Hodges' Model: Welcome to the QUAD: improvement

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label improvement. Show all posts
Showing posts with label improvement. Show all posts

Thursday, July 23, 2026

Call for submissions for good practices c/o HIFA

Share your good practice and help strengthen the health system

The Health Systems Trust (HST) invites submissions of good practices for inclusion in the Good Practices Repository. Healthcare workers, programme managers, districts, facilities, academic institutions, non-governmental organisations (NGOs), private-sector partners, industry partners and community organisations are implementing effective solutions to address health system challenges and improve health outcomes. Many of these valuable experiences remain undocumented and are therefore not widely shared or adapted by others facing similar challenges. The Good Practices Repository has been established to identify, document, and share effective practices that can support learning, adaptation, and health system improvement across the country. Most importantly, the real value of sharing good practices lies in its potential to create an exponential effect across the health system. When successful approaches are documented and shared, they can be adapted and implemented in multiple settings thereby extending their impact far beyond the original site. In this way a single innovation or improvement can catalyse widespread change which can accelerate learning and drive improvements in the health space across the country.

What is a Good Practice?

A good practice describes an intervention, programme, service, innovation, policy or approach that has demonstrated effectiveness in addressing health challenges and improving outcomes. Good practices are typically evidence-informed, make use of available resources and has the potential to be adapted, scaled or replicated in other settings.

Submissions may relate to one or more of the following areas:

  • Health priorities
  • Maternal, newborn, child and adolescent health
  • HIV, TB and sexually transmitted infections
  • Non-communicable diseases
  • Mental health
  • Environmental health and climate change
  • One Health
  • Antimicrobial Resistance
  • Health system strengthening
  • Leadership and governance
  • Health financing
  • Digital health and health information systems
  • Human resources for health
  • Service delivery and quality improvement
  • Emergency and disaster preparedness
  • Environmental health and climate change
  • Antimicrobial resistance
  • Medicines, technologies and supply chain management
  • Community and implementation approaches
  • Community engagement and participation
  • Health promotion and disease prevention
  • Multisectoral collaboration and partnerships
  • Knowledge translation and evidence use
  • Equity-focused and people-centred approaches
  • Other Areas
  • Other initiatives that contribute to improved health system performance, health outcomes, or population wellbeing.

Who can submit?

Submissions are welcome from organisations, institutions, programmes, and partnerships involved in the planning, delivery, management, evaluation, or support of health services, including:

  • National, sub-national, regional, district, and local health authorities
  • Public sector programmes and units
  • Non-governmental, civil society and community-based organisations
  • Academic and research institutions
  • Professional bodies and associations
  • Private-sector organisations and industry partners contributing to health system strengthening, service delivery, innovation, or public health programmes
  • Multi-sectoral partnerships and collaborative initiatives
  • Development partners, multilateral agencies, and international organisations

Assessment criteria

  • Submissions will be assessed against an adapted World Health Organization (WHO) Good Practice criteria, including:Demonstrated effectiveness
  • Efficient use of resources
  • Relevance to a priority health system challenge
  • Sustainability
  • Ethical soundness
  • Potential for adaptation or replication
  • Innovation (optional but desirable)

Why submit?

  • Selected practices will:Be featured in the Good Practices Repository
  • Contribute to shared learning
  • Receive national visibility and recognition
  • Support evidence-informed policy and programme development
  • Provide opportunities for replication and scale-up
  • Showcase the achievements of health system implementers and partners
  • Contribute to sustained efforts at improving various tiers of the health system

Submission requirements

Complete submission template including the following information:

  • Executive summary
  • Background: Description of the challenge addressed
  • Intervention: Description of the intervention or practice
  • Approach: Implementation process
  • Key achievements: Results and outcomes achieved (describe outcome measures and metrics for success of the programme/intervention/tool)
  • Lessons learnt: Description of lessons learnt which can inform replication in other contexts
  • Sustainability considerations
  • Supporting materials, where available
  • Only complete submissions containing sufficient information for assessment will be reviewed.

Submissions are accepted on a rolling basis. Feel free to submit throughout the year.

How to submit: Submissions can be completed online through the Good Practices Repository submission portal:

https://www.goodpractices.hst.org.za/for-authors

[n.b. PJ - The link supplied does not appear to work, there is a submit option through the above page.]

