DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016

DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016

DIPLOMA IN LEADERSHIP & QUALITY IN HEALTHCARE 2015-2016 Senior healthcare managers and clinicians are expected to demonstrate skills in leadership on a daily basis. Staff are also often asked to assume leadership roles in their practices, hospitals, and academic departments. These positions can be excellent leverage points for improvement of health care quality. To make optimal use of these opportunities, healthcare leaders must learn how to lead change. Many in healthcare today are interested in defining quality improvement. We propose using the definition of Batalden and Davidoff, where quality improvement is the combined and unceasing efforts of everyone healthcare professionals, patients and their families, researchers, payers, planners and educators to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development. This Diploma is designed to provide participants with the knowledge and skills to deliver improved outcomes in patient care and understand the domains of quality as they apply in both national and international contexts. Diploma in Leadership and Quality Improvement, 2014

THE FACULTY DR PETER LACHMAN Dr Lachman is the Quality Improvement Lead Faculty for RCPI and the National Quality Improvement Programme (HSE/RCPI). In 2005-2006, he was a Fellow of Quality Improvement at the Institute for Healthcare Improvement in Cambridge, Massachusetts. His current position is Associate Medical Director (Patient Safety) and Consultant in Service Redesign and Transformation, Great Ormond Street Hospital for Children NHS Trust. He is also a Consultant Paediatrician at the Royal Free Hospital Hampstead NHS Trust and Designated Doctor for Safeguarding Children in Camden PCT. His current interests are in patient safety and in designing services that are safe and friendly at the same time. Improving the flow of patients in order to improve safety and decrease of variation are central to his work. DR JOHN FITZSIMONS A graduate from University College Dublin in 1996, Dr Fitzsimons trained in paediatrics in Ireland, Australia and the UK. He was appointed as a consultant paediatrician to the Royal Free Hospital, London in 2006 and then to Our Lady of Lourdes Hospital, Drogheda in 2010. He trained as a Patient Safety Officer with the Institute of Healthcare Improvement (IHI) in 2009 and became a fellow of the Improvement Faculty at the NHS Institute for Improvement and Innovation from 2009 to 2011. He completed the first Diploma in Leadership and Quality in Healthcare in 2012. He has worked in the development of a paediatric trigger tool for patient harm, early warning scores and communication training aides. In September 2013 he commenced a half-time secondment to the Quality Improvement Division in the HSE as Clinical Director for Quality Improvement. MR PAUL RAFFERTY Mr Rafferty has spent the last three years programme managing the National Clinical Programmes. His role was to assist Dr Barry White in establishing and managing the Programmes. The Clinical Programmes are a partnership between the HSE, the Post Graduate Training Colleges, Nursing and Therapy professional bodies. They have designed and are implementing solutions that are delivering measurable quality, access and efficiency improvements in over 30 clinical service areas. These areas include chronic disease management (Stroke, Diabetes, Surgery, COP, Heart Failure) and aspects of the scheduled and unscheduled hospital pathways (Acute Medicine, Emergency Medicine, Retrieval). Prior to working on the programmes he spent over 15 years working as a management consultant and has assisted public and private sector clients to improve their operational performance. He is certified in Lean, 6-Sigma, project management, change management and instructional design and delivery. PROFESSOR MARTIN FELLENZ An Associate Professor of Organisational Behaviour and Director of Postgraduate Teaching and Learning at the School of Business, Trinity College Dublin, Professor Fellenz is responsible for all postgraduate education in the Trinity School of Business. He has served as Director of Research and of the Doctoral Programme in the School, as Academic Director of the M.Sc. (Mgmt.) in Organisational Behaviour, and on the Academic Council of the University of Dublin, and on the Council of the Irish Academy of Management. He holds a Ph.D. in Organizational Behavior from the Kenan-Flagler Business School at The University of North Carolina at Chapel Hill, and an MBA from the University of Bridgeport, CT, which he attended as a Fulbright Scholar. He teaches at undergraduate, postgraduate and doctoral levels in the areas of organisational behaviour, organisation theory and change, leadership, negotiation, decision-making, research methodology and philosophy of science. He received the TCD Provost s Award for Teaching Excellence in 2001, and was awarded the National Award for Teaching Excellence in 2012. I was enthusiastic about the course but went with some reservations about whether the whole thing might be much Americanised and not relevant to our health care society but it was brilliant, so exhilarating to be in a room with people who all wanted to be there and were on the same journey. It was entertaining, informative and most importantly relevant, plenty of information to take away and refer to as well. Now all I have to do is put it into action. Ms Fiona Murphy, ADON, St James Hospital

