Pinnacle

1
Sentinel Event Monitoring Steven Lillis Denise
Ward
2
Rural practice

• Middle aged male presented with atypical chest
  pains.
• History ? reasonable chance they were cardiac
• Needed some form of monitoring and possibly

3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6
What happened?
7
Next please.
8
(No Transcript)
9
What happened?
10
(No Transcript)
11
End result?
12
End result

• ..in this case was good
• but by chance and not by design.

13
Pinnacles objectives

• Center of innovative excellence
• Technology and research being the best nationally
• The best quality plan nationally
• Practice development
• Workforce recruitment and retention

14
Pinnacles objectives

• Center of innovative excellence
• Technology and research being the best nationally
• The best quality plan nationally
• Practice development
• Workforce recruitment and retention

15
(No Transcript)
16
C.Q.I.
17
C.Q.I.
18
Harm reduction
Quality plans
1988
2005
2010
2000
2015
AHBs
THAs
CHEs
RHAs
DHBs
PHOs
s
s
Pinnacle, IPAC, RNZCGP
19

• 2002 Clinical governance, introduced
• 2003 Discuss implementation at practice level
• 2004 Harm reduction processes in place
• 2005 Harm reduction incorporated into
  accreditation
• 2006 Provide copies of 2 events to central
  organisation
• 2007 repeat prescribing audit

20
Overarching principles.

• Signposting
• Multidisciplinary approach
• Building trust (QAA notice)

21
Operational Achievements

• Achieving buy-in from general practice teams
• Establishing database 156 events
• Repeat prescribing audit 3426 scripts
• Expanding the platform other providers

22
Operational Issue 1 Motivation

• Research
• Addressing barriers
• Sharing the learning
• Ongoing education
• Keeping in touch

23
Operational Issue 2 Sector Support

• Low priority
• Competitive atmosphere
• Competing demands
• No feedback re QAA

24
The future

• Better ways of data collection
• Taxonomy better ways of understanding practice
  systems
• Trust must always be considered
• Linkages what will assist the aims

25
(No Transcript)