22 episodes

A podcast about improving, exploring, understanding and getting on with healthcare safety and quality

No Harm Done Podcast No Harm Done Podcast

    • Health & Fitness

A podcast about improving, exploring, understanding and getting on with healthcare safety and quality

    NHD Ep 22 – Is it good value?

    NHD Ep 22 – Is it good value?

    Ep 22 finds Jones and Balding cogitating on value based care. What’s it all about? Is it a fad? Old thinking wrapped up in new language? Or is it exactly what we need to break through to next level care and service quality? We shall see…

    1. QUALITY QUANDARY (4:26) What is value in health and human services?

    ACSQHC State of Patient Safety and Quality in Australian Hospitals


    Value in Healthcare Interview (17:12) with IHPA (Independent Hospitals Pricing Authority) experts – Joanne Fitzgerald (Executive Director Policy & Classifications) and Sarah Neville (Senior Advisor)

    In December, IHPA published its Pricing Framework for Australian Public Hospital Services 2020-21.


    2. THE POINT (32:30)

    PaRIS (PROMS) https://www.oecd.org/health/paris.htm

    Contact: Michael van den Berg: michael.vandenberg@oecd.org

    What can we learn from
    patients’ perspectives on the quality and safety of hospital care?  Bev Fitzsimons Jocelyn Cornwel. BMJ Quality & Safety 2018; 27 671-672 Published Online First: 05 Apr 2018. https://www.eurekalert.org/pub_releases/2018-07/smh-epi072318.php

    3.  TLDR (39:30)

    Raymond, K. Reforming
    for Value: Opportunities for Outcome Focused National Health Policy. Deeble
    Institute Issues Brief No. 33.  Canberra: Australian Healthcare and
    Hospitals Association; 2019. p. 30


    IHPA/KPMG paper on Value Based Care


    4. DRDR – Did Read – Do Read (42:00)

    Raymond K, Hegde S
    Dental Health Services Victoria: Journey to Value Based Healthcare. Deeble Institute
    Perspectives Brief No. 7Canberra: Australian Healthcare and Hospitals Association;
    2020. p. 15.


    Jayakumar P, Bozic KJ. Reduced Spending With
    Mandatory Bundled Payments for Joint Replacements. JAMA Internal Medicine. 2019;179(7):932-3. https://doi.org/10.1001/jamainternmed.2019.0486

    5. OTHER BITS (47:30)

    Exciting conference coming up – and No Harm Done is on the program!: Better Care Everywhere – healthcare variation in practice: https://www.safetyandquality.gov.au/our-work/healthcare-variation New free ebook from Balding: ‘Three Essential Strengths for Quality Leaders.’ Access here: https://qualityclass.kartra.com/page/QLeaderStrengthseBookCPD hours – would you like to earn 1 CPD hour for every time you listen to our podcast? If so, let Jones know we can investigate producing a (value based!) product for this: cathyjoneshealth@gmail.comTalk to Us: Leave a question on our website: www.noharmdonepodcast.com Twitter handles : @qualcat @CathyBalding Link In with us on LinkedIn.

    • 54 min
    NHD Ep 21 – We’re positive!

    NHD Ep 21 – We’re positive!

    Jones and Balding take a walk on the quality bright side. What do the improvement experts say about our relentless focus on removing defects to achieve quality care? How could this be applied to all health and human services – including aged care and the recommendations emanating from the Royal Commission?


    Dr Ackoff on creating high-quality products and services through positive systems’ design and improvement: https://www.youtube.com/watch?v=OqEeIG8aPPk

    2. THE POINT (7:00) We combine The Point with our TLDR segment (too long didn’t read) with some thoughts on the Aged Care Royal Commission interim report findings. The Royal Commission into Aged Care Quality and Safety released its three-volume Interim Report ‘Neglect’ on Thursday 31 October 2019. https://agedcare.royalcommission.gov.au/publications/Pages/interim-report.aspx

    Question Builder (13:10): Jones follows up some research on the ‘Question Builder’ consumer questions for doctors from a previous episode: What patients want to ask their doctors: Data analysis from Question Builder, an online question prompt list tool from ACSQHC. https://www.ncbi.nlm.nih.gov/pubmed/31831304

    3. DRDR (Did Read, Do Read) (16:20)How to improve improvement‘ by Mary Dixon-Woods. https://www.bmj.com/content/367/bmj.l5514

    4. QUALITY HACK (22:15) Professional reflection questions to ask at the end of a year/decade. Take 10 minutes to review your professional satisfaction for last year and you’ll be set up to plan for a more professionally satisfying this year!

    5. FAAAQQS (Frequently Asked and Answered Quality Questions) 29:30What do we do with never ending committees and working groups? When to pull the pin?

    • 37 min
    NHD Ep 20: Failure to Launch

    NHD Ep 20: Failure to Launch

    In this episode we discuss the upsides of failure for learning and improvement – and just to show that we’re serious, we conduct our own failure experiment…

    QQ (Quality Quandary): FAILURE!

    Course Corrections: How Health Care Innovators Learn from Setbacks to Achieve Success. Klein S, Hostetter M, McCarthy D. New York: The Commonwealth Fund; 2019. p. 11.


