Last Reviewed November 2017 1 Meeting Objectives By the end of today you should be able to Identify one next step for sustaining changes Identify one strategy for spreading changes to other sites ID: 698675
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Sustain and SpreadImprovements
Last Reviewed November 2017
1Slide2
Meeting Objectives
By the end of today, you should be able to:Identify one next step for sustaining changesIdentify one strategy for spreading changes to other sitesIdentify one strategy for building a culture of quality at your agency2Slide3
Then & Now
What has changed at your site over the past few months? In what way is this an improvement for your clients? What data
shows this improvement?
What are
remaining challenges?
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Next Steps to Sustain and Spread Changes
Sustain changes that have resulted in improvementsSpread improvements across other network sitesPromote a culture of quality
across the organization
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Three Keys to Sustainable Quality Improvement
Focus and measure. Be clear about what you are trying to achieve and zealous about measuring it.Focus on 2-3 critical actions that will produce the greatest amount of needed change.
Engage all available sources of influence
by tapping into people’s motivation and
abilities.
Grenny
, J.
2013
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Focus and MeasureArticulate a clear goal
Unclear goal: We will improve STD screening ratesClear goal: We will increase the proportion of sexually active female patients age 16-24 with a chlamydia test in the last year from 30% to 60%Measure what you need to know if goal was met
Share data about progress frequently
Grenny
, J.
2013
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Choose a Few Vital ActionsPareto principle: 80% of desired effects come from 20% of the effort
To identify vital actions:Look at what should be done (but may not be done consistently)Look at crucial moments Learn from individuals and agencies who have figured out ways to overcome the challenge
Grenny
, J.
2013
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Engage Six Spheres of Influence
Motivation
Ability
Personal
Make the change less painful
Ensure necessary skills
Social
Harness peer pressure
Find strength in numbers
Structural
Offer rewards and demand accountability
Change the environment
Grenny
, J.
2013
8Slide9
QI eLearning Course Module 4
Link:
https
://
fpntc.org/training-and-resources/quality-improvement-for-family-planning
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Model for Improvement
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What changes can we make that will result in improvement?
How will we know that a change is an improvement?
What are we trying to accomplish?Slide11
PDSA Scale-Up
Learn from one cycle and apply those findings to the next.
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Institute for Healthcare Improvement Model for Spread
“Pockets of excellence exist in our health care systems, but knowledge of these better ideas and practices often remains isolated and unknown to others.
”
-Institute for Healthcare Improvement
Massoud
MR et al. IHI 2006
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Tips for Planning for Spread
Align improvement with organizational strategyDemonstrate feasibility / implementation at one site firstMake it a team effortIdentify potential early adopters
Focus on infrastructure changes
Massoud
MR et al. IHI 2006
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Tips for Communicating Spread
Define benefits of implementationCommunicate comparative dataLeverage all channels of communicationUtilize peer-to-peer interactions
Involve successful sites in providing technical support
Massoud
MR et al. IHI 2006
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Tips for Managing Spread
Define responsibilities for collecting, summarizing, reviewing the data frequentlyProvide feedback to implementing sites on progress Develop feedback loop for how new knowledge gained from spreading across sites will be shared
Massoud
MR et al. IHI 2006
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A Quality Improvement Project vs. A Culture of Quality
A culture of quality is looking at all systems and practices for opportunities to continuously improve.
QI Project
QI Culture
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Strategies to Create a Culture of Quality
Be client-centeredEngage leadership
Involve all staff
Communicate goals
Create and maintain a QI infrastructure
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QI eLearning Course Module 5
Link:
https
://
fpntc.org/training-and-resources/quality-improvement-for-family-planning
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What are your next steps?
What is one thing you will take away?
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Thank you!
Contact:fpntc@jsi.com20