The Whakakotahi 2018 primary care quality improvement programme teams came together to share what they have learnt to-date at the third and final learning session held in Wellington, on Tuesday 19 March 2019.
While most of the teams were in attendance unfortunately due to recent circumstances in Christchurch, the team from Linwood Medical Centre were unable to attend. Our thoughts are with our Christchurch colleagues.
Learning session 3 was opened with a welcome from Dr John Wellingham, clinical lead for the Whakakotahi programme. This was followed by an impromptu networking activity, in which the teams were invited to start collaborating by sharing their challenges and hopes for the day.
Each project team presented their project storyboards and discussed learnings, challenges and successes with the work that their teams have completed. The teams reflected on their progress and shared personal stories of the way their projects have positively affected their communities. Plans for further improvement and sustainability were discussed, and we look forward to hearing more about the development of the projects.
The participants took part in a range of workshops throughout the day.
Dr Vikas Sethi, quality improvement clinical lead at Counties Manukau Health, presented on sustainability in quality improvement. Vikas discussed how to help ensure that quality improvement work is sustained, what factors might challenge this, and how to create a climate where these challenges could be mitigated.
A workshop led by Adele Small and Felicity Te Kaha, Te Tihi o Ruahine, examined the work being carried out by Te Tihi o Ruahine regarding community involvement. This included how data can be used to explore issues around equity and the use of wrap-around data and community services to address these issues.
Jane Cullen, quality improvement advisor at the Health Quality & Safety Commission, led the group through a range of workshops. In the ‘troika consulting’ session, attendees identified challenges they were facing, and then used the ‘troika consulting’ structure to get immediate feedback. One person serves as the ‘client’ and presents their challenge to two others, the ‘consultants’. The ‘consultants’ listen for one minute, then take a further minute to ask clarifying questions. After this, the ‘client’ turns their back to the consultants who discuss the problem together. The client listens but can’t provide feedback either visual or verbal. The group then discuss the feedback together, switch positions and start again. More information on the troika consulting from the liberating structures website. The team members really enjoyed this exercise and many reported that they would try it as a tool for discussing other topics in their workplaces.
Finally, Jane challenged the groups to consider the ‘What3 debrief’. For each project the teams considered:
- ‘What’ – Looking back, what facts and observations stand out?
- ‘So what’ – What can we conclude from these observations? What is important?
- ‘Now what’ – Where to from here? What is your first move?
The feedback from the day was overwhelmingly positive. The teams enjoyed the opportunity to get together and learn from each other, to see how other teams are doing. Takeaway points included considering how equity and sustainability might inform their work.
The Commission will work with the Whakakotahi project teams to develop 'change packages' to capture their quality improvement interventions, to support scale and spread of the ideas.
The presentations can be downloaded below.
- Childhood respiratory warrant of fitness, Unichem Russell Street (1.28MB, PDF)
- Gonville Health (1.58MB, PDF)
- Happy skin, The Fono (1.71MB, PDF)
- Improving West Coast access to care and the journey for Māori and whānau with diabetes (583KB, PDF)
- Tu mahi, Turanga Health (1.47MB, PDF)