For further information, please contact: GoodPractices AT hst.org.za

HIFA profile: Maryam Rumaney currently works as a freelance scientific and English language editor. In addition, she offers consulting services to the laboratory industry. mbrumaney AT gmail.com

HIFA - Healthcare Information For All

View this contribution on the web site

Sunday, April 05, 2026

Complexity science as a frame; or, a frame for complexity science?

In reading for WCCS later this month, I wonder if Braithwaite et al. (open access) may have found Hodges' model useful in addressing both the learning objectives and questions they raise in their chapter; and as a response to the recommendations?

Braithwaite J, Ellis LA, Churruca K, et al. Complexity Science as a Frame for Understanding the Management and Delivery of High Quality and Safer Care. 2020 Dec 15. In: Donaldson L, Ricciardi W, Sheridan S, et al., editors. Textbook of Patient Safety and Clinical Risk Management [Internet]. Cham (CH): Springer; 2021. Chapter 27. Available from: https://www.ncbi.nlm.nih.gov/books/NBK585611/ doi: 10.1007/978-3-030-59403-9_27

' Learning Objectives and Questions Covered in the Chapter

  • How does a linear view of improvement contrast with a complexity science approach? 
  • The complexity frame makes it harder to manage and deliver high quality and safer care — does it therefore need to be rejected in favour of simpler improvement models?
  • What examples can be brought to bear to show how studies in the complexity frame can lead to good outcomes and positive change?'

'In addition, in homing in on any part of a CAS, we can discern elements of both selfsimilarity and local nuances. Self-similarity can manifest fractally, at different scales (e.g., features of the culture of the organisation at the team level approximate to that of the culture of the department, and then division, and then the whole organisation) or laterally (e.g., one department looks comparable structurally to another). It might seem paradoxical, but healthcare levels or departments, despite being self-similar in some respects, also each operate as unique entities. There are always localised contextual, cultural and structural distinctions. Such local nuances occur as the result of the particular configurations of agents (e.g., nurses, doctors, quality managers, patients) following their internalised rules and shared mental models (e.g., put the patients first, project a good reputation to the outside world, prioritise safety) in that unique setting.' pp.378-379.

'Bringing clinicians from different departments together with the patient as the focus, provided a deeper understanding of other’s roles and barriers, helped create a shared mental model, and fostered a whole-of-system approach to the care for patients with this condition.' p.382.

[CAS - Complex Adaptive System]
 

'Recommendations

1. Sensitise those with responsibility for leading, managing, improving or researching care settings to a systems view. 
2. Train sufficient staff in the tools of complexity: FRAM, network analyses, system dynamics modelling, process mapping, and the like. 
3. Approach quality and safety and risk management activities with a knowledge of complexity science, sense-making, and non-linearity rather than as a set of linear problems amenable to simplistic causal change logic. 
4. Consider how our studies, borrowing from complexity theory, have resisted simplifying the challenges, but have nevertheless made progress in understanding care systems and their improvement.' p.389.

 [FRAM - Functional Resonance Analysis Method]

 I will include this in my presentation, duly cited:

 'Complexity science as a frame: or, frame for complexity science?'

Monday, January 12, 2026

Improving University Teaching - July 2026 Glasgow

Dear Colleagues

A reminder that you are cordially invited to participate in the 52nd International Conference on Improving University Teaching, to be held this year in Glasgow, Scotland. Our conference theme is “Connecting Across Cultures: Collaboration, Compassion, and Creativity,” with a focus on the links that sustain teaching and learning. IUT welcomes proposals in a variety of formats — papers, posters, workshops, and roundtables. More information about theme, subthemes, and presentation formats is available on our website, https://iutconference.com, where you will also find a link for proposal submissions.

This year’s proposal submission deadline is Monday, January 26th.

The dates for IUT 2026 are July 15-17, 2026. Our in-person host is the University of Glasgow in Scotland — the fourth oldest university in the English-speaking world, with a student enrollment of almost 40,000 and a strong tradition of both research and teaching excellence. Once again, this year’s conference will be a hybrid event. We hope many participants will attend the conference in person in Glasgow, but also warmly welcome those who choose to participate remotely.

Whether you prefer to join us online or in person, we hope you will consider a submission. Please contact us at iutconference AT gmail.com with any questions.

With best wishes,

Anne Tierney
President, IUT

Jim Wilkinson
Treasurer, IUT, and President emeritus

Sunday, June 01, 2025

RCN Congress 2025 iv - AI & quality improvement

Discussion: Artificial intelligence in nurse education &
Discussion: The role of nursing staff in quality improvement


We'll cover two agenda items in this post. First, resistance is futile in the apparent rise and ubiquity of artificial intelligence.

