Quality Improvement @ ELFT: 10 Conversations for 10 Years

Hear Don Berwick’s reflections on the last 30 years of the healthcare improvement movement, and his predictions for the future of this field. Explore what healthcare organisations can do to improve the health of the population.  Delve into the agents that create health and learn more about the deployment of healthcare improvement around the world that focuses on health and not solely on care that is delivered in hospitals or healthcare settings.   Reflect on the developments in healthcare improvement over the last three decades, and how we can continue to execute the improvements required and embed them thoroughly in the organisations that make up healthcare.  Examine the role of ELFT and other healthcare organisations in the co-production of health together with the people we serve. Consider what the improvement community can do to equip themselves for the challenges ahead and how they can lead in the movement towards achieving health, not just healthcare. In our final episode, join a discussion featuring Dr Amar Shah, Chief Quality Officer at ELFT and his guest Don Berwick, Founder, President Emeritus and Senior Fellow of the Institute for Healthcare Improvement. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Explore the future of healthcare improvement with Dr Kedar Mate, CEO and President of the Institute for Healthcare Improvement.   Reflect on the evolution in the way we have practised improvement over the past 100 years, from Codman’s ‘Minimum Standard’, through the co-evolution of evidence-based medicine and iterative cycles of change, to an era of collaborative improvement.   Looking ahead, what advice does Kedar have for the global community of improvers in health and care, and where does he believe improvers should be applying their effort? Examine the competencies leaders of the future will be required to demonstrate and consider how a digitally enabled environment will impact on the future of health creation and healthcare improvement. Join Dr Amar Shah, Chief Quality Officer at ELFT, and Pedro Delgado, Vice President at the Institute for Healthcare Improvement in conversation with Dr Kedar Mate.    Watch all of our ‘10 Conversations for 10 Years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Explore how we see Quality Improvement as a science developing in future.  Join a discussion hosted by Dr Amar Shah, Chief Quality Officer at East London NHS Foundation Trust (ELFT), and Pedro Delgado, Vice President at the Institute for Healthcare Improvement (IHI), featuring Pierre Barker, Chief Scientific Officer at the IHI, and Peter Margolis, Co-Director of the James M. Anderson Centre for Health Systems Excellence at Cincinnati Children’s Hospital. We delve in to why we describe Quality Improvement as a science, and consider how we take that science, and design Quality Improvement in a way that gives us the best possible chance of success. Discover what we can do to strengthen the scientific rigour with which we apply Quality Improvement.  We discuss how to support people who do not naturally see themselves as scientists to adopt this curiosity and method of thinking about making change. In the spirit of improvement, our speakers share their predictions for the future of the field of improvement science.  How might AI impact on the science of improvement? Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Discover how we can take Quality Improvement outside of healthcare, and support partner organisations to adopt an improvement approach.  Join a discussion featuring Dr Amar Shah, Chief Quality Officer at ELFT, and Professor Jason Leitch, National Clinical Director in the Scottish Government, as they explore the topic of improving across a whole system. Professor Jason Leitch has led Scotland's multi-year improvement journey, including the application of improvement far beyond the boundaries of healthcare delivery.  Draw on his experience as he shares examples and stories from other sectors that are already partnering with healthcare organisations to improve outcomes. Explore how to make the method and tools of improvement accessible to people and enable them to apply them in their own setting.  We share some simple tips that are applicable to improvement practice anywhere in the world. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Discover how improvement capacity and capability can support an organisation’s journey to embed quality improvement.  Consider the distinction between capacity and capability, and the significance of this when developing an improvement strategy. Delve into the concept of ‘dosing’ the science of improvement differentially based on the needs of people in their role in an organisation’s improvement journey.   Explore the aspects of improvement capability that are most helpful in creating a culture of continuous improvement.  How has ELFT’s approach evolved over time? Dr Amar Shah, Chief Quality Officer at ELFT, and Pedro Delgado, Vice President at the Institute for Healthcare Improvement host a conversation with Dr Bob Lloyd, Vice President at the Institute for Healthcare Improvement.  Bob has led the IHI’s work on capacity and capability building around the world. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Explore how healthcare organisations can best support their staff by creating environments where people can thrive at work.  Join a conversation co-hosted by Dr Amar Shah, Chief Quality Officer at ELFT, and Pedro Delgado from the Institute of Healthcare Improvement (IHI), with their guest Steve Swensen, a senior fellow at the IHI and Emeritus Professor at the Mayo Clinic. Discover the relationship between kindness as a concept and improvement as a method for solving problems and consider how we can systematise kindness in organisations.  Delve into the benefits of creating work environments where people can thrive as we examine evidence and good practice for creating joyful places of work. Uncover the transition in the relationship between caregiver and care receiver towards one that is about co-production of health. How can this organisational democracy and collaboration benefit not only the health of staff, but also population health? Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

