A primary care perspective

1
Implementing Incident Management
A primary care perspective
Hayley Lord February 2009
2
Outline

• The local journey
• Lessons to be learned
• Where to from here

3
Pinnacle Group Ltd (PGL)

• A management services organisation supporting
• 5 PHOs
• Pinnacle Incorporated
• General Practice
• network
• 400,000 ESUs
• 100 general practice
• teams

4
A Commitment to Quality

• 12 years of quality plans
• Practice systems
• Population health
• Professional development
• Pinnacle network Cornerstone accredited

5
A Commitment to Quality

• QP incremental changes, education, support,
  feedback and rewards
• Special focus encouraging reporting and learning
  from events

6
Pinnacles Journey

• QP6 Meetings to introduce Clinical
  Governance
• (2002) Research re event reporting
• Lord Lillis nzfp vol32 no4 Aug 2005
• Introduced clinical audit
• QP7 Clinical Governance practice meetings
  key messages
• No blame no shame culture
• Cultivate a positive, safe team
• approach

7
Pinnacles Journey

• QP8 Practices established and implemented
  Incident Management Programme
• Launched voluntary reporting system
• QAA obtained
• QP9 RNZCGP Accreditation -
• external confirmation
• Lillis, Ward Lord nzfp vol34 no3 June
  2007
• QP10 Integrated PMP into quality programme
  support development of PHO quality
  platforms. Establish centralised database
  encourage reporting

8
Pinnacles Journey

• Research re Incident Management how big are
  the barriers?
• Lillis S, Lord H, Ward D NZ Family Physician
  200835253-256
• QP11 Ongoing reporting focus on repeat
  prescribing audit, errors Publication of
  results pending
• HarpOn launched
• QP12 Ongoing education, support
• Reaccreditation of general practice teams

9
Barriers and Solutions to Implementation of
Significant Event Management in General Practice
Lord H, Lillis S NZ Family Physician 2005 32
247-250
10
Lillis S, Lord H, Ward D NZ Family Physician
200835253-256
11
(No Transcript)
12
(No Transcript)
13
Where to from here

• Feedback Feedback Feedback
• Reporting levels match incident/risk
• National system