Discussion: Artificial intelligence in nurse education

Here is, another thing 'we need to get right'. Without checking, I'm sure I posted/tweeted about 'essay factories'. Now Generative AI has put the automated generation of academic essays on steroids. If a student is not motivated to learn, enthusiastic about their seemingly chosen course of study and the professional reward to be earned, then we are in trouble. Public and patient safety are at risk. AI, is however is here to stay - change and help us prosper(?). AI and GenAI are tools, just another step forward, an advance on finger tips, palms, stick, chalk, pencil, and pen. The brief for the discussion includes, with specific points emboldened:

'... Additionally, AI-driven simulations and virtual reality scenarios can provide hands-on experience in a controlled environment, enabling students to practice and refine their skills with greater confidence. 

Creating an engaging and supportive learning environment is key to helping nursing students embrace AI. HEIs can introduce AI concepts early in the curriculum and provide ongoing training and resources. Encouraging collaboration and open discussions about the benefits and challenges of AI can further enhance students' confidence in using these tools.

By taking these steps, nursing education can seamlessly integrate AI, ensuring future nurses are equipped to excel in an evolving health care landscape.

To effectively integrate AI into nursing education, RCN Wales, for example, advocates for higher education institutions (HEIs) to equip students with the skills to continually enhance their digital and biotechnological literacy, ensuring they meet their programme outcomes.

HEIs can incorporate regular assessments and feedback mechanisms to monitor a student’s progress and determine where AI tools add the most value.' . . .

Computer-aided learning has matured greatly since the 1980s and 1990s. AI and GenAI mark the seeming leap in progress over the past two years, with governments, professional bodies and society having to adjust and quickly. We need to watch how simulation, and virtual reality and other approaches to learning are applied, to assure the quality, safety and learning experience provided to students. There appears to be a risk in mental health nursing curricula being 'diminished'. Interpersonal skills are critical in psychiatric and psychological care. This might afford the advocates of technically-laden solutions to side-step the nuances of face-to-face human interaction. Amid the pursuit of what is mechanistic, let us value the humanistic also.

The biotechnical, is one a several literacies to keep sight of. AI, is of course bound up in bio-political concerns, that are still emerging. The 'health care landscape' is plural too: consider the patient's home, a ward, out-patient department, e-consultation, e-learning intervention, brief psychotherapy, occupational health, carceral care, and field hospital, veterans, migrant - refugee health and the homeless.

There's more, and references and a reading list are also provided on the above link.

'Quality improvement is about making a difference to patients by improving safety, effectiveness, and experience of care.

All nursing staff should have the abilities and support to become involved in addressing health care pressures, utilising their expertise in the profession as leaders, not only in care delivery, but also within the system. However, the work of nursing staff to deliver quality improvement is often limited to opportunities that are dependent on staffing, seniority and availability. 

Nurses’ willingness to attend training is often superseded by patient demand making attendance impossible. Other health care colleagues undertake work on research and service improvement alongside their role and as a requirement for their revalidation, this is not the case for nursing staff who don’t get these opportunities.

Consider the benefits of the nursing workforce undertaking quality improvement, conducting local research, reorganising working environments, translating or updating patient materials, trialling novel approaches to care or addressing health inequalities. These skills would not only improve the quality of care we provide but also prepare the nurse to influence and change systems throughout their career.

This is relevant UK-wide. Scotland's 2030 vision for nurses, states an intention to equip nurses with quality improvement tools and support, but only nurses in non-hands-on roles. NHS Wales offers quality improvement training through e-learning  via the ESR to health care professionals, in Wales. In Northern Ireland training is available, but only for Band 7 and above.'

What is the role of all nurses to get involved in quality improvement?'


There is a point with IT security that if it was 100% assured with all the prospective log-ins of an average user, would we ever get any 'real' work done? Does the same apply to research? I have heard this as an argument in practice; and a response to a drive for quality improvement too. Data takes time to collect, especially to answer new questions. Such arguments were also fielded when models of nursing were spoke of with eye-rolls and sighs of experience. Quality improvement is a fight, opportunities and resources can be found, especially if a culture of research is nurtured and sustained. What questions does a ward, unit, team have currently? What queries might new starters, newly qualified, students, and placement candidates provoke? If my reference to fighting seems strong; the fight is for time. The raw truth is in the NHS that quality improvement, research and supervision (in its various forms) are in competition, in the absence of coherent integration.

