Irish Hospice Foundation



47625-64770000Hospice Friendly Hospitals Quality Improvement Awards 2020Application Packcenter26289000center286893000The Hospice Friendly Hospitals Quality Improvement (HFHQI) Awards 2020The Irish Hospice Foundation is delighted to announce the launch of the Hospice Friendly Hospitals Quality Improvement Awards for 2020. This pack contains all the information you need to apply for an Award for your hospital. ___________________________________________________________________________Section 1: Information about the HFHQI AwardsWhat are the HFHQI Awards? The Award is a financial support for HSE/Voluntary hospitals that are engaging with the HFH programme. The Awards will support the continual quality improvement approach to end-of-life care (EOLC) and help your hospital towards implementation of the Quality Standards for End-of-Life Care in Hospitals, a full list of which can be found in the appendix A.375285013970000What is the purpose of the HFHQI Awards The HFHQI Awards have been developed to inspire acute hospital staff to come together in a cohesive and collaborative way to improve person-centred EOLC by encouraging them to:Look at current ways of working:What are we doing that we could do better? What would we like to accomplish?Explore innovative and creative ways to improve the way they work:How can we make the change? Use a robust Quality Improvement approach to make those changes:How would we know that a change is an improvement?Raise awareness of how Quality Improvement methods can be used to make EOLC betterShine a light on improved ways of providing person-centred EOLCWhat types of projects will be considered for an Award? The aim of the HFH Programme is to address the needs of all people dying in acute hospitals in Ireland, the needs of their family members and the needs of staff in order to ensure a consistent quality improvement approach to all aspects of end-of-life care. Projects will be considered for an Award that will result in any of the following:Improved experience of EOLC care for patients, family members and staffEnhanced EOLC planning for every personContinual development and support of staff to deliver excellent EOLCHow might ideas be generated for improvement projects? -5524580391000The best ideas for EOLC QI projects come from staff who are providing the care themselves. Enabling staff to have the opportunity to reflect on current ways of working and consider ‘What do we do well? What we don’t do so well? and how could we do things differently? will stimulate thinking about potential project ideas. Ideas for improvement may also be generated by a review of feedback from patients and relatives, the hospitals HIQA reports and results from the National Patient Experience Survey. The Ombudsman’s report ‘A Good Death’ (2014) and the updated report A Good Death: Progress Report (2018) are also useful resources to refer to. The HFHQI Awards aim to support hospitals to be achieving the HFH Quality Standards for End-of-Life Care in Hospitals which sets out a shared vision for the EOLC each person should have and what each hospital should aim to provide. There is a section in the application form for you to indicate which of the Quality Standards the implementation of your project will help your hospital to meet. How can I increase my chances of getting an Award?The HFH is always keen to support innovative, creative initiatives that will have maximum impact for improved EOLC for everyone concerned. It is important to us that the HFHQI Awards are invested into projects that can demonstrate clear and thoughtful planning with advanced consideration of any potential risks, resistance and adverse effects. This gives the project a greater chance of success locally and ensures that the limited funds available through the Award scheme are used to maximum effect. Engaging with and involving ALL the key people who your project idea will impact is essential. Ask yourself WHO will be affected by this project and be sure to include them in your project team or as part of your consultation/scoping exercise. Appendix C contains a template for a stakeholder mapping exercise.There may be staff in your hospital who have particular expertise in the process of Quality Improvement, including them on your team and considering the six drivers for Quality as outlined in the document Framework for improving quality in our health service will help to strengthen your application. Where does the money for the Awards come from? This funding has been made possible as part of the Irish Hospice Foundations ongoing partnership with the HSE. Is there a maximum amount available? Yes. Awards are given up to a maximum value of €1000. What if our project budget is over €1000?If your project budget exceeds €1000, you may apply for an Award of €1000 but must indicate in the application the total budget required and supply information about how your hospital commits to meet the shortfall. Is there a deadline for these Awards?Yes. Applications must be submitted by 31st March 2020Who can apply for an Award? Anyone working within the hospital can apply for an Award. The application must be supported by the Chairperson of the Hospital End-of-Life Care Committee. Please ensure you make your hospital Senior Management Team including the lead person for Quality Improvement aware of the application. How do I apply?The information you need to provide to apply for an award is included in section 2 of this pack. There are 2 ways to apply:Applications can be completed electronically using the form You can provide all of the information required via a video blog, whiteboard presentation or other equally creative media. Please contact joanne.brennan@hospicefoundation.ie when you have your application ready to submit. NB: Closing date is 31st March 2020.What