Innovative Enhancements to the Trusts Quality Impact Assessment Process

Leeds Teaching Hospitals, North East and Yorkshire, Acute

The problem

The finance department of Leeds Teaching Hospitals needs to enhance and streamline our quality impact assessment (QIA) process because otherwise this will jeopardize our ability to confidently ensure that changes resulting from the implementation of the waste reduction programme schemes do not have an adverse impact on the quality of patient services.

The challenges

• How might we standardise the trust’s approach to assessing the quality impact of waste reduction schemes so that we remove inconsistent assessments?
• How might we resolve QIA process data accuracy issues so that we eliminate flawed and incomplete assessments of quality?
• How might we reduce data integrity occurrences so that we can ensure that data remains consistent, accurate, and unaltered?
• How might we ensure that QIA data availability is maintained so that users can access the necessary data for assessment and therefore ensure that the QIA process is unhindered?
• How might we ensure that quality assessments processes avoid personal biases or variation in interpretation so that QIA outcomes are subjective?
• How might we ensure that the QIA process is not complex or time consuming so that assessment results do not slow down decision making?
• How might we make QIA processes not resource intensive so that the process does not demand significant resources in staff time?
• How might we maintain standardisation so that definitions and measurement methods do not lead to misinterpretation?
• How might we ensure that we build scalability so that the process can adapt to scheme size, value or complexity?
• How might we make sure that staff are adequately informed on the correct QIA approaches so that suboptimal assessments do not result?
• How might we ensure that we meet our QIA regulatory requirements can so that we avoid legal and reputational consequences.

What were/are the outputs?

• A refined and updated QIA methodology for conducting quality impact assessments in the trust which outlines the steps and criteria to be used.
• Comprehensive and integrated QIA guidelines, which provide detailed instructions on how to perform QIAs.
• Standardised QIA document template with inbuilt data rules and validation.

What were/are the outcomes?

• Improved reports summarising the results of WRS QIAs.
• Robust documentation and evidence to ensure regulatory compliance.
• Visual representation of the QIA process, helping to clarify and improve process understanding.

The Innovation

Read the full innovation on Innovative Enhancements to the Trusts Quality Impact Assessment Process

All documents and resources relating to this innovation can be found in the downloads section at the bottom of the page.

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What the peer-reviewers said

“Great idea to streamline process to ensure value is added and compliance standards is met.”

“The innovation (as evidenced by attached template), does provide an opportunity to transparently respond to potential adverse effects on patient safety, patient experience, clinical outcomes, performance standards, staff impact and edi.”

“The strengths are that this is an innovation in quality policy that could be applied easily across NHS bodies and save lots of time in the future when developing and approving cip schemes.”

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Innovation G7 – 24-25 QIA Template – pdf