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Source: Health Quality and Safety Commission

Mental health and addiction (MHA) quality improvement programme project teams have met for the first learning session for Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau / Learning from adverse events and consumer, family and whānau experience project.

The sessions, held in Auckland and Christchurch on 12 and 13 February, were an opportunity for participating teams to share their progress and learn new knowledge and skills on key topic areas including:

  • the model for improvement
  • developing a theory for improvement
  • how to implement changes
  • planning for an action period.

The 75 attendees represented 13 district health boards (DHBs), non-government organisations, consumer advisors and the Health Quality & Safety Commission.

Learning from adverse events and consumer, family and whānau experience is one of the five priority areas of the national five-year MHA quality improvement programme hosted by the Commission.

Director of health quality intelligence, Richard Hamblin, led a robust discussion at both sessions on the project’s national aim and measures.

Project teams have been provided with a national draft driver diagram (208KB, pdf) to adapt for their local settings. The plan is for DHB-led project teams to focus their improvement and testing of change ideas on two of the project’s primary drivers:

  • learning system
  • consumer, family and whānau involved.

A working group will be established to focus on the ‘consistent processes’ primary driver and a knowledge package (guideline) for triaging, investigating and reporting on adverse events in MHA services will be developed.

Members of Southern DHB’s project team consider content for their driver diagram at the Christchurch learning session.

This knowledge package will be aligned with the 2017 national adverse events reporting policy and the 2012 reporting and reviewing of adverse events involving users of mental health services guide.

Participating project teams will next meet to share their progress at the second learning session via teleconference on 6 May. Monthly coaching, sharing and progress sessions have been scheduled in the meantime.

Last updated 18/03/2020