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All general practices were encouraged to engage in a newly designed Quality Improvement Framework, which included appointing quality improvement champions and carrying out regular audits against agreed care bundles.
The Quality Improvement Framework is based on continuous quality improvement, and subsequent improvements to the model of care, resulting in an enhanced capability and capacity to deliver quality care across the primary care sector. The aim is to develop a network of practices capable of delivering high-quality care. The practices will have robust quality improvement approaches and achieve minimum standards of care for patients with long-term conditions.
Within the past five years, greater emphasis has been placed on developing the model of care, with significant investment made in quality improvement initiatives to build capability and capacity in primary care.
Our goals are to:
Implementing quality improvement is time consuming and challenging for general practices. Various factors account for this, including a lack of:
We have been working to address these issues. By asking practices to complete care bundles, practices are able to see their performance through an audit of a small, targeted cohort in their enrolled population. This then raises a list of issues for the practice, which is intended to generate discussions around areas for improvement.
The team climate tools help practices recognise the importance of working collaboratively in order to achieve quality improvements, and to identify how the practice can improve this. Providing advice around understanding capacity and how to grow it, and building awareness and desire for change is another key activity we use to facilitate improvements in practices.
Feedback from general practices, gathered through surveys and interviews, has been very positive and have emphasised that the framework is a necessity.
However more analysis and research needs to be done to better understand the effects that it will have around health outcomes and financial savings for the DHB.
Continue fostering quality improvement initiatives in practices.