How I failed Quality And how you can avoid it Asha George, Ph.D., - - PowerPoint PPT Presentation

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How I failed Quality And how you can avoid it Asha George, Ph.D., - - PowerPoint PPT Presentation

How I failed Quality And how you can avoid it Asha George, Ph.D., FACHE A little about myself ASQ Certificate in Manager of Quality/Organizational Excellence Fellow American College of Healthcare Executives 20 years in healthcare


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How I failed Quality

And how you can avoid it

Asha George, Ph.D., FACHE
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ASQ Certificate in Manager

  • f Quality/Organizational

Excellence Fellow American College of Healthcare Executives 20 years in healthcare in county land 2 years in healthcare in corporate land

A little about myself

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Purpose

  • Though we have moved from inspection and audits, we find

stakeholders disconnected from the use of quality in their everyday work. This presentation is about the journey from data to narrative and about aligning quality tools to the stakeholder’s

  • wn purpose of work. We will talk about developing quality

literacy and how the use of case studies and creating narrative helps create interest and buy in for the quality field.

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Free Medications and simple flow diagram

My foray into the quality world

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My foray into the quality world

  • Remodel construction and

moving of mental health clinic

  • Viewpoint of a hammer
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My foray into the quality world

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  • My foray into the quality world
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My foray into the quality world

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Stories and their impact

Baldrige

  • Some of the life-saving improvements in clinical outcomes include:
  • Advocate Good Samaritan Hospital’s risk-adjusted mortality decreased from 0.73 in

2004 to 0.25 in 2010.

  • Memorial Hermann Sugar Land ranks among the top 10 percent of hospitals nationally

for its performance on measures of emergency center arrival-to-discharge time, compliance with regulations to reduce medication errors, bed turnaround times, radiology and laboratory result turnaround times, and the use of computerized physician

  • rder entry. The hospital’s readmission rates for patients treated for acute myocardial

infarction, congestive heart failure, and pneumonia were lower than those of hospitals nationwide, according to data from the Centers for Medicare and Medicaid Services.

  • According to the Institute for Healthcare Improvement, Henry Ford Health System’s

evidence-based global harm campaign is a national best practice. From 2008 through 2011, the campaign led to a 31 percent reduction in harm events.

  • Schneck Medical Center has maintained rates of hospital-acquired infections at or

below 1 percent since 2008, and no patient has acquired ventilator-associated pneumonia since 2009.

  • Atlanticare Regional Medical Center achieved Centers for Medicare and Medicaid

Services top 10 percent performance in 2008 for patient care measures related to congestive heart failure, acute myocardial infarction, and pneumonia.

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Stories

Baldrige Saves Lives

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Stories

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Telling a story

  • Meaning
  • Stakeholder

meaning

  • Lens

Purpose

  • Sequence
  • Connection

Events

  • Past

present future

  • Context

Time & Place

  • Story teller
  • Listener

Person

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Use of Stories in other fields Teaching

Quoted from Tell me a Story: the use of narrative as a learning tool for natural selection Renate Prins, Lucy Avraamidou and Martin Goedhart 2017

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Use of Stories in other fields Trauma

  • Weaving together
  • Emotional
  • Physical
  • Time
  • Place
  • meaning
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Quality teams up with Stories

Visual Management Tools

  • Provides “understanding at a

glance”

  • Emphasize graphics rather than

numbers and words

  • Clear information actionable at the

point of communication

  • (quoted from Lean Enterprise Institute)

Storyboard

  • Who is the person in the frame

(staff work, client input, customer service)

  • Is this a far away view or a near

view

  • What does their interaction look

like?

  • What period of time has passed?
  • What is the hoped for outcomes

versus current outcome

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Quality teams up with Stories

  • The first lesson of lean is

constantly listening to customers and watching how they use the product or its alternatives to get a job done and strive to make it easier both to use and to produce.

  • Constantly listening to what is

most important to a person (in a project, in a meeting, in a conversation) so that you can tailor your information in a manner that they will be able to absorb

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Stories (case studies) and their impact

Baldrige

  • Some of the life-saving improvements in clinical outcomes include:
  • Advocate Good Samaritan Hospital’s risk-adjusted mortality decreased from 0.73 in

2004 to 0.25 in 2010.

  • Memorial Hermann Sugar Land ranks among the top 10 percent of hospitals nationally

for its performance on measures of emergency center arrival-to-discharge time, compliance with regulations to reduce medication errors, bed turnaround times, radiology and laboratory result turnaround times, and the use of computerized physician

  • rder entry. The hospital’s readmission rates for patients treated for acute myocardial

infarction, congestive heart failure, and pneumonia were lower than those of hospitals nationwide, according to data from the Centers for Medicare and Medicaid Services.

  • According to the Institute for Healthcare Improvement, Henry Ford Health System’s

evidence-based global harm campaign is a national best practice. From 2008 through 2011, the campaign led to a 31 percent reduction in harm events.

  • Schneck Medical Center has maintained rates of hospital-acquired infections at or

below 1 percent since 2008, and no patient has acquired ventilator-associated pneumonia since 2009.

  • Atlanticare Regional Medical Center achieved Centers for Medicare and Medicaid

Services top 10 percent performance in 2008 for patient care measures related to congestive heart failure, acute myocardial infarction, and pneumonia.

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Stories

Baldrige Saves Lives

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Strengths based Feedback – the HR Way

  • Identify how strengths have

impacted outcome

  • Using participatory interview

style – what do you think?

  • Feedback tied to unit and
  • rganizational goals
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 Strengths based Feedback- the Baldrige

Way

  • Processes
  • Approach, Deployment, Learning, Integration
  • Results
  • Levels, Trends, Comparisons, Integration
  • Celebrate your Strengths
  • Prioritize Opportunities for Improvement
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Its easier to act yourself into a new way of thinking than thinking your way into a new way of acting

  • Pick a person you do not know and explore with them how a

potential new way of acting (based on this presentation) might resolve a current difficult situation you are facing.

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Asha George 707-572-8561

ashageorgephd@gmail.com

www.linkedin.com/in/ashageorgephd

Contact Information