Date: st Quality Report - Modern Mindset

Meeting: Board of Directors Date: 1st March 2018 Title: Quality Report Summary of paper: This paper provides the monthly Quality Report with commentary and progress on activity associated with key safety and Quality indicators. Key Quality issues for January 2018 are as follows: The rolling 12 month HSMR for November 2016 to October 2017 is 3 cases of Clostridium difficile were reported during January 2018, the CDI rate year to date is per 100,000 bed days against a target of per 100,000 bed days. 4 Serious Incidents were reported during January 2018. There have been 3 Freedom to Speak Up alerts received during January 2018 It has been agreed by the Executive Committee and the Quality and Governance Committee that future reporting for PALs and Patient Experience be high level headlines via the monthly Quality Report with a more detailed quarterly Report as an addendum to the Quality Report at the end of each quarter. Consultation / other committee views: The Quality information has been reviewed at the Quality and Governance Committee, the Executive Committee, the Patient Quality Committee and via Divisional Governance meetings.

Meeting: Board of Directors Date: 1 st March 2018 Title: Quality Report Summary of paper: This paper provides the monthly quality report with commentary and progress on activity associated with key safety and quality indicators.

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