    Drift into Failure: From Hunting Broken Components to Understanding Complex Systems. Sidney Dekker. Ashgate, 2012.

    FAST Goals: (15:32)


    Shale S. How doctors in leadership roles establish and maintain a positive patient-centred culture.  London: General Medical Council; 2019. p. 60.


    THE POINT: (25:52)

    Santana et al. Measuring patient-centred system performance: a scoping review of patient-centred care quality indicators.


    QUALITY HACK: (32:13)

    How to set boundaries around email….


    Trees and benefits:

    https://www.ncbi.nlm.nih.gov/pubmed/17903349https://www.ncbi.nlm.nih.gov/pubmed/18394317https://www.sciencealert.com/just-looking-at-photos-of-nature-could-be-enough-to-lower-your-work-stress-levels https://www.ncbi.nlm.nih.gov/pubmed/21431424https://www.ncbi.nlm.nih.gov/pubmed/19568839.


    • 54 min
    NHD Ep 19: Getting Rid of Stupid Stuff

    NHD Ep 19: Getting Rid of Stupid Stuff

    Welcome to No Harm Done! – a podcast about improving, managing, monitoring and getting on with quality and safety in health and human services. In this episode we unpack more components of leading and managing quality improvement, including tips for working with doctors, reinforcing the key role of consumer input and partnerships, project management, a LEE-IT framework (who stole the ‘D’?), an awesome hack from Jones and much more – oh, and ‘getting rid of stupid stuff’ as a quality improvement strategy!

    ALSO! Let us know the most unusual place you have listened to our podcast – which country, city, suburb? at work/home/school? in the bath? up a tree? Let us know on Twitter or via our website.

    0:00 QQ (Quality Quandary): Leading and Project Managing Improvement.

    Ashton M, Getting Rid of Stupid Stuff New England Journal of Medicine. 2018;379(19):1789-91.https://doi.org/10.1056/NEJMp1809698

    Kate Hilton, Alex Anderson, How One Health System Overcame Resistance to a Surgical Checklist. HBR MAY 20, 2019 https://hbr.org/2019/05/how-one-health-system-overcame-resistance-to-a-surgical-checklist utm_campaign=tw&utm_source=hs_email&utm_

    Recording of Michael Rose, MD, talking about this project: http://www.ihi.org/resources/Pages/AudioandVideo/WIHI-how-to-make-change-happen-an-introduction-to-ihis-psychology-of-change-framework.aspx

    Kotter on overcoming resistance to change: https://www.youtube.com/watch?v=q9FbCsVe5So


    PRINCE 2: https://www.projectmanager.com/blog/prince2-methodology

    PMP : https://www.greycampus.com/opencampus/project-management-professional/what-is-pmp

    GANTT Charts: https://www.projectmanager.com/gantt-chart

    22:30 NHS Quality, service improvement and redesign (QSIR) tools 





    30:05 THE POINT

    Prang K-H, Canaway R, Bismark M, Dunt D, Kelaher M. Associations between patient experiences and clinical outcomes: a cross-sectional data linkage study of the Australian private healthcare sector. BMJ Open Quality. 2019;8(3):e000637.

    Engaging patients to improve quality of care: a systematic review.

    Bombard, G. Ross Baker et al. Implementation Science 13, article number 98 (2018). https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0784-z


    ACSQHC, 2019. The state of patient safety and quality in Australian hospitals. https://www.safetyandquality.gov.au/sites/default/files/2019-07/the-state-of-patient-safety-and-quality-in-australian-hospitals-2019.pdf


    42:50 DRDR (Did Read, Do Read) 

    McNicholas C, Lennox L, Woodcock T, et al Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. BMJ Qual Saf 2019;28:356-365.  https://qualitysafety.bmj.com/content/28/5/356.

    Papanicolas, I Figueroa J. Preventable harm: getting the measure right. BMJ, 2019, 366:14611. https://doi.org/10.1136/bmj.I4611

    40:50 Apps that read to you:

    Pocket Support: https://help.getpocket.com/article/1081-listening-to-articles-in-pocket-with-text-to-speech


    • 58 min
    NHD Ep 18: The Triple A (All About Accreditation)

    NHD Ep 18: The Triple A (All About Accreditation)

    Welcome to No Harm Done Episode18: All About Accreditation

    In this ep we wander the accreditation maze, looking for clues.   Does it work?  Do consumers have a role?  Can it be managed without light years of stress? And find out how relatives and friends ‘protect’ their loved ones in hospital – this we must do something about…

    QQ: ( QUALITY QUANDARY) – The Triple A (All About Accreditation)

    21:00 Swiers R, Haddock R. Assessing the value of accreditation to health service organisations. Deeble Institute Evidence Brief No. 18, Canberra: Australian Healthcare and Hospitals Association; 2019. p. 20 https://ahha.asn.au/publication/health-policy-evidence-briefs/evidence-brief-no-18-assessing-value-accreditation-health NSQHSS Workbook: https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safety-and-Quality-Health-Service-Standards-Accreditation-Workbook.pdf

