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A Look Back

A Look Back. AHQPSC - Spread and Sustainability Learning Series. What Was Our Focus ?. To build reusable knowledge, skills and tools for creating, sustaining and spreading better practices

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A Look Back

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  1. A Look Back AHQPSC - Spread and Sustainability Learning Series

  2. What Was Our Focus? • To build reusable knowledge, skills and tools for creating, sustaining and spreading better practices • Secondary focus on patient safety clinical care bundles (MedRec, surgical checklist, VTE prevention, surgical antibiotic prophylaxis)

  3. Why This Approach? • Islands of improvement (stuck) • Improvement evaporation (gains not sustained) • To get beyond notion that QI change is a one shot deal • Expand learning beyond clinical care teams to include senior leaders, middle managers and support staff (regional/systems approach)

  4. Interprovincial Advisory Objectives for the Learning Series • 60% participation Atlantic Health Regions • 80% Regions have implemented, sustained and spread at least one better practice before Nov 2013 (2 years) • 90% say that participation has improved their capability to sustain & spread better practices.

  5. Spread and Sustainability Learning Series • Two Waves • 12 Regions / Organizations • 16 Regional Spread & Sustainability Teams • Medication Reconciliation and Safe Surgery • Project Charters • Two face to face meetings • Virtual Team Calls every second month • Virtual Learning Sessions every second month • GSKs for Med Rec and Safer Surgery • Support for measurement using PS Metrics • Surveys – baseline & every 6 months • Executive Sponsor Face to Face Learning Exchange. • Access to a Safety & Improvement Advisors & Faculty

  6. Regional Spread & Sustainability Teams • Horizon Health • Med Rec Admission • Med Rec Transfer • Vitalite • Med Rec • Safe Surgery • Eastern Health • Med Rec • Safe Surgery • Central Health • Med Rec • Safe Surgery • Health PEI - Med Rec • Western Health - Med Rec • Labrador Grenfell Health - Med Rec • GASHA - Med Rec • SWNDHA - Med Rec • AVDHA - Med RecC • CEHHA - Safe Surgery • PCHA - Med Rec

  7. Development of Evaluation Framework • CPSI Safety Competencies • IHI Dimensions of Spread • Themes from 2009 SS Focus Groups • LEADS framework CCHL • Accreditation Canada ROPs • CPSI’s - the Middle Mgmt Squeeze Concept (top & Frontline)

  8. Survey Dimensions • Culture of Safety • Leadership and Champions • Clinical Involvement • Communications • Monitoring, Measuring and Feedback • Resource Utilization • Patient Safety is not enough

  9. Our Environments are Dynamic • Our teams have all faced their own specific challenges during the past two years. • Leadership changes • Shifting provincial and organizational priorities • Changing political priorities • Team member turnover

  10. Change is Occurring • Standardization of policies • Clarification of roles • Improvement in intervention measures • Physician champions finding more ways to participate • Teams being acknowledged for their efforts. • Improvements in measurement.

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