happens after I apply? A HFHQI Awards Selection Sub-group will review all applications on closing of the application process. Each application will be scored against the selection criteria for the Awards (available in Appendix B). Applications that score higher on the score sheet will be given priority consideration for an Award. All applicants will be informed by 30th April 2020 if their proposal has been accepted for an Award. What happens if we are successful in applying for an Award? The HFH team will be in contact with you to arrange payment of the Award. A timeline will be agreed for your project which will include start, review and completion dates and a plan for presenting your project and sharing your experience at HFH events. What happens if we are unsuccessful in applying for an Award? The HFH team will be in contact with you to explain how your proposal was assessed against the selection criteria and the reasons why the Award was not given and to discuss possible suggestions for progression of the project at a local level. Is the Award transferable to another project?No, any Award granted is done so based on the project outlined in the Award application. Section 2: Application Form1. Applicant detailsHospital name:Click here to enter text.Name of lead Applicant:Click here to enter text.Job Title:Click here to enter text.Work Address:Click here to enter text.Phone Number:Click here to enter text.Email:Click here to enter text.Names of Co-ApplicantsClick here to enter text.2. Support for applicationIs this application supported by the hospitals End-of-Life Care Committee? Yes ?No?Who is the Chairperson of the End-of-Life Care Committee? Click here to enter text.Is the hospitals Senior Management Team(e.g, Director of Nursing/General Manager/CEO) and the lead person for Quality Improvement aware of this application)? Yes ?No?3. Project TitlePlease outline the title of your project: Click here to enter text.4. Linking to the Quality Standards for End-of-Life Care in HospitalsWhat standard(s) does your project help to achieve?StandardX1.The HospitalThe hospital has systems in place to ensure that end-of-life care is central to the mission of the hospital and is organised around the needs of patients ?2.The StaffStaff are supported through training and development to ensure they are competent and compassionate in carrying out their roles in end-of-life care?3.The PatientEach patient receives high quality end-of-life care that is appropriate to his/her needs and wishes?4.The FamilyFamily members are provided with compassionate support and, subject to the patients consent, given information before, during and after the patients death?5. Project AimWhat do you aim to achieve with this project? The statement should describe the improvement you want to make and clarify what you are trying to achieve, and how much, by when. Each aim statement should be SMART i.e. Specific, Measurable, Achievable, Realistic and TimelyExamples of project aim statementsBy December 2019, all bereaved families will receive a sympathy card within one month of their bereavement By January 2020, all family members who stay overnight will be offered a comfort pack To ensure 100% compliance with all CVL bundle elements in ICU1 by medical and nursing staff by March 31st 2015. To provide a comfort pack to all family members who stay overnight on St Elmo’s ward by January 2020. Remember the aim statement is about the outcome you want to achieve rather than the solution you wish to implement.Click here to enter text.5. Evidence of the need for this improvementWhat evidence is there that supports the need for this project at this time for your service. Have you considered the following types of evidence?Feedback from patients / relatives / staffHunches i.e. clinical insights or identified risksPart of the strategic QI or EOLC plan of your organizationLocal data e.g. audit results or complaintsIdeas from a published review/conferenceOutcome of a service review meetingClick here to enter text.6. Project Plan – This section asks about the development and implementation of your project using the drivers of the Quality Improvement Framework.LeadershipWho is the project lead?Who is on the project team/who will you invite to the project teamHow does the project link with the goals and values of your department or service?What are the main risks / challenges that you see at this stage and what can you do to minimise them? Click here to enter ernanceClarify the governance structure for your project.Who does the project lead report to / look to for support needed for the project? Do you have a sponsor who will support this project? A QI sponsor is a senior person in the organisation who can provide support throughout the project. How does the project lead report and when? Is there a communication plan for the project?What communication pathway has been agreed for the project? Click here to enter text.Engaging with others – Patients, families, and staffWho needs to be involved – i.e. who are your stakeholders – either directly or indirectly?Who are the main stakeholders: those people you need to talk to before commencing this project?How are you going to engage with them, before, during and at the end of the project?Click here to enter text.Use of improvement methodsQuality improvement is a gradual, continuous process made up of small step-by-step tests of change. These steps are often described in terms of PDSA cycles (plan do, study, act). Plan- predict/ plan and agree the who, what, how and when of your test (after your base line measure is undertaken and SMART aim agreed)Do – Carry out your agreed changes in different circumstances (days, nights, weekends)Study – examine the difference beside your baseline noting improvements or NOTAct- decide to adopt the change in practice or