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NICE’s role in establishing guidelines and Quality standardsPPT
VTE impact assessment: mandatory quarterly data collection by all acute care providers There has been a steady increase in the proportion of adult admissions risked assessed for VTE in all providers of NHS funded acute care, from 47% in July 2010 to 94% in December 2012. NICE guidance The documentation of risk assessment improved following the implementation of NICE guidance; it is questionable, however, whether this led to improved patient safety with respect to prescribing appropriate prophylaxis. Bateman et al. The implementation of nice guidance on venous thromboembolism risk assessment and prophylaxis: a before-after observational study to assess the impact on patient safety across four hospitals in England BMC Health Services Research 2013, 13:203 NICE International is NICE’s non-profit programme since 2008 Supporting foreign governments to make better policy decisions for better health Technical support: HTA, guidelines and quality standards Advice on process and governance: transparency, public and stakeholder involvement Practical support projects (clinical pathways, quality standards) with country partners, including: China, India, Vietnam Vietnam: QS for Stroke developed over 14 month, country-owned process MOH policymakers and clinicians across Vietnam engaged in deliberative process Selected relevant recommendations to address high-priority clinical areas Developed quality statements and measures, appropriate to Vietnamese context Final product approved by Vice Minister * QS: a model of national/international partnership? Effective partnership Convened policymakers and stroke clinicians for the first time with direct policy impact Stronger institutions MoH incorporated QS in Hospital Quality Criteria Pilot QS implementation funded through World Bank project Better decisions Focus on low cost, high impact interventions: prevention, joint working across disciplines, early diagnosis and rehabilitation Full implementation could lead to improved care for 1
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