Improving Quality Together
Silver Level
Assessment Guidance
Improving Quality Together
SilverAssessment Guidance
Contents
1.Overview of Improving Quality Together: Silver
2. Submission notes for Delegates
3. Format of Assessment
4. Assessment Criteria
Principles (5 marks)
Aim (10 marks)
Measures (10 marks)
Changes (10 marks)
Sustainability and Spread (10 marks)
Reflection (5 marks)
FINAL 19/12/121
1.Overview of Improving Quality Together: Silver
Improving Quality Together provides a common language of quality improvement for NHS Wales. The framework comprises of three levels: Bronze, Silver and Goldwith an additional ‘board’ level focused on the skills and knowledge needed at organisational level
The Silver level is for team leaders across all services within the organisation. It supports delegates to lead an assessed quality improvement in their workplace.
The Silver level teaches quality improvement skills, using a structured, data-driven approach to solving problems. The content is carefully pitched to avoid unnecessary complexity and to be as relevant as possible to healthcare.
The Silver level also explores
- the benefits of a service user-centred approach;
- the principles and benefits of quality improvement;
- a range of quality improvement methodologies
- how to involve others in quality improvements.
The core of the Silver level is the Model for Improvement (MfI):
1.Aim: What are we trying to accomplish?
2.Measures: How will we know that a change is an improvement?
3.Changes: What changes can we make that will result in an improvement?
2. Submission notes for Delegates
You are required to submit a written report on an appropriate improvement to service delivery.
- Please discuss your identified quality improvement with your sponsor prior to finalising and submitting.
- Structure your work using the headings shown below when writing up your assessment.
- The total marks available for each section are below. To pass you must gain 70% of the marks in each section to pass.
- Study the assessment criteria shown for each unit carefully and make surethat your work “measures up” before you submit.
- Your trainer will be available to support and guide you if you have any doubts or queries.
- Whilst you will not be penalised for weak spelling and grammar, be aware that it might affect the meaning of your document.
- All submitted material will be kept confidential and secure as far as is reasonably possible.
- Ask your designated trainer if you are not sure about the submission date.
- Ensure that the work you present is you own.Do not plagiarise work of others. If you are not sure what is meant by plagiarism speak to your designated trainer who will clarify, or may provide you with some notes to explain this in more detail.
3. Format of Assessment
A written report of your quality improvementis required. It must include an outline of:
- the Aim, Measures and Changes of the quality improvement
- a reflection on the sustainability and potential for spread of the quality improvement.
Assessors will mark the submission and record any questions asked and answers supplied by learners.
The written report should be:
- 1,500 words (+/- 10%)
By submitting the work for assessment, you are confirming that it is your own work.
4. Assessment Criteria
Delegates submitting a written report will need to demonstrate that:
a)they have used the methodology appropriately
b)they have involved the whole team in their quality improvement
c)they have made and evidenced,using charts, a measurable improvement to services
A model quality improvement will consist of the following elements and will be marked using a detailed marking schedule. Delegates must attain at least 70% of the marks in each of the five sections to pass. Delegates are expected to demonstrate application ofthe method covered during your training sessions.
Principles (5 marks)
Provide an explanation of the benefits to the organisation of using a service user-centred approach.
Provide an explanation of the principles and benefits of quality improvement acknowledging a range of quality improvement methodologies.
Aim (10 marks)
Define an aspect of service delivery requiring improvement.(Demonstratea good understanding of the actual problem and link to impacts of the problem and the organisation.
A quality improvement planis agreed and will have been submitted for review by the trainers. It will include:
- a vision for the area for improvement
- clear statement of the aim of the improvement
A high-level process map that has been developedin conjunction with the team/stakeholders and used to make further decisions about where to focus the quality improvement. A more detailed process mapping that has been carried out following the discussions about focus.
A stakeholder analysis was completed at the beginning in conjunction with team & sponsor, consideration of how to manage different groups of stakeholders will have been documented and submitted and updated throughout the improvement.
Measure (10 marks)
Process and outcome measures for the quality improvement are defined and a baseline collected.
A data collection plan has been developed and submitted for comment prior to collecting data.
There has been discussion and possibly training provided for the team regarding the data collection and the data collection will have been monitored and amended as required. Data will have been reviewed during collection and consideration given to the relevance of the information being reported. Any changes required would have been made at appropriate points. Data will have been collected consistently before and after any changes we made and benchmarked if appropriate.
Charts will have been used appropriately, i.e. Spaghetti diagrams, Pareto, run / control charts, box plots. Decisions about areas of focus will have been made using the data and charts and will be evidenced.
Key facts from the data and charts should be clearly identified and documented and the information shared appropriately. The data will have been used to inform decision-making, the baseline data prior to any changes being made will be evidenced and the decisions will clearly have been made based on evidence from charts. Stakeholders will have been involved in any decisions made.
Changes (10 marks)
An appropriate improvement to service delivery based on the analysis has been implemented and an improvement can be evidenced.
The team/stakeholders must have been involved in decisions about which improvements should be made and evidence of this should be included.
A PDSA pilot will have been undertaken and the results recorded.
Stakeholder analysis has been reviewed and amended as required throughout.
Improved outcomes have been clearly evidenced using a run/control chart and CLEARLY documented in the submitted presentation.
Sustainabilityand Spread (10 marks)
The sustainability and potential to spread the improvement has been evaluated, showing consideration of the target population, measurement system and timeframe.
Post improvement data will have been collected for a sufficient time to provide evidence of sustainability and illustrated in appropriate charts.
Any further improvements / next steps have been considered and recorded.
Reflection (5 marks)
The individual has reflected on their role within the quality improvement including identifying the strengths, weaknesses, opportunities for development and any threats posed to this.
FINAL 19/12/121