11/15/2012 Public Health Quality Improvement 101 Public Health - - PDF document

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11/15/2012 Public Health Quality Improvement 101 Public Health - - PDF document

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11/15/2012 Public Health Quality Improvement 101 Public Health Quality Improvement 101 Learning, Experiencing, & Doing Quality Improvement Workshop 2 November 15 th , 2012 Good Morning! Good Morning! 2 Public Health Quality Improvement 101

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Public Health Quality Improvement 101 Public Health Quality Improvement 101

Learning, Experiencing, & Doing Quality Improvement

Workshop 2 November 15th, 2012

Good Morning! Good Morning!

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Public Health Quality Improvement 101 Public Health Quality Improvement 101 Holding Your Gains: Sustaining your Project

Presenters: Greg Randolph, Claire See, and Cappie Stanley

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Objective Objective

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Sustainability Sustainability

“There will come a time when you think you

are finished. That will be the beginning.”

‐Louis L’Amour

It Ain’t Over ‘til It’s Over…

Yogi Berra

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Overview Overview

  • Describe the vital few strategies for sustaining

your QI project improvements

  • Learn some “field tested” strategies for

sustaining your improvements

How Do They Do It? How Do They Do It? Sustainability: Key Strategies Sustainability: Key Strategies

  • Assign Ownership of System
  • Hardwire Sustainability into the System
  • Measurement

Measurement

  • Senior Leadership
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Sustainability: Sustainability: Key Key Strategies Strategies

  • Assign ownership of sustaining to an individual
  • Hardwire sustainability into your systems
  • Continue measuring to monitor sustainability
  • Continue involving senior leadership

Ownership Ownership

  • Assign “Process Owner” for sustainability

– Gives senior leader updates, calls team meetings as needed – Reviews monitoring data D i i i t (PDSA ) – Designs ongoing improvements (PDSAs) as needed

  • Adapt, create tools that will make it easy to continue

doing the right thing

Ownership Ownership

  • Assign “Process Owner” for sustainability

– Periodic Communications

  • Awareness and technical
  • Celebrates milestones!
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Process Owner Checklist Process Owner Checklist

  • Take a few mins to review the checklist
  • Then we will address any questions and

highlight some key points highlight some key points…

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“Hardwire” Sustainability “Hardwire” Sustainability

  • Involves numerous staff

– Job descriptions/recruitment include expectations – Staff evaluations include expectations & metrics

“Hardwire” Sustainability “Hardwire” Sustainability

  • Plan for turnover/absences

– Staff orientation includes relevant training – Cross training for critical roles – Document roles/responsibilities! Document roles/responsibilities! – Contingency plans for special situations

  • Educate/involve customers
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Ongoing Ongoing Measurement ( Measurement (Q Quality Control) uality Control)

  • Simplify Measures

– Decrease number – to one measure if possible – Decrease frequency of measurement

  • Use your Data

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– Have a plan to take action if data shows slippage – Meetings, planning, recruiting, accreditation

Senior Leaders Senior Leaders

  • Engagement

– Owner gives regular status updates – Work with leadership to add to dashboard – Present to Board of Health or other opportunities to give visibility to your good work g y y g – Celebrate milestones

Team Planning: Team Planning: Develop Your Sustainability Plan Develop Your Sustainability Plan

Step 1

  • Review the Sustainability Checklist
  • Work with your team to develop sustainability plans

Step 2 Step 2

  • Report out and get feedback
  • Post final plan by December 14th

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Whew, I’m tired from all this learning!!

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Team Report Team Report‐Outs Outs

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Lunch Time! Lunch Time!

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Team Song Title Team Song Title‐Clay Clay

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Team Song Title Team Song Title‐Jackson Jackson

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Team Song Title Team Song Title‐Appalachian Appalachian

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Public Health Quality Improvement 101 Public Health Quality Improvement 101

Economic Impact/ROI

What It Is How To Do It & Why It’s Important What It Is, How To Do It, & Why It s Important

Presenter: Gene Smith

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ROI / Economic Impact ROI / Economic Impact

  • Your team has made process improvements to

your health organization or business.

