Application of Nominal Group Technique: Benefits of Public Health Accreditation Patricia G. Porter, RN, MPH, CHES QI Toolbox
Overview • Types of CQI Tools • Brainstorming Basics • Overview of Nominal Group Technique • Application of Nominal Group Technique to gain consensus. QI Toolbox
Types of Basic QI Tools Meeting Management Process Definition Idea Generation* Shared Decision Making* Analyze Cause and Effect* Analyze and Display Data* Planning Tools Data Collection
Brainstorming Basics • Idea generation • Problems, CE, FAA, solutions, analysis • Types • Unstructured (+) Spontaneous, piggybacking, energetic (-) Politics, sensitivities, outspoken and new members • Structured (+) Everyone participates, “pass” (-) Less spontaneous, piggybacking compromised • Brainwriting
Rules of Brainstorming • Every idea is a good idea • Do not discuss items during brainstorming • Piggybacking encouraged • Promote creativity – stand up, colored markers, • Use the parking lot! • Have fun!
Examples of Shared Decision Making Tools • Criteria Rating Forms • Is/Is Not Stratification – “lumping and splitting by consensus” • List Reduction • Voting • Weighted • Multi-voting • Nominal Group Technique
Nominal Group Technique • Shared Decision Making • Combination strategy - brainstorming & voting • Team decisions • (P) Problem, CE, solutions, (C) conclusions, (A) next steps • Steps: • Generate list and clarify meanings • Every member ranks/votes on issues • Use results to formulate next steps
Let’s try NGT: Benefits of PHA • Individuals generate lists (Completed in AM) • Brainwriting • Results collated & labeled as “indicators” • Let’s review “our” list • Additions? • Comments? • Combinations?
NGT – Benefits of PHA What next? • Break into groups of 10 • Each person ranks items on worksheet • Today we will rank 5 indicators (5 = highest) • Add up scores (by indicator) for everyone in group • Collate scores and report scores to large group • Scores for all groups calculated and discussed
Benefits of PHA: What to do with this information? • Strongest selling points as perceived by peers • Use to develop elevator speech for: • BOS • Leadership and staff • Other key internal and external stakeholders • Funding/request for additional resources
Observations/Comments/Questions? Your QI Toolbox