   •  Lack  of  engagement  of  healthcare  staff  in   •  Build  website  to  help  hospital  staff  collaborate  
•  Supervisor:  Dr  Steve  New,  Saïd  Business  School   Turnham)  and  the  FoundaHon  Programme   service  improvement  and  paHent  safety1     on  paHent  safety  and  quality  improvements  
•  JR  PGEC  administrators:  Chantal  Vermenitch,   Trainee  Group   •  Junior  doctors  have  great  potenHal  for   •  Discussion  forums  to  allow  staff  to  share  ideas,  
Linda  Kempson,  Edit  Greenhill,  Becca  Hodgson   •  2-­‐3  junior  doctors  in  OUH  will  be  selected  to   improving  services:  they  bring  experience  from   seek  feedback,  and  find  collaborators  for  QIPs  
•  F2  QIP  project  team:  Dr  Helen  Higham,   lead  the  project   previous  jobs,  and  fresh  perspecHves   •  Store  records  of  F2  QIPs,  and  allow  new  QIPs  to  
Rosemary  Warren,  Charles  McDermo`   •  The  website  is  already  integrated  into  the   •  Staff  oben  feel  managers  aren’t  interested  in   be  proposed  and  discussed  on  the  forums  
•  EPR  team:  Dr  Paul  Altmann   running  of  the  FoundaHon  Programme,  helping   their  ideas,  or  they  don’t  know  who  to  bring   •  Publish  the  project  to  help  disseminate  the  
•  OUH  ExecuHve  Directors:  Mark  Power,  Andrew   to  ensure  sustainability   ideas  to,  or  they  change  jobs  before  they   idea  to  other  healthcare  se@ngs  
Stevens   achieve  change  
•  Keogh  and  Francis  reports  called  for  greater  
engagement  and  leadership  from  junior  staff  to  
address  paHent  safety  problems  
•  OUH  has  prioriHsed  staff  engagement  to                
3.  PredicHons  
8.  What  next?   Contact  details   •                     address  the  cultural  problems  raised  by   •  Most  foundaHon  doctors  will  parHcipate  in  the  
•  Sites  for  2015-­‐16  F1  and  F2  doctors   •  Ed  Turnham,  FY2  doctor   the                          the  Francis  Report2   discussion  forums  (data  recorded  by  website)  
•  Extend  access  to  all  Trust  staff   •  Email:  eturnham@gmail.com   •  Most  foundaHon  doctors  will  say  the  site  is  
•  Forums  for  more  departments:  IT,  labs,  etc.   useful  (survey  data)  
•  Online  discussion  for  next  year’s  F2  QIPs   •  Quality  of  F2  QIPs  will  improve  (subjecHve  
•  Develop  wiki  departmental  manuals  to   assessment  by  OxStar  team)  
improve  inducHon   •  Engagement  and  saHsfacHon  at  work  will  
•  Assess  performance  against  predicHons   improve  for  foundaHon  doctors  (ITR  surveys)  

6.  What  went  well   7.  Lessons                                                      5.  About  the  site   4.  How  I  did  it  
•  Gained  ‘buy-­‐in’  from  ExecuHve  Directors  and          learned   •                                                                 Ÿ        Hosted  by  WebLearn  -­‐  the                             1.  Sought  opinions  from  management  experts,  
other  senior  decision  makers  through  carefully   •                                                                   University  of  Oxford’s  Virtual     senior  clinicians,  &  administrators.  Gained  
•  Importance  of  ge@ng  key   •                                                             Learning  Environment  
tailored  emails  and  meeHngs   provisional  approval  from  an  OUH  execuHve  
           decision  makers  on  board   •                                           Ÿ        Private  areas  for  F1  and  F2      
•  Got  people  on  board  by  offering  something   director  
•  Don’t  put  project  on  hold     •                                   doctors,  including  calendars,  teaching            
that  helps  them  -­‐  e.g.  WebLearn  helps   2.  Worked  with  EPR  team  and  F2  QIP  teams  on  
           waiHng  for  important  meeHngs  -­‐                                            resources,  guides  to  ePorUolio,  ARCPs  etc.  
FoundaHon  Programme  administrators  in  their   the  principle  of  using  the  site  to  enhance  their  
           conHnue  progress  in  other  areas.  I  was  guilty  of           •  Central  site  open  to  all  OUH  users,  with  
day-­‐to-­‐day  work   work  
           this  a  few  Hmes,  causing  unnecessary  delay   discussion  forums  for  IT,  ePorUolio,  FoundaHon  
•  Ensured  sustainability  by  incorporaHng  the   3.  IdenHfied  necessary  features  of  the  website:  
project  into  the  day-­‐to-­‐day  work  of  exisHng   Programme,  and  QIPs   discussion  forums,  security,  ability  to  access  
staff,  e.g.  FoundaHon  Programme   •  Password-­‐protected   from  home,  etc.  
administrators   4.  Examined  several  possible  plaUorms  for  the  
•  Chose  a  plaUorm  suited  to  the  purpose,   site,  including  the  OUH  Intranet  
through  thinking  and  discussion  about   5.  Gained  support  and  approval  from  University  
requirements  and  careful  invesHgaHon  of   References   IT  service  for  using  their  WebLearn  teaching  
potenHal  plaUorms   1.  Leadership  and  engagement  for  improvement  in   plaUorm  
•  Be`er  to  a`empt  an  ambiHous  project  that   the  NHS,  The  King’s  Fund,  2012,  h`p:// 6.  Worked  with  Medical  EducaHon  centre  team  
you’re  passionate  about,  than  a  small  project   www.kingsfund.org.uk/sites/files/kf/field/ on   using  the  site  for  teaching  and  
that  can  never  achieve  much   field_publicaHon_file/leadership-­‐for-­‐engagement-­‐ administraHon   in  the  FoundaHon  Programme  
improvement-­‐nhs-­‐final-­‐review2012.pdf   7.  Gained   a greement   from  execuHve  directors,  
2.  Immediate  Ac9ons  arising  from  the  Public   and   O UH   I T   b acking,   to  extend  the  site  
Inquiry  into  the  Mid-­‐Staffordshire  NHS  Founda9on   beyond   t he   f oundaHon   programme  
Trust,  OUH  Board  paper  TB2013.59,  May  2013   8.  Built   s ite   a nd   a dverHsed   it  to  FoundaHon  
Doctors  through  talks  and  emails