In bold above, the discussion includes:

'trialling novel approaches to care or addressing health inequalities'.

I wonder what that springs to mind? More seriously, we need be aware of what happens to 'quality'; in whatever educational form it is encountered and experienced. 

individual
|
INTERPERSONAL : SCIENCES
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

interpersonal skills

informal / formal education
QUALITY
lifelong learning

biotechnical

landscape

quality improvement - clinical supervision?
inequity

social preparedness for AI/GenAI


management supervision?


Wednesday, May 07, 2025

Conference: Safety and Quality in Mental Health: Improvement - Led Care c/o RSM

'This event will explore successful strategies for enhancing patient safety and driving quality improvement in mental health services.

This timely event addresses the critical issues highlighted by recent high-profile incidents in mental health care. Keynote speakers, including Adrian James, the National Clinical Director of Mental Health, and Shubulade Smith, President of the Royal College of Psychiatrists, will share their experiences of leading organisations through challenging situations. Jonathan Warren, co-author of the Edenfield report, will also provide unique insights.

Key Themes:

  • Supporting staff through traumatic incidents
  • Amplifying patient and family voices
  • Service redesign for safer care
  • Innovative use of data for improved outcomes
  • Learning from significant events to prevent recurrence
  • Balancing human rights with public protection ...'
at: Royal Society of Medicine, 
1 Wimpole St, 
Marylebone, 
London, 
W1G 0AE, United Kingdom

Monday, February 17, 2025

Harnessing the Power of Artificial Intelligence to Improve Outcomes for Patients with for Long-Term Health Conditions

 Dear Colleagues and Friends,

We are organising a Special Session: Harnessing the Power of Artificial Intelligence to Improve Outcomes for Patients with for Long-Term Health Conditions

(https://aiih.cc/lthc/) in the International Conference on AI in Healthcare (AIiH), 8-10 September 2025, Jesus College, University of Cambridge.

We would like to accept both full length papers (12 pages plus references) and short abstracts (up to 5 pages including references) for special sessions. Submission guideline can be found here, including paper templates in both Word and LaTeX: https://aiih.cc/paper-submission/

The accepted full papers and abstracts will be published in the Springer LNCS volumes.

Full Paper submission deadline:            Friday 11 April 2025

Abstract submission deadline:               Monday 30 June 2024

We are looking forward to meeting you.

Best wishes

Shang-Ming Zhou

Professor in e-Health | Faculty of Health | University of Plymouth | PL4 8AA | UK.

Email :  shangming.zhou AT plymouth.ac.uk; smzhou AT ieee.org

https://www.plymouth.ac.uk/staff/shang-ming-zhou

https://www.plymouth.ac.uk/research/centre-for-health-technology

Monday, January 13, 2025

NPR: What is your wish to improve life on earth in 2025?

Dola Sun for NPR


With thanks to NPR, 'an independent, nonprofit media organization that was founded on a mission to create a more informed public'. NPR asked 11 global health professionals to share their wishes for 2025.

Read in full here:
https://www.npr.org/sections/goats-and-soda/2025/01/06/g-s1-40820/2025-world-wishes-haiti-bird-flu

We asked global thinkers how to improve life on earth in 2025. Here are their wishes

My wish: Honor the legacy of Jimmy Carter Dr. Ifeanyi M. Nsofor, project director, VaxSocial HPV Vaccination Initiative, Nigeria

My wish: World, awaken to the medical emergency in Haiti Dr. Ousmane Abdoulaye, Port-au-Prince in Haiti, medical coordinator, Haiti Mission, ALIMA — The Alliance for International Medical Action

My wish: Nothing too grand. Just a small wish that things for us go back as they were three years ago — when women could go to parks or markets but most of all go to school. Maryam S., Afghanistan, former Master's student of Pashto literature. She asked to be identified by her first name only out of fear that her criticism of Taliban policies would put her and her family in danger.

My wish: Make monumental strides in using advanced technology to detect emerging pathogens Dr. Abraar Karan, physician and researcher, Division of Infectious Diseases & Geographic Medicine, Stanford University

My wish: Let us recognize that violence has never been the true solution to conflict KR Raja, Madurai, India, lawyer advocating for criminal justice reform and the founder of the Indian charity Global Network for Equality, which supports children orphaned by crime

My wish: I dream of a future where there are safe and healthy conditions for workers, where they are free of discrimination and can earn a fair wage. Ashila Dandeniya, Colombo, Sri Lanka, founder and director of the Stand Up Movement, a women-led organization that advocates for workers' rights.

