The Healthcare Scrutiny Model

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The Healthcare Scrutiny Model
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Purpose

• to support healthcare providers in Scotland to
  deliver high quality, evidence-based, safe,
  effective and person-centred care
• to scrutinise those services to provide public
  assurance about the quality and safety of that
  care

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Integrated cycle of improvement
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CURRENT MODEL

• Much loved and in demand but
• Limited patient experience input
• Multiple sets of standards
• No consistent risk assessment of providers or
  services
• No consistent methodology
• Complex information gathering process
• Limited use and sharing of information

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Healthcare scrutiny model

• Quality Risk Profile
• Organisational profile
• 3 Core standards person centred, safe and
  effective
• Early Warning Score
• Condition specific quality measures
• Consistent self evaluation

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Healthcare scrutiny model

• One new and one follow up topic in each 3 year
  cycle enough?
• Integrated reporting format
• Closing loop with implementation and improvement

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Quality risk profile

• Each organisation completes a pro forma
• Organisations categorised
• Intelligence added to initial profile
  qualitative and quantative
• Risk assessment formula applied
• (z score)
• Risk based scrutiny based on ranking outlier
  basis 10
• Pro forma can be updated in real time

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Progress

• CGRM standards
• align with Quality Strategy
• includes Participation standard
• includes improvement 'indicators'
• capability model high performing organisations
• move away from systems and processes
• Challenges
• Measurement
• Evidence

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Progress

• QRP Tool
• analysis tool - CQC
• using existing data EWS/ISD
• 'managed service'
• Development of indicators
• building on standards development
• using existing data eg Hep C
• core indicators underpinned by richness of
  guidance and standards

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HEALTHCARE SCRUTINY MODEL THE challenges

• Managing change of approach
• New ways of involving the public
• Information, Communications Technology
• Data/intelligence availability
• Clinical engagement
• Healthcare Improvement Scotland skills and
  knowledge base
• Relationship building internal and experience

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HEALTHCARE SCRUTINY MODEL the added value

• We can use the voice of service users and
  patients more effectively and consistently than
  in the past
• Looks for patterns rather than a few markers
• Able to use textual data as consistently as
  numeric data ie information is not just numbers

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• Thank you