start again!Click here to enter text.Measurement / evidence of improvement What evidence will you use to show if your improvement has worked or not. Usually one or two key pieces of evidence are enough to demonstrate improvement and they can be a combination of things like:Patient / family / staff feedbackPatient / family / staff storiesSurvey / audit results Routine data that is available e.g. about admissions, discharges, waiting times, expenditure, education programmes etc Importantly - do you have a baseline so that you can show if your improvement idea makes a measurable change.Click here to enter text.7. Budget. Please outline the anticipated costs associated with your project. If additional funds are needed, please say how these will be obtained and provide supporting evidence (e.g. letter from hospital manager).ActivityCost (€)Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Total cost of Project:Click here to enter text.Amount of HFHQI Award requested (max €1000):Click here to enter text.Shortfall:Click here to enter text.How has your hospital committed to meeting the shortfall (if applicable)?Click here to enter text.What resources do you need other than money (e.g. time, personnel, expertise)Click here to enter text.8. Reach, scalability and the ‘Ripple Effect’Does your project have the potential to be replicated in other areas of the hospital or to be scaled-up to a Hospital Group or National level or to lead on to other QI projects?Replicable within this hospital ?Scalable to Hospital Group ?Scalable Nationally?Lead onto other QI projects ?Please give details below:Click here to enter text.THANK YOU FOR COMPLETING THIS APPLICATION Please contact joanne.brennan@hospicefoundation.ie to submitClosing date for applications is 28th February 2020Appendix A: The Quality Standards for End-of-Life Care in HospitalsStandardThe Hospital1.1A culture of compassionate end-of-life care1.2General governance polices and guidelines1.3Effective communication with patients and their families1.4The healthcare record1.5The hospital environment1.6Monitoring and evaluating end-of-life care1.7Assessing and responding to end-of-life care needs of patients1.8Clinical responsibility and multi-disciplinary working1.9Pain and symptom management1.10Clinical ethics support1.11Care after death1.12Post mortems1.13Bereavement careThe Staff2.1Cultivating a culture of compassionate end-of-life care among staff2.2 Staff induction2.3Staff education and development needs2.4Staff education and training programmes2.5Staff supportThe Patient3.1Communicating a diagnosis of the possibility of a need for end-of-life care3.2Clear and accurate information3.3Patient preferences3.4Pain and symptom management3.5Discharge home/out of the hospital3.6The dying patientThe Family4.1Communication with family members4.2Communication with family members – where death may be anticipated4.3Communication with family members – sudden/unexpected death4.4Patient discharge4.5Supporting family members4.6Responding to the needs of family members after a deathThe Full document can be found if you click hereAppendix B: HFHQI Award Submission ScoresheetProject Name:Lead applicant Essential Criteria?CommentApplication received by deadlineApplication supported by Chair of EOLC committeeHospital Senior Management Team are aware of the applicationHospital Lead for Quality Improvement is aware of applicationIs the project linked to relevant Quality Standards for End-of-Life Care in Hospitals Award request does not exceed €1000Commitment from the hospital to meet any financial shortfall? (if applicable)The project has clearly defined aimsThere is a clearly defined governance/support structure for the project Desirable CriteriaMax ScoreScore givenCommentsImpact of project (score 1 for each):Patients Family members/relativesStaffGeneral Public4Reach of project:Single ward/dept (score 1)Whole hospital (score 2)2Project planning (score 1 for each):PDSA reflected in planEvidence basedEngagement with stakeholdersAppropriate project teamClearly identified tasks/objectivesClearly identified risks/adverse effectsManagement of resistanceMeasures used8Is there a clear Communication plan, is it: (score 1 for each):InclusiveComprehensiveCreativePR/Media dissemination considered4Potential for Sustainability:Short term (score 1)Long term (score 2)2Potential for inspiring further projects/Ripple Effect No (no score)Yes – within dept (score 1)Yes – within hospital (score 2)Yes – within and without hospital (score 3)3Potential for ScalabilityWithin Hospital (score 1)Hospital Group (score 2)Nationally (score 3)3Innovation of idea4Max Score 30Grant awarded Yes NoFurther comments:Appendix C: Stakeholder Mapping and Analysis ToolWho is directly impacted by the change? Who is the target group – is it patients, relatives, visitors or staff?Who can directly impact on the target group?Who will be closely connected to the target group and key to implementing the change?Who can indirectly impact on the target group? Who is closely connected to the key people (the blue group) and can influence how the change is implementedWho is part of the governance structure?Who is part of the bigger organisational picture? Who provides governance support for the project? Have you included everyone?Stakeholder GroupTarget GroupHave a direct impact on the target groupHave an indirect impact on the target groupAre part of the governance structureWho are they?What is important to them?How much impact does the project have on them? (high, medium, low)What impact does the project have on them?How much influence do they have over the project (high, medium, low)How can they contribute to the project?How could they block the project?How are we going to engage and communicate with them? ................
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