My wish: Make progress in developing treatments to reduce deaths and complications from dengue André Siqueira, head of the Dengue Global Programme at Drugs for Neglected Diseases Initiative and public health researcher at the Oswaldo Cruz Foundation's National Infectious Diseases Institute in Brazil

My wish: For trekkers and travelers to help clean up the waste they leave behind — and to help protect our natural treasures Raj Kumar Shrestha, trekking guide, Kathmandu, Nepal, and founder of Let's Clean Up Nepal, an environmental conservation organization

My wish: Use digital innovation to enable health workers to deliver their care, especially in places where resources are constrained Dr. Junaid Nabi, public health researcher specializing in health-care reform and innovation, and a senior fellow at the Aspen Institute and a Millennium Fellow at the Atlantic Council

My wish: May the year bring peace to the world Dr. Atsbha Merhawit, Ayder Hospital, specialty in endocrinology and diabetes, Mekelle, Ethiopia

My wish: Follow the rules of war regarding the welfare of children Joe English, New York, N.Y., emergency communication specialist for UNICEF ==

What is your wish for 2025?

Best wishes, Neil

HIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil AT hifa.org

n.b. My wish: That "Hodges' Health Career - Care Domains - Model" continues to emerge as a generic conceptual framework shared and understood by all learners for lifelong learning.

Thanks Neil. I will post this with HIFA link.

Friday, December 06, 2024

Int. Conference on Improving University Teaching 2025


Redefining Education:

Navigating Sustainability and Innovation in a VUCA World

In a world increasingly subject to volatility, uncertainty, complexity, and ambiguity (VUCA) the goal of sustainability is aspirational, yet elusive.  A UN report published in 2024 notes that “intensifying, interconnected challenges continue to endanger the realization” of the seventeen sustainable development goals identified by the UN Sustainability Conference twelve years ago in Rio de Janeiro.  This is especially true in education, which the report correctly terms “the bedrock of sustainable development.”   It notes the negative effects of the COVID epidemic, regional conflicts, climate shock, and economic turmoil and paints a picture of a planet struggling to make progress towards them. While the big picture may be less than perfect, there is still much cause for hope, as we strive towards a better future.

Against this backdrop, the International Conference on Improving University Teaching seeks to address the challenge of sustainability, equity, and innovation as they affect higher education. In particular, we are exploring how to prepare students for a “VUCA world” in which they will have to contend with multiple challenges, while at the same time ensuring their wellbeing—and that of all academic staff—in the present. By definition, a future subject to uncertainty and ambiguity will require flexibility and adaptability on the part of students. ..

Continued ...

Previously: IUT, VUCA

Tuesday, July 09, 2024

The Nursing and Midwifery Council: Independent culture review - Reflection, accountability and action


Individual
|
      INTERPERSONAL    :     SCIENCES                   
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

Title: 'Registered Nurse' ...

Professionalism

Reflection

Theory - Practice - Governance [gap*]

PROCESSES

ACTION

Community of Practice

Role models

Models of  Care -

Across all care contexts


c/o Twi/X

*always trying to bridge ...


Wednesday, April 10, 2024

"David Lynch: A Thinking Room"





Where is the Thinking Room?


Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group

Ah! Surely this one?

It's deep!


Is it here?
This is deep too!

Please take a chair.


I trust you are comfortable, so
what about this place?


Yes, you can think here -
but you must check first
before you do: Think. 
If you must ...

N.B. Please rate your experience too.



Soraya Roberts. A Room Of His Own, FT Magazine, 30-31 March, 2024, 1067: pp.38-41.

https://www.ft.com/content/bf6a6eaa-30d1-4704-9aea-4ff2d117f407

David Lynch’s dreamlike rooms at the Salone del Mobile.Milano 2024:
https://www.salonemilano.it/en/articles/david-lynchs-dreamlike-rooms-salone-del-mobilemilano-2024

Wednesday, April 12, 2023

RCN Nursing Awards 2023

Dear CHAIN member,

We would like to draw your attention to the following opportunity. 