What are the key challenges for leaders in health and care today, and how can improvement be helpful in tackling these?  Discover how high impact leadership behaviours can support system-wide improvement.   Explore the behaviours healthcare leaders need to demonstrate to lead in today’s world, as we delve into what is required to lead in a way that cultivates a culture of continuous improvement. Consider how leaders can create an environment where people have the time to deliver transformation and improvement and learn what embedding improvement means in terms of how an organisation functions Join a discussion featuring Hugh McCaughey, formerly National Director of Improvement at NHS England, co-hosted by Dr Amar Shah, Chief Quality Officer at East London NHS Foundation Trust, and Pedro Delgado, Vice President at the Institute for Healthcare Improvement. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Explore the role of the board in leading improvement.  Consider how to help a board see the relevance and need for quality improvement and delve into the transition that a board needs to make as it evolves to adopt an improvement approach.   Examine what has enabled the ELFT board to retain an improvement mindset and approach over so many years.   With the introduction of the shared NHS improvement approach, NHS IMPACT, examine the issues that providers, systems and regions will be grappling with and how to support the adoption of improvement.   Dr Amar Shah, Chief Quality Officer at ELFT hosts a discussion featuring Marie Gabriel, Chair of North East London Integrated Care Board and formerly Chair of ELFT (2012-2020), and Dr Navina Evans, Chief Workforce, Training and Education Officer, NHS England and formerly CEO of ELFT (2016-2020).  They share their reflections on their time as part of the ELFT improvement journey. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Discover how adopting Quality Improvement impacts on the day-to-day behaviours and work practices of an executive and delve into the leadership behaviours that support improvement. Join a discussion featuring Dr Amar Shah, Chief Quality Officer at ELFT, Pedro Delgado, Vice President at the Institute for Healthcare Improvement, Kevin Cleary, formerly Chief Medical Officer at ELFT, Steven Course, formerly Chief Finance Officer at ELFT, Mohit Venkataram, Executive Commercial Director at ELFT and Lorraine Sunduza who has been Chief Nurse and is now interim Chief Executive at ELFT. Explore how the executive team at ELFT have navigated the transition from an assurance-oriented model of leadership towards an improvement way of leading.  How have they ensured succession planning and sustained this at executive level? Investigate how the executive team consciously watches for signs of complacency and learn how they strengthen their approach to continuous improvement. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk

Discover how the infrastructure for Quality Improvement at East London NHS Foundation Trust (ELFT) has evolved, and what enables and supports teams and individuals to apply improvement in their daily work.  Explore the concept of infrastructure for improvement, as it relates to people, skills and resources.  How can we motivate people to engage in improvement work, foster the development of necessary skills, and create time and space for improvement initiatives?  What practical issues have we had to overcome?   Episode 1 investigates how ELFT’s improvement infrastructure has evolved from a small central team with a website introducing Quality Improvement, to a deep support structure wrapped around teams as they work through complex problems. The team outline the barriers, opportunities and the iterative process required to make sure that our quality improvement efforts at scale are supported by a sufficiently robust and capable infrastructure. Learn how ELFT’s leadership structure and the decision to decentralise improvement has helped people to adopt a culture of curiosity and continuous learning across the organisation and across leadership at all levels.  Join a discussion featuring Dr Amar Shah, Chief Quality Officer at ELFT, Pedro Delgado from the Institute for Healthcare Improvement, and ELFT colleagues Auzewell Chitewe, Katherine Brittin and Tim Gill, as they delve into ELFT’s distinctive approach to integrating Quality Improvement throughout the Trust. Watch all of our ‘10 conversations for 10 years’ series, celebrating 10 years of Quality Improvement at East London NHS Foundation Trust on YouTube. Visit our website to learn more:  https://qi.elft.nhs.uk