Implementation Planning Indiana MT Objectives Identify the - - PowerPoint PPT Presentation

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Implementation Planning Indiana MT Objectives Identify the - - PowerPoint PPT Presentation

Jan 04, 2023 11 likes •206 views

Implementation Planning Indiana MT Objectives Identify the challenges facing your organization Will TeamSTEPPS help make this better? Identify implementation plan and site Identify the team involved in change Define challenge

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Implementation Planning

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Objectives

 Identify the challenges facing your organization

 Will TeamSTEPPS help make this better?

 Identify implementation plan and site  Identify the team involved in change  Define challenge the TeamSTEPPS implementation

will address

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Shift Towards a Culture of Safety

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TeamSTEPPS Action Planning At-A-Glance

Create a Change Team 1 Define the Problem/Challenge or Opportunity for Improvement 2 3 Define the TeamSTEPPS Intervention 4 Develop Plan for Testing the Effectiveness of Your TeamSTEPPS Intervention 5 Develop Implementation Plan 6 Develop a Plan for Sustained Continuous Improvement 7 Develop a Communication Plan 8 Putting it All Together: Writing the TeamSTEPPS Action Plan 9 Review your TeamSTEPPS Action Plan with Key Personnel 10 Define the Aim(s) of your TeamSTEPPS Intervention Identify Priority Problem/ Challenge or Opportunity from Step 2 Incorporate Feedback from Key Personnel

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What is your aim?

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Step 1: Define the Main Problems, Challenges and Opportunities Reasons for Change/Data/Key Factors

Main Problems, Challenges, Opportunities

 lots of physician changeover  opportunity-acceptance of docs  lots of seasoned staff (but turnover coming!)  feel a bit isolated  More ED patients (new comm issues)  “we have already this way” syndrome  Gone from slow to fast

Reasons for Change

  • A. RCAs
  • B. Near misses
  • C. Adverse events
  • D. Patient outcomes
  • E. Complaints
  • F. FMEAs
  • G. Staff concerns

Regulatory & Guidance

  • A. JCAHO / AAAHC
  • B. National PS Goals
  • C. CMS & Other Quality Measures
  • D. NQF Safe Practices
  • E. DoD / Service-Specific

Data, Key Factors

  • A. Site Assessment
  • B. PS Culture Survey (AHRQ)
  • C. Data & Measures
  • D. S-W-O-T Analyses
  • E. Productivity
  • F. Workload
  • G. Seasonal staffing
  • H. Changing

* Leadership * Key personnel

  • I. Experience levels
  • J. Deployments
  • K. Other factors…….

Step 2: Define the Problem, Challenge, Opportunity

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Facilities where implementation will take place

Today’s Date: ___________ Facility: ________________ _______________________ _______________________ _______________________ _______________________ _______________________ Units/Service Lines

        

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Step 2: Guiding Coalition, Executive Sponsor and Change Team

Step 1: Create the Change Team

Choose the members: (influence/willingness) Physician(s)_____________________ Nurse(s) _____________________ Admin? ______________________ Technologist?____________________ Knowledge expert_________________ Patient Safety, Risk Manager_________ Other key person(s) _______________ Encourage the physician and nurse champions

Executive Sponsor(s):

 Dawn Scott 

Change Team Members:

 Kim  Stephanie (RN manager)  Pt safety coaches  Shelley  Wood and Lynch?  Dr. Williams 

Creating an Effective Team

Need 3 levels of expertise:

  • A. System leadership

Authority, Power Overcome barriers

  • B. Technical expertise

Clinical areas Improvement Data

  • C. Day-to-day leadership

Respected Understands processes (IHI Breakthrough Series Guide)

Executive Sponsor, Guiding Coalition

Choose the Executive Sponsor and Guiding Coalition Names:___________________

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Step 3: Define Aims of TeamSTEPPS Intervention

What will be achieved? (make this specific, measureable, realistic, time- bound) Who will be involved? When and where the change will occur?

Aims should be time-specific and measurable!

Step 3: Define Aim(s)

Exactly what you plan to achieve with intervention

Decide Change Type

Incremental change OR Transformational change

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Step 4: Design a TeamSTEPPS Intervention

 Type of Change:

 Unit(s) of focus.

 

 Which TeamSTEPPS

tools/strategies

   

Type of Change

Incremental Change: Targeted Intervention(s)

PDSA-- continuous improvement model Targeted change based on defined need Fewer resources required Leadership support Clinical champions Measure Selects theme-based tools/strategies such as “team events” or “communication”

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Step 5: Measures (How will you know it worked?)

Existing Measures

   

New Measures

    

Examples

  • Observations
  • Counts (e.g. # “Briefs”)
  • Staff Survey (pre- and post-)
  • Outcome measures: # times

staff nurses use SBAR; rate of appropriate pre-op antibiotic usage; near-miss reports

  • Patient/Staff satisfaction

Step-5: Decide Measures

Meaningful measures to test the effectiveness

  • f your intervention

(see the recommendations)

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Implementation: Action Plan

How will leadership support be gained?

        

Steps 6 & 9 Action Plan

Step 6: Develop Implementation Plan

Leadership support: executive and unit Schedule training-education dates trainers, participants, logistics Consider marketing & communication Listen for input, adjust plan, customize Buy-in from key individuals Plan to engage the physicians, nurses Do baseline measures (survey, data, etc.) Create an implementation timeline

Kotter’s Change Model

  • 1. Create sense of urgency
  • 2. Build the guiding team
  • 3. Develop change vision
  • 4. Understanding / Buy-in
  • 5. Empower others
  • 6. Create short-term wins
  • 7. Don’t let up; be relentless
  • 8. Create a new culture

A Culture of Safety

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Implementation: Action Plan, cont.

How will staff be engaged?

         

Steps 6 & 9 Action Plan

Step 6: Develop Implementation Plan

Leadership support: executive and unit Schedule training-education dates trainers, participants, logistics Consider marketing & communication Listen for input, adjust plan, customize Buy-in from key individuals Plan to engage the physicians, nurses Do baseline measures (survey, data, etc.) Create an implementation timeline

Kotter’s Change Model

  • 1. Create sense of urgency
  • 2. Build the guiding team
  • 3. Develop change vision
  • 4. Understanding / Buy-in
  • 5. Empower others
  • 6. Create short-term wins
  • 7. Don’t let up; be relentless
  • 8. Create a new culture

A Culture of Safety

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Implementation: Action Plan, cont.

Focus on Training Issues

How and when will baseline data be collected?

         

Steps 6 & 9 Action Plan

Step 6: Develop Implementation Plan

Leadership support: executive and unit Schedule training-education dates trainers, participants, logistics Consider marketing & communication Listen for input, adjust plan, customize Buy-in from key individuals Plan to engage the physicians, nurses Do baseline measures (survey, data, etc.) Create an implementation timeline

Kotter’s Change Model

  • 1. Create sense