Please pass on as appropriate. Thank you.
------------------------------------------------------------------------------------------------------------------------

RCN Nursing Awards 2023

The RCN Nursing Awards invites nurses, students and nursing support workers to share their innovations and expertise and celebrate their contribution to improving care and outcomes for their patients.


Entries are open to individuals and teams in 15 categories covering the diversity of nursing.

The awards will be judged by an expert judging panel chaired by Foundation of Nursing Studies Chief Executive Joanne Bosanquet.

Alongside nominations from colleagues and individuals, the Patient’s Choice category will give the public an opportunity to nominate a nurse or nursing support worker who has made a difference to their lives. The winner will be decided by public vote.

The awards are open to nurses, midwives and health visitors registered to practise in the UK and the Channel Islands, as well as nursing students, nursing support workers and nursing associates.

The deadline for entries is 28 April.

For more details please see:
https://www.rcn.org.uk/news-and-events/news/uk-prestigious-rcn-nursing-awards-2023-now-open-for-entries-280223


-----------------------------------------------------------------------------------------------------------------------------

Regards,

Irina Johnston

CHAIN Administrative Assistant

Saturday, February 11, 2023

2023 Improving University Teaching - Hybrid Conference: Sustaining Academic Resilience

 I received news this morning that I will be presenting virtually at:

"Students may arrive at university without a clear sense of what to do now that their goal of admission has been attained. To them, reaching that goal feels like a significant achievement—and it is. But finding a purpose—their own purpose—for pursuing university studies beyond admission is clearly a key ingredient for their academic and personal success.  Without it, they risk not having the resilience needed to cope with novelty and failure. With faculty support, however, students can develop a personal sense of direction to both guide and inspire them as they learn. A corollary is that emotional investment in their studies will help determine their success just as much as intellectual gifts and academic preparation.

Two years ago, the IUT conference was organized around the theme of “the human side of teaching.” This year we return to some of these same issues, which have become if anything more important in the light of our experience during the pandemic. We have seen how students who engage in remote learning often miss the support of direct contact with peers and academic staff and must compensate with added commitment of their own. We have also seen how teachers and students can become stressed to the point that wellbeing becomes an urgent issue for both. How can their wellbeing be nurtured? How can we sustain academic resilience?"

More details ...

 
Looking forward to join, learn and share:

"Hodges' model: Insights into Sustainability & Resilience"


Saturday, January 14, 2023

Report: "Developing learning health systems in the UK: Priorities for action"

Developing learning health
systems in the UK:
Priorities for action

"Importantly, many of the issues discussed above highlight how successful learning communities – and successful LHSs – require effective leadership. In particular, effective leadership is a critical facilitator for:

  • aligning the activities of the LHS with wider operational and strategic priorities
  • securing resources and organisational support
  • gaining the buy-in of staff and teams across an organisation
  • creating a healthy improvement culture.144
In this context, effective leadership includes behaviours such as being ‘problem framers’ rather than ‘problem solvers’, listening and observing, and stimulating reflection and critical thinking within teams.145 (While a detailed exploration of leadership is beyond the scope of this report, it is worth emphasising that this includes clinical leadership, which can have a significant impact on organisational performance.146)" pp.49-50.

 INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC   
SOCIOLOGY  :   POLITICAL 
|
GROUP







See also: Thiscovery

Being situated, Hodges' model can also 'frame' - strengths, staying well, relapse prevention, weaknesses, opportunities, threats, recovery, prevention...

Sunday, July 03, 2022

New WHO Quality Toolkit - 'Take ii"





Further to last months post, I've worried at times about the axes of Hodges' model and their status and function. Can I let the axis stand for itself?

INDIVIDUAL
|
|
|
GROUP

Do I expand (explode) the conceptual labels?

self - INDIVIDUAL - person
|
|
|
relationship - family - GROUP - community - population

There seems to be an asymmetry, when you traverse the axis - and its horizontal counterpart; from wherever you start. Perhaps, I worry too much as if the axis was regular then the generic property of the model overall would be diminished. Is this an axis at all?

The website for the Quality Toolkit at: https://qualityhealthservices.who.int/quality-toolkit

- explains the toolkit's scope that includes:

"This new online resource is a user-friendly toolkit to support action on improving the quality of health services at every level of the health system, from national and district to facility and community levels."