    NSQHSS Monitoring Tool: https://www.safetyandquality.gov.au/wp-content/uploads/2018/04/NSQHS-Standards-2nd-ed-monitoring-tool-for-hospitals.xlsx

    27:25 THE POINT

    Reece Hinchcliff,  David Greenfield,  Anne Hogden,  Pooria Sarrami-Foroushani, Joanne Travaglia,  Jeffrey Braithwaite. Levers for change: an investigation of how accreditation programmes can promote consumer engagement in healthcare.   International Journal for Quality in Health Care, Volume 28, Issue 5, 10 October 2016, Pages 561–565, https://doi.org/10.1093/intqhc/mzw074

    Merner B, Hill S, Taylor M. ‘I’m Trying to Stop Things Before They Happen’: Carers’ Contributions to Patient Safety in Hospitals. Qualitative Health Research. 2019;29(10):1508-18. https://doi.org/10.1177/1049732319841021

    35:50 TLDR: (Too Long Didn’t Read):

    NSQHS Standards User guide for governing bodies: https://www.safetyandquality.gov.au/publications-and-resources/resource-library/nsqhs-standards-user-guide-governing-bodies

    Board Attestation statement: https://www.safetyandquality.gov.au/publications-and-resources/resource-library/fact-sheet-7-governing-body-attestation-statement

    42:15 DRDR: Did Read – Do Read 

    Do we make QI too complicated? By Karen Baldoza, IHI,  July 18, 2019


    Australian Commission on Safety and Quality in Health Care. The state of patient safety and quality in Australian hospitals 2019. Sydney; ACSQHC, 2019.


    Leave us a review on iTunes – we really appreciate it and
    it helps people to find the show!

    And – ask us a question on the NHD website or contact us on Twitter

    www.noharmdonepodcast.com  @qualcat @CathyBalding

    Jones’ email for her accreditation tool: Cathy.Jones@healthscope.com.au


    Nobody cares how much you know, until they know how much you care.  -Theodore Roosevelt.

    • 48 min
    NHD Ep 17 updated – Measurement Part 2+2=3

    NHD Ep 17 updated – Measurement Part 2+2=3


    In this episode, Jones and Balding revisit the thorny and vexed area of quality measurement – but this time we have the good sense to call in the experts – well, one expert, anyway. Cousin David joins us – that’s David Balding, Professor of Statistical Genetics at the University of Melbourne, and Director of Melbourne Integrative Genomics. We think he’ll keep up!

    For Ep 17, our second NHD episode on measurement, we wanted a numbers expert – and as we couldn’t find one named Cathy, we called in another Balding! – Professor David Balding FAA, that is.

    QUALITY QUANDARY: Are we as good – or as bad – as we think we are??? We discuss Don Berwick’s recent rant about measurement and get an  outsider’s perspective on whether we’ve got it completely wrong or not. Also – a lovely overview of quality measurement that pulls it all together.

    4:50 Don Berwick at IHI Glasgow talking about his re-thinking of measurement.https://www.youtube.com/watch?v=mPMJznD

    13:10 Using data for improvement. BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l189 (Published 15 February 2019) BMJ 2019;364:l189

    28:50 THE POINT: Fascinating study of what medical ward patients wanted to know about vs the data displayed.  Useful for anyone in human services.

    Pannick S, Archer S, Long SJ, et al What matters to medical ward patients, and do we measure it? A qualitative comparison of patient priorities and current practice in quality measurement, on UK NHS medical wards.BMJ Open 2019;9:e024058. doi:10.1136/bmjopen-2018-024058 B

    34:40 TLDR: Too Long Didn’t Read

    We know your time is precious and you don’t always have time to open every email. This can cause extreme guilt and FOMO! Don’t worry – we read this so you wouldn’t have to. This time we’re renaming this segment : THDR – Too Hard Didn’t Read – and glad we have the expert on hand to demystify:

    Scientists rise up against statistical significancehttps://www.nature.com/articles/d41586-019-00857-9

    44:00 FAAAQQS – FREQUENTLY ASKED AND ANSWERED QUALITY QUESTIONS.  A comment/question from the NHD website – thanks Shannon! ‘I want to talk about data. I agree with you Jones about numbers showing trends but there is so much missing and we can’t guarantee that the current audience knows what they are reading. I believe it’s extremely important to have a worthwhile narrative to accompany the numbers.’


    “If you don’t collect any metrics, you’re flying blind. If you collect and focus on too many, they may be obstructing your field of view.”  (Scott M. Graffius)

    “Don’t count the things you do, do the things that count.” (Zig Ziglar)

    • 48 min

Customer Reviews

emmamillard ,

Highly recommend

I would highly recommend this podcast for anyone working in a quality-related role in healthcare. Jones & Balding share a broad range of their knowledge, advice and tips! A great podcast & excellent resource to refer back to when problem solving through the world of quality!

Agrajagdent ,

Best health show ever

I don’t even work in health and i find this supremely entertaining and fascinating. Keep up the fantastic work. I look forward to this every month. It could be so dry and boring but Balding and Jones’ enthusiasm is fab.

Hal07 ,

Absolutely fabulous

Love this engaging, funny and highly educational and practical pod.. brilliant work!

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