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Flow-Improving System Pathways: a person centred system discovery programme

Authors:

Wendy Lewis ,

Advancing Quality Alliance/ Salford Royal, GB
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Scott Gregory,

Advancing Quality Alliance/ Salford Royal, GB
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Carl O'Loughlin,

Advancing Quality Alliance/ Salford Royal, GB
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Wendy Bell

Advancing Quality Alliance/ Salford Royal, GB
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Abstract

The Advancing Quality Alliance AQuA is an NHS membership organisation based in the North West of England.  AQuA has extensive experience of supporting member organisations with integration and latterly the development of an offer to understand how to apply quality improvement methodology to understand flows across localities and care systems.

We will describe the experiences of a number of systems from their involvement in Flow-Improving System Pathways FISP Discovery Programme 2016-17.

We will highlight the practical application of AQuA’s Integrated Care Assessment Framework and the testing of a new model to understand our four identified flows across care systems and communities. We have been working with our members using a person/ community centred approach, to understand how the interplay between complexity, improvement science, large scale change, leadership and culture can support the successful application of QI methodology in the current context of care systems under intense pressure.  

The programme tests the application of a model exploring the application of improvement methods, simulation and modelling software and coproduction building new relationships across care systems.

The programme has 3 phases:

1. Diagnosing the system and making it visible to itself.

2. Sense checking the diagnostic findings whilst considering current local context.

3. Co-designing optimal pathways with the system, including patients/ service sures and carers.

Consistent lines of enquiry:

- Person centeredness -  staff, patients and community.

- Defining quality within the system using the IoM 6 domains of quality Safe, Timely, Effective, Efficient, Equitable and Person centred 

- Financial impact assessment of poor and improved flows.

Aims and Objectives: To share the learning and themes arising from AQuA’s Flow-Improving System Pathways FISP Discovery Programme.

Objectives: By the end of the session, attendees will:

Understand AQuA’s FISP programme offer and its context in integrating care systems from a person centred perspective.

Describe the developing model, its identified 4 flows across care systems and their interdependencies.

Understand the codesign and co-delivery approach taken with AQuA’s Lived Experience Affiliates and its impact in changing conversations and assuring person centred system outcomes.

Understand the experience and themes arising from testing the programme across 3 complex systems.

Have had opportunity to share their opinions, thoughts and ideas on the development of the model and improvement programme offer.

Target audience: The presentation will be of interest to health and social care leaders, service users and clinicians working across all health and social care settings.

Principally this programme has been tested at a service/ meso level and has been required to connect to senior system leaders across Sustainability and Transformation Footprints. 

Learnings/Take away:

The benefits of diagnosing the right problem to inform the right actions.

System leadership combined with patient leaders is powerful. 

How to Cite: Lewis W, Gregory S, O'Loughlin C, Bell W. Flow-Improving System Pathways: a person centred system discovery programme. International Journal of Integrated Care. 2018;18(s2):82. DOI: http://doi.org/10.5334/ijic.s2082
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Published on 23 Oct 2018.

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