  • It is now time to consider the financial impact of

your project

Industrial Extension Service www.ies.ncsu.edu 26

  • What is your return on investment for the efforts
  • f this project?

Terminology/Formula Terminology/Formula

ROI (return on investment): A performance measure used to

evaluate the efficiency of an investment

ROI = Benefits‐Costs/Costs

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EI (economic impact): Refers to costs and benefits of an activity.

EI = Benefits‐Costs

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ROI / Economic Impact ROI / Economic Impact

  • Justification for our time / energy spent on project
  • Great way to display how successful our project was

in today’s financial state

  • Something we should learn to do on all our projects

Industrial Extension Service www.ies.ncsu.edu 28

  • Something we should learn to do on all our projects
  • Great way to help “sell the concept of improvement

projects”

Examples of Financial Improvement Examples of Financial Improvement

  • The scheduling process saved our organization

$50,000 per year in nursing expense

  • Our new open access process have allowed us to

see 10 more patients per day, increasing revenue d ll b $

Industrial Extension Service www.ies.ncsu.edu 29

and allowing us to improve our cost by $35,000 per year

  • Our new process for clinic has allowed us to

eliminate temporary help saving $20,000 per year

Capturing Financial Improvement Capturing Financial Improvement

  • Reflect on your team’s stated benefits for the project

– Understand your baseline metrics from the project start – Determine the tangible and intangible benefits

Industrial Extension Service www.ies.ncsu.edu 30

  • Determine the project savings due to improvement in

financial terms

  • Capture the cost you incurred to complete the project
  • Compare the two
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Identify Benefits Identify Benefits

  • A benefit is a positive change or improvement in
  • utcomes
  • Benefits Include:

 Expand our capacity to service more clients / day  Free up staff time

Industrial Extension Service www.ies.ncsu.edu 31

 Reduce operation cost

  • Productivity improvement / better efficiency
  • Improved accuracy / better reliability
  • Faster service times
  • Elimination of duplicate work

Identify Benefits Identify Benefits

  • Benefits can (cont.):

 Provide cost avoidance  Improve our work environment

  • Improve staff satisfaction

Industrial Extension Service www.ies.ncsu.edu 32

Improve staff satisfaction

  • Improve employee retention

 Increase revenue  Help us meet our legal or regulatory obligations

Determine the Project Cost Determine the Project Cost

  • Time of resources utilized for the project

– Meetings – Kaizens – Workshops / Webinars / Teleconferences T l

Industrial Extension Service www.ies.ncsu.edu 33

– Travel costs

  • Equipment purchased
  • Materials consumed
  • Food
  • Additional labor required
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ROI / Economic Impact Example ROI / Economic Impact Example

Industrial Extension Service www.ies.ncsu.edu 34

EI/ROI EI/ROI Form

  • rm

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Team Breakout Session Team Breakout Session

Lets Start the Process of Capturing Lets Start the Process of Capturing Your Project ROI / Economic Impact Your Project ROI / Economic Impact

Industrial Extension Service www.ies.ncsu.edu 36

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Break Time… Break Time…

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Team Song Title Team Song Title‐Alexander Alexander

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Team Song Title Team Song Title‐Buncombe Buncombe

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Team Song Title Team Song Title‐Wilson Wilson

  • Share Your:

– Health Department Name – Team Aim – Team Song Title (or song)

  • Why did you choose this song title?

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Public Health Quality Improvement 101 Public Health Quality Improvement 101

Problem Solving to Resolve Your QI Issues

Presenter: Claire See Presenter: Claire See

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"None of us is as smart as all of us."

  • Japanese proverb

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Problem Solving Report Out Problem Solving Report Out

  • What are the key ideas for solving your issue?
  • What questions do you have about the issue?

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Newspaper Headlines Newspaper Headlines

Please give your headlines to Kerri.

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