REGIONS (Click here to see what is taking place in your region)
What are Regional Action Plans?
The AAA QIP aims to encourage the use of best practice processes (see AAA Care Pathway) and protocols that have been shown to reduce AAA mortality. For these to be implemented into vascular units throughout the U.K, it is important for these to be adapted to suit local needs.
In order to achieve this, we are working within regions to hold ongoing regional events to introduce best practice AAA protocols into practice. Template protocol documents are discussed and reviewed through group sessions with suggestions of region specific requirements. Meetings are then followed by Regional Action Plans where Trusts/teams carry out ONE intervention to test an element of the care pathway/protocol using quality improvement methodology. Once the protocols have been tested and proven to work in practice a follow up meeting is held to agree the final standards in the care pathway and specific protocols that are to be adopted as the standard for that region. The ultimate aim is to develop a standardised AAA Care Pathway for each region.
Changes will be introduced through local testing to increase ownership of the protocols and to improve implementation into standard practice.
Key Elements of the Regional Action Plan Process:
- Participation from all key stakeholders; vascular surgeons, radiologists, anaesthetists, nurses, managers, patients, C&S Networks and SHA/Commissioning teams.
- Share current practice and agree ideal best practice for the region
- Improvement work over time
- Trusts/teams test ONE best practice protocol/intervention
- Local leads within each unit to drive QIP interventions
- Follow up meetings to report back on progress, share outcomes and learning
- AAAQIP team to provide ongoing support, track data contribution and outcomes
What is involved?
1. Patient Consultation: AAA patient information leaflets and consent forms 2. The decision to treat: Preoperative screening and risk scoring. 3. MDT: Who should be involved in the decision to treat? 4. Intra-operative care. 5. Post operative and discharge care. 6. Measurement of outcomes and patient experience.
Attendees are divided into groups to discuss each element of the care pathway as well as the best practice protocols involved. Groups rotate to allow all delegates to provide input on each element of care. Salient themes and issues are then fed back by group leads. Based on this feedback, Trusts/teams volunteer to test one element of the care pathway. The day is ended by summarizing discussions and agreeing an action plan for implementation. The QIP team then work with nominated leads from the region to carry out quality improvement interventions over a 3 month period with the aim of providing feedback on implementation at a follow up meeting.
We will require units to:
1. Bring your team to enable you to effectively plan your local implementation strategy.
2. Share current practice through group discussions and agree best practice quality standards.
3. Volunteer to pilot ONE best practice protocol within your unit.
4. Identify a champion/leader within your unit to lead the QI intervention work.
What are the benefits in participating?
Regional action plans work to bring clincians involved in the care of AAA patients together. Experiences are shared based on local processes thus protocols can be adopted with the optimal changes to suit the region. This will act to standardise vascular practice throughout a region and improve patient safety.
If you would like to be involved in devising a Regional Action Plan or setting up Patient Groups within you region, please complete the Expression of Interest form below and a member of the AAAQIP team will be in touch shortly.