KEY ELEMENTS The key elements to this Diploma are centred around the following: Concepts of quality improvement methodologies Improving patient-centered care by engaging and working with patients and families Patient flow improvement Principles of patient safety and high reliability Tools of improvement Key concepts of leadership and team-working Improvement in value in healthcare Microsystems as the functional unit of healthcare and where improvements happen PROGRAMME AIM The aim of the Diploma is to develop healthcare leaders who can: Identify challenges to and problems in delivering care consistent with the six domains of quality identified by the Institute of Medicine Analyse the need for change and opportunities for improvement Lead, develop and implement an improvement project within their local setting Identify challenges to and problems in delivering care consistent with the six domains of quality identified by the Institute of Medicine Analyse the need for change and opportunities for improvement Lead, develop and implement an improvement project within their local setting TEACHING STRATEGY This programme will be delivered using international best-practice principles and guidelines in teaching and learning, using relevant and up-to-date educational methodologies. Programme delivery methods will include: Lectures Interactive workshops Practical teaching sessions Online and interactive sessions International expertise and mentoring Group project coaching LEARNING OUTCOMES On completion of the Diploma in Leadership and Quality in Healthcare, participants will be able to: Understand how to lead change in various healthcare settings Develop skills to manage leadership in organisations including influencing governing structures and boards Demonstrate how to motivate teams and improve quality through team based initiatives Implement the science of improvement and demonstrate the use of quality improvement methodologies Measure and manage flow and variation Measure harm and implement reliability theory to reduce harm Develop safety programmes aligning risk management with harm reduction Comprehend how to engage with patients and show knowledge of how to implement theories of patient-centred care Develop the skills and use tools to lead, implement and sustain quality improvement Carry out a QI project, using PDSA cycles and the Model for Improvement Understand the difference between data for improvement, judgement and accountability FOR WHOM With an overarching aim of improving patient safety and quality of care, this programme has been designed in collaboration with clinicians and senior managers leading transformation and improvements in diverse clinical settings. Potential participants are required to apply as a team. The team must consist of 2 or 3 people from the following disciplines: Doctor Nurse Allied Health Professional Senior Management PROGRAMME DURATION This programme will run over 11 in-house days and is broken into five modules beginning in September 2015 and ending in June 2016. 100% attendance and completion and submission of a QI project is required in this Diploma. In-house days run from 9.00 am to 6.00 pm. Lectures will be held in RCPI, Dublin 2.

DEVELOPING SKILLS ASSESSMENT Formative assessment will be built into the course structure, with ongoing feedback and problem-solving support as projects progress. The final assessment for the Diploma will consist of a written report and poster presentation. Some of the initiatives undertaken may also be selected for an oral presentation. The report is assessed against the demonstration of learning from each module and the completion of project cycles. The level of success of the improvement project will also be considered, but it will not be a deciding factor. The report is assessed by a minimum of two assessors on a pass/fail basis. PROGRAMME DATES DIPLOMA VIII Session 1 16, 17, 18 September 2015 Session 2 10, 11 November 2015 Session 3 21, 22 January 2016 Session 4 3, 4 March 2016 Session 5 12, 13 May 2016 DIPLOMA IX Session 1 21, 22, 23 October 2015 Session 2 2, 3 December 2015 Session 3 11, 12 February 2016 Session 4 7,8 April 2016 Session 5 9, 10 June 2016 Project Submission July 2016 PRICING AND PAYMENT OPTIONS HSE funding through the National Quality Improvement Programme for HSE employees, other interested applicants please email courses@ rcpi.ie for further information. APPLY ONLINE AT WWW.RCPI.IE LEADERSHIP Understand how to lead change Develop skills to manage leadership in organisations including influencing governing structures and Boards Understand safety and quality improvement Develop leaders for the future Work with teams MANAGING FLOW Manage operations methodology Manage variation Understand queuing theory WORKING WITH PATIENTS Engage with patients Examine equity in health care provision Understand theories of patient-centred care Achieve patient activation and self management Understand chronic care models for long term conditions PRINCIPLES OF PATIENT SAFETY Measure harm Understand reliability theory and human factors Develop safety programmes Align risk management with harm reduction QUALITY IMPROVEMENT METHODOLOGIES Understand the science of improvement, systems thinking, disruptive innovation and mobilization theories Develop an understanding of the Model for Improvement and small tests of change Learn when to use lean methodologies, Six Sigma Learn process mapping MEASUREMENT FOR IMPROVEMENT Use measurement for improvement Involve patients in healthcare design, delivery Sustain and spread change Understand theories of contextual research methods Build a business case for quality

The National QI Programme is a joint initiative between the Quality Improvement Division of the Health Service Executive and the Royal College of Physicians of Ireland. It was established with the aim to improve healthcare in Ireland by developing clinical leadership skills and expertise in quality improvement, and to develop a common language between management and clinicians and to help them achieve their common goal of improving Irish healthcare. Through this programme funding is provided for all HSE participants on the Diploma in Leadership and Quality in Healthcare. Taught components provide participants with the theory and knowledge necessary to improve safety, flow and patient outcomes, in addition to theories of leadership, team working and how to enable and embed quality improvement. The theory-practice bridge is then enhanced by the inclusion of a quality improvement project, designed to allow participants to experience leadership in change and influence better patient care within their local healthcare settings. Coaching is also provided on a team basis to further enhance the teaching and learning quality. IMPROVING PATIENT CARE Identifying challenges to and problems in delivering safe, effective, patient-centered care Analysing the need for change Leading, developing and implementing improvement programmes IMPROVING PATIENT CARE USING THE SCIENCE OF QUALITY IMPROVEMENT DEVELOPING AND SUSTAINING A SAFETY CULTURE DELIVERING TIMELY CARE BETTER HEALTH AND WELLBEING FOR PATIENTS AND PROVIDERS Systems Thinking Microsystems Science of Improvement Building & leading an improvement team Introduction to leadership Developing a safety culture Human factors Innovation Sustaining improvement Healthcare financing/value Improving patient flow The link between safety and flow Patient-centered care Management of longterm conditions Shared decision making Improving value in healthcare Care of the caregiver ROYAL COLLEGE OF PHYSICIANS OF IRELAND Frederick House, 19 South Frederick Street, Dublin 2 Phone: +353 1 863 9700 Fax: +353 1 672 4707 twitter.com/rcpi_news facebook.com/royalcollegephysiciansireland youtube.com/watchrcpi www.rcpi.ie