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Here you will find all the resources you need to carry out a SusQI project.
Please see our Licensing page to find out how to credit CSH when using our resources.
Click here if you would like to receive further training on the SusQI approach, or contact us here.
What is SusQI?
The SusQI Framework
This paper by Mortimer et al sets out the SusQI Framework in detail
The Triple Bottom Line
Here, CSH explains the concept of triple bottom line analysis
Principles of Sustainable Healthcare
This paper by Frances Mortimer sets out the CSH principles of sustainable healthcare
Sustainability in quality improvement: measuring impact
This paper by Mortimer et al using cases studies to discuss how different varaibles of sustainable value may be measured in practice
Concrete ways we can make a difference...
This paper by Spooner et al presents an evaluation of trainee experience of SusQI and demonstrates its value in increasing engagement and motivate learners to contribute to the development of a sustainable healthcare system.
Teaching skills for sustainable healthcare
This paper by Stanford et al reviews the SusQI framework and outlines its value for engaging health workers in health system transformation
Project Development Template: This will help you get started on a project. It provides guiding questions to get you thinking and pointers of where to use the tools above for each stage of your process
Project Planner: This document provides a framework for recording your steps in the SusQI Process as you develop your project
Study the System
Value process mapping overview
This guide will help you to design your own value process map
Examples of value process maps in various clinical settings:
Value process mapping: outpatients example
Value process mapping: sexual health services example
Value process mapping: unilateral tinnitus example
Scanning for Waste
Here you will find a scanning-for-waste resource use table blank for your use. This will help you identify the types of waste which might be occurring in your department or system.
Recognising Resource Use
Here you will find a recognising resource use table blank for your use. This will help you identify waste hotspots that could be the target for your improvement idea
Scanning for Social Impact
Here you will find a scanning for social impacts table blank for your use. This will help you to identify the negative and positive social impacts on different groups of your current system and your proposed intervention idea.
Scanning for Social Determinants
Here you will find a scanning for social determinants table blank for your use. This will help you identify the socially-determined roots causes for a problem, that might enable you to target interventions to prevent these problems occurring.
Driver Diagram template
This diver diagram is blank for your use and can be filled in to help you think about potential change ideas in your setting
Examples of Driver Diagrams in various clinical settings:
Driver Diagram: anaesthetics
Driver Diagram: renal services
Driver Diagram: diabetes services
Driver Diagram: ICU
Prioritising Improvement Ideas Table:
Use this table supports you in considering the potential Health, Environmental and Social Impacts of your change ideas, as well as their feasibility
Measure the Impact
Environmental outcomes: carbon footprinting for healthcare This document will show you how to work out a carbon footprint of a service, system or pathway using updated greenhouse gas emission factors
Note: The Scanning for Social Impacts table from the Study the System section above can be used after designing or implementing your intervention. This will help you to understand if you have have had an overall increase or decrease in negative social impacts and for which group.
Once you have completed your report, please share your project by uploading it to our Sustainable Healthcare Resource Library. Please note, you will need to register with the free Networks before you can upload.
SusQI Project Report Template: Use this template if you have followed SusQI methodology for your project.
Case Study Report Template: Use this template for all other sustainable healthcare projects.
Poster Template: This provides a structure for presenting your project at a conference or meeting
Educational Case Study Template: Share your experience of teaching SusQI in your institution using this template
project development template
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