Dr David Grayson is the Clinical Lead for the design and delivery team at Ko Awatea, Centre for Innovation and Improvement in Counties Manukau Health, Auckland, New Zealand. He is also a practicing surgeon specialising in Otolaryngology Head and Neck surgery. Prior to joining Ko Awatea, David was the Chief Medical Officer at Hawke’s Bay District Health Board.
Alongside Diana Dowdle and others at Ko Awatea, David has helped coordinate a series of campaigns using the IHI Breakthrough Series methodology. Ko Awatea has adapted this for the Kiwi context and seen rapid improvement as a result.
Local work has focussed on reducing demand on hospital beds (20,000 Days and Beyond 20,000 Days campaigns). In primary care work has begun across the Auckland region to improve patient safety in collaboration with Neil Houston and the SPSP.
At a national level collaboratives have reduced central line infections (CLAB Zero campaign) and reduced length of stay for joint replacement surgery.
Ko Awatea is also adapting Marshall Ganz’s community organising approach, working with Pacific youth to improve mental health and wellbeing.
David also helped establish Ko Awatea’s Team HQi concept with a vision to build a collaborative trusting global network of networks committed to healthcare quality improvement.