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The founders of Care-Metric Ltd are Jan and Marian Weststrate.

Jan holds a PhD in nursing and regularly publishes articles in national and international journals. He has over 20 years nursing experience in intensive care, guiding patients and families through complex and critical transitions of life. Through Care-Metric he organises quality improvement workshops for rest homes in New Zealand. He also evaluates aged-care audit reports to recommend what aspects of care need to be addressed at a national level.

Marian has more than 40 years nursing experience in New Zealand and the Netherlands. She has first-hand care experience in rest homes, in the community and in hospitals. As a district nurse on the Kapiti Coast, Marian is a passionate advocate for her clients beyond the care system itself and direct nursing support.

Our Mission

To inspire, train and support health care management and professionals to continuously improve their care outcomes, increase safety and reduce costs.

Our Values

Transparency: we will act in an open and honest manner with our customers.
Innovation: We will bring evidence based/best practices interventions into the equation to achieve better outcomes.
Creativity: We recognise that “one size does not fit all” and will strive for new solutions as well as continuous improvement.
Respect: We will honour our customers’ kaupapa, in light of the organisational and cultural context in which they work.

Our way of working

Care- Metric Ltd employs the quality and safety improvement processes of Walter Shewhart and Edward Deming. In the later years of his life Deming developed his “system of profound knowledge” (SoPK). He argued that each manager needs to look through this lens in order to manage business processes (including improvement) effectively.

Edward Deming and his quadrants of SoPK

The quadrants

  1. Knowledge of a system: Understanding the interaction between all of the processes that take place within a system;
  2. Knowledge of variation: Understanding the range and causes of variation in each of the organisation’s process;
  3. Theory of knowledge: Understanding the concept of knowledge and its influence on change;
  4. Knowledge of human behaviour: Understanding the influence of people on change.

These two videos by Robert Lloyd from the Institute for Healthcare Improvement explain all this in more depth, using the useful example of hand-washing compliance.

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Care-Metric also employs the tried-and-true PLAN-DO-STUDY-ACT cycle to manage improvement initiatives. Improvement does not happen overnight and is often referred to as a continuous process. Improvement can only take place when changes are made, however these changes can have a destabilising effect on the organisation. Allowing changes in small steps will reduce this  risk and help build support within the organisation.  Going through multiple P-D-S-A cycles will brings the organisation together, helping it move successfully in a new direction.

Let’s begin!
Contact us and we’ll help you build a plan for continuous improvement!

Alternatively, call us on 021 897 605 or email jan@care-metric.com.

Earning a PhD and then leaving academia does not make you a failure. As faculty, we need to consider whether we are the ones who are failing if all we do is self-replicate. Shouldn’t we consider it a success when people earn their PhD and use it to have impact beyond academia?

A study looked at how 5,000 managers developed their teams. Least effective were "always on" managers who give lots of feedback (it's counterproductive). Most effective were "connector" managers who help people build relationships/connections: https://hbr.org/ideacast/2019/11/why-connector-managers-build-better-talent?utm_medium=email&utm_source=newsletter_daily&utm_campaign=dailyalert_not_activesubs&referral=00563&deliveryName=DM55695 @HarvardBiz

Most surgical deaths are in older patients with underlying health issues, and don’t actually happen in the operating room. Great graphic from @RACSurgeons showing the most common factors in surgical deaths. Read the VASM annual report: http://bit.ly/2Kft7NV

Thought you’d enjoy this @lesliejpelton #AgeFriendly https://twitter.com/ewidera/status/1191490707854262272

Supervised meals, sitting up in bed, modified cutlery – there are many ways to help a patient with swallowing problems. But how to let EVERYONE know to follow these measures with your patient? Tell us your thoughts on new safe eating/drinking guidance 👉http://bit.ly/33nGByn

How many data points do I need? https://shar.es/a3XNt5 Not many! Just 10 and you get an idea if your quality improvement idea has a future. #measurement #spc #runchart

Dementia is fast becoming disease number 1. Global cooperation is needed, more investment in research-NL doubles the research budget, #G20 I call on other countries to do the same. 👉 https://lnkd.in/dWWVwqS #DefeatingDementia

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