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Teams Leading Quality Improvement

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Teams Leading Quality Improvement

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  1. Teams Leading Quality Improvement Presented By: June Austin, Angille Heintzman, Leslie Bortolotto February 2019; recorded for ongoing training

  2. The Physician Leaders’ Network The path to an Integrated Health Care System is paved by Physician Leaders and their health teams who support and champion the value of the Patient’s Medical Home. The Physician Leaders’ Network (PLN) has been designed BY physicians FOR physicians in partnership with: • Alberta Medical Association • Alberta Health Services • Alberta College of Family Physicians The PLN provides free, easy to access essential tools and resources for physicians and their health teams to lead system transformation. The best way to predict the future is to create it – Abraham Lincoln Physicians & Health Professionals

  3. Angille Heintzman Leslie Bortolotto Your Presenters June Austin • Edmonton Southside PCN Improvement Facilitator • Healthcare improvement experience across disciplines • Former RN, Quality Improvement Specialist • Certified Healthcare Team Effectiveness Trainer • Senior Consultant - AMA • Edmonton Southside PCN Improvement Facilitator • NHS experience in Quality Assurance and Improvement

  4. Before we begin www.pcnpmo.ca/PLN

  5. Learning Objectives • Engage the team (Engage & Formulate the team) • Overcome resistance to change • Identify leadership behaviours • Discover a shared vision for change • Learn about the (Explain) Model for Improvement & PDSA • Sustain and spread improvement

  6. Why Teams?

  7. “Those that do the work need to change the work”

  8. Resistance to Change

  9. Team Engagement • Workers are the “experts” • Improvement facilitators are valuable Forcing change results in resistance Engage the team in improvements

  10. Forming an Improvement Team • Ensure cross sectional representation • Diversity • Those that do the work must change the work • Each person represents their area • Intrinsic motivation is powerful: “I am making a difference”

  11. Engaged Leadership • Formal Leaders • Informal Leaders • Finders Minders Binders Grinders

  12. Discovery

  13. Discovery aka Diagnosis • Ask questions about current performance • Pay attention to quality data • Be aware of system wide issues

  14. Commit to Learning

  15. Map it! • Identify an area for improvement • Map the process

  16. Shared Vision

  17. Set an AIM • What we’re improving • For whom • By how much? • By when? • SMART goals

  18. Measurement • Baseline • Gap • Check for progress • Ongoing throughout improvement

  19. How Do I ‘do’ QI?Does it work?

  20. How do we make improvements? • Use a deliberate approach • Test vs. implement • Learn your way to sustainable improvement Most improvement requires change; however not all changes lead to improvement

  21. The Model for Improvement Set Aims Identify Measures Ideas to test Small, iterative tests of change

  22. The PDSA Cycle

  23. Mammogram Screening using the Model for Improvement Cycle 3 Cycle2 Cycle 1

  24. Changes that result in Improvement Continue to monitor data Hunches Theories Ideas

  25. Why Test? • People start to believe in the change • Test small changes and adapt • Minimize resistance to change • Opportunity to learn and adapt

  26. Sustain and Spread • Schedule regular meetings • Support the team to • Standardize and adopt successful tests • Share successes • Celebrate!

  27. QI in Summary • Form a team • Map current process • Identify gaps • Create a vision • Set an aim • Test changes • Adopt successful tests • Sustain and spread

  28. Now What?

  29. Next Steps • Bring your team together • Discuss challenges you are currently facing • Consider what you could do differently • Test it • Tap into resources – PCN or provincial • Build skills and knowledge

  30. More Resources Available • TOP Quality Improvement Guide https://www.topalbertadoctors.org/file/quality-improvement-guide.pdf • Your PCN • Alberta AIM • PLN webinar series at www.pcnpmo.ca/PLN • Physician Engaging in Quality Improvement • Primary Healthcare Opioid Response Initiative • Patient’s Medical Home and Your Practice • And more coming soon

  31. Summary Document http://share.albertadoctors.org/PHCP/default.aspx

  32. Your Partners

  33. We want your feedback! This is a working draft and we value your input! Please click the link below to complete a short survey on this presentation. https://interceptum.com/si/en/4119408