I have only scratched the surface here and hope to revisit again - in more detail. Please see below for reflections on the levels by which the toolkit can support action to improve the quality of health services. I have tried to suggest proximity and distance between the SOCIOLOGICAL and POLITICAL (policy). Perhaps, what is a 'clinic' has a name, that it is known by - a key part of the community. The community is closer to the people - to the would-be users of the facility. You can appreciate(?) here the challenge of getting the local community involved in their services. What is 'NATIONAL' should not be remote. Can people compare and contrast with what they are offered? 
 
On the website I note there are video presentations also. The prospect of regular updates for the toolkit is also welcome.

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

psychological access

'My' clinic

Trust, I feel safe)

(feeling safe)

Tell others - my experience..



physical access

clinic

(appearance, facilities, safety)

controlled environment

(cleanliness, sterile..,
or more social)



'the centre'

COMMUNITY

DISTRICT

national


facility
(policy translation / coherence?)

community

district

NATIONAL


Original source: Jules Storr, Independent Consultant, S3 Global & working with WHO as part of the Quality Toolkit development team - via HIFA

Previously: New WHO Quality Toolkit

'Take II'? Quality means getting it right first time (even as you persist in what you are doing - your aspirations and quality improvement). Vitally, this means you, the team make a positive impression for the person, the individual, client .. carer, group. 

If they need to - they will recognise their own ability, knowledge, follow advice, they will come back, they leave not to return soon as they can now self-care and care for others in their home, community ...

 Please note: This post and that previous is not intended to denote endorsement of Hodges' model.

 

Thursday, June 23, 2022

New WHO Quality Toolkit


"On Monday 20 June WHO launched the Quality Toolkit - a new interactive, online resource for anyone at any level of the health system interested in improving the quality of health services.

The Quality Toolkit provides users with tools to facilitate specific actions to enhance the quality of health services. It is a companion resource to WHO Quality Health Services: a planning guide which provides an outline of key actions to be taken across the health system. The Toolkit then supports these actions with numerous tools. It also enhances understanding of the key interlinkages across the health system when implementing any tool.

The Toolkit incorporates key WHO-published tools and other materials related to quality of health services. It will be updated periodically to reflect new and emerging information relevant to improving quality of health services, including WHO technical products currently under development.

The Quality Toolkit is available at: https://qualityhealthservices.who.int/quality-toolkit

HIFA members are invited to navigate the Toolkit and consider how they might use the tools as part of their improvement efforts. WHO welcomes feedback on the Toolkit qualitytoolkit AT who.int "

Via - HIFA - https://www.hifa.org/

I - IDENTIFY tools and resources relevant to quality of care
M - MAP those tools against improvement needs or identify gaps
P - PLAN implementation of activities for improving quality of care
R - RECOGNIZE interlinkages between technical areas and the process of change
O - OPTIMIZE multi-level action
V - VISUALIZE journeys for improving quality of care
E - ENGAGE stakeholders across the health system


INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

IDENTIFY (context)

PLAN^ (mental health)

RECOGNIZE*

needs

gaps


IDENTIFY (context)

MAP / VISUALIZE

PLAN^ (physical health)

OPTIMIZE

technical areas
gaps
needs



IDENTIFY (context)

ENGAGE

needs
gaps



IDENTIFY (context)

RECOGNIZE*

needs
gaps


Above rendering idealised and all embedded within spiritual and ethnocultural context.

*Recognition required politically to avoid individual frustration and facilitate (policy ...) coherence.

^Planning should (must) take into account need for parity of esteem between mental and physical health (with triage situations acknowledged).


Source: Jules Storr, Independent Consultant, S3 Global & working with WHO as part of the Quality Toolkit development team - via HIFA

Thursday, February 03, 2022

Lewy Body Society - funding opportunity

Dear CHAIN member,

We would like to draw your attention to the following funding opportunity. Please pass on as appropriate. Thank you.
 ------------

Lewy Body Society

We are pleased to announce that the call for applications to our 2022 grant round is now open.

We welcome applications for projects that will increase our understanding of Lewy body dementia as well as improving care for people living with this condition and their families and carers.

Deadline for applications: Thursday 14h April 2022 at 12 noon

Decisions and Start Dates: Most funding decisions will likely be communicated in October 2022.

For more details please see: https://www.lewybody.org/research/lbs-research-strategy/

Regards,

Irina Johnston

CHAIN Administrative Assistant

My source:

CHAIN - Contact, Help, Advice and Information Network – is an online international network for people working in health and social care. For more information on CHAIN and joining the network please visit website: www.chain-network.org.uk

@CHAIN_Network