NYS HIVQUAL Workshop: Thinking Outside the Box: Creativity and Quality Improvement March 20, 2009

1. NYS HIVQUAL Workshop:Thinking Outside the Box: Creativity and Quality ImprovementMarch 20, 2009 Dan Sendzik, QI Consultant, AIDS Institute dps10254@aol.com & Meera Vohra, MPH, AIDS Institute Meera@NationalQualityCenter.org

2. Agenda 8:30-9:00am Breakfast and Registration 9:00-9:15am Welcome, Introductions 9:15-9:30am Presentation: Finding Your Inner Innovator 9:30-10:00am Group Game: Thinking Inside the Box 10:00-10:30am Video and Discussion: Paradigm Shifts 10:30-10:45am Break 10:45-11:30am Group Exercise: Creativity Game Show 11:30-11:45pm Resources to Feed Your Creative QI Process 11:45-12:00pm Evaluation and Wrap up

3. Welcome!

4. "Insanity: doing the same thing over and over again and expecting different results." - Albert Einstein

5. Stuck Do you feel like your QI teams have already tried everything? Run out of ideas? Lost creative juice and excitement? Feel stuck and unmotivated???

6. Getting Unstuck.. Find your Inner Innovator! How can we see things differently and generate new ideas?

7. What do you see?

10. Perceptual Blocks • difficulty isolating the problem • tendency to delimitthe problem too closely • inability to see the problem from various viewpoints • seeing what you expect to see (stereotyping) • saturation and failure to use all sensory inputs -Conceptual Blockbusting, James Adams

11. Emotional Blocks • fear to make a mistake, to fail, to risk • preference for judging ideas rather than generating them • an inability to distinguish reality from fantasy -Conceptual Blockbusting, James Adams

12. Environmental Blocks • lack of cooperation and trust among colleagues • autocratic bosses who value only their own ideas and do not respect others • distractions and lack of support to bring ideas into action -Conceptual Blockbusting, James Adams

13. Cultural Blocks • when problem solving is a serious business, and humor is out of place • when tradition is preferable to change • the belief that any problem can be solved by scientific thinking and lots of money -Conceptual Blockbusting, James Adams

14. Tips • Believe that “change” is not a bad word. • Avoid being too narrow in the way you define a problem. Try to broaden definitions and see what insights you gain. • Reconsider where new ideas will come from. From you and your team? Your customers? Experts? Or the world at large? • Search beyond loyal and satisfied employees and customers, they may not give you new ideas. Ask the dissatisfied. • Build a playful environment to foster creativity. • Pause and rethink ideas that make you laugh when you first hear them. • Use the PDSA Cycle to pilot test a few new ideas that are generated on a small scale.

15. Game: Thinking Inside the Box • It’s easy to get stuck in our thinking about any problem we are confronted with as our minds are programmed to think in a logical, linear fashion. • Getting “unstuck” is not easy, but we can learn to be better at it. • Working in teams is one way to get “unstuck” - NQC Game Guide

16. Let’s Play!

17. Paradigm Shifts- Joel Barker Video Discussion Questions: • What we can learn from business? How can this affect your program? • Where can we get fresh ideas? “What is now proved, was once only imagined.” -William Blake “Even if you’re on the right track, you’ll get run over if you just sit there.” - Will Rogers

18. Creativity Game Show: Stump the Panel with your worst QI problem!

19. Creativity Game Show: How it’s played The moderators will: • Call two teams at a time to sit up front, as competing “contestants,” one team on either side with moderators in the middle. (Teams 1 and 2 first, then teams 3 and 4, etc.) • Give the two teams the same QI problem—gleaned from the ones submitted when you came in this morning. Teams will: • Brainstorm and write down, on the easel, as many ideas as possible, in 1 minute. The moderators will time you. • Each team member will be assigned a role (physician, nurse, consumer, etc.) Remember to stay in your assigned personal roles when thinking of ideas! • In each round, the team with the most ideas (not necessarily the best ideas) wins the prize.

20. Resources to Feed Your Creative QI Process • Creativity, Innovation, and Quality, Paul E. Plsek, 1997 • Serious Creativity, Edward De Bono , Harper Business; 1992 • Creativity, Inc.,Jeff Mauzy and Richard Harriman, Harvard Business School Press, 2003 • Conceptual Blockbusting: A Guide To Better Ideas, Third Edition, James Adams (Stanford University), Perseus Publishing,2001 • The Game Guide: Interactive Exercises for Trainers to Teach Quality Improvement in HIV Care www.nationalqualitycenter.org • Innovation Tools (Tools, Resources and Articles) www.innovationtools.com • Directed Creativity www.directedcreativity.com

21. Tools to Feed Your Creative QI Process • Creative Brainstorming • Visual Brainstorming • Games • Ground Rules

22. Don’t Reinvent the Wheel! NationalQualityCenter.org

23. Get ideas from your peers: Quality Link • Launch of Quality Link – Dec 2008 • Opportunity to network and for peer learning • Online database to provide contact information of matched peers NationalQualityCenter.org/QualityLink

24. 2008 NYS HIVQUAL Workshops9:00am-12:00pm, 3rd Friday of Each Month April 17th – Writing and Updating a QM PlanPresenters: Nanette Brey Magnani + Susan WeiglLocation: Hispanic Federation, 55 Exchange Place, 5th Floor, NYCMay 15th – Staff ownership and Consumer Involvement  Presenters: Dan Belanger+ Daniel Teitz Location: NYSDOH AI, 90 Church Street, 4th Floor Room A/B, NYCJune 19th – Effective Quality Improvement Meetings and Teams Presenters: Kevin Garrett + Dan BelangerLocation: TBD www.HIVQUAL.org (WORKSHOPS)

25. “ I can’t understand why people are frightened of new ideas. I’m frightened of old ones.” - John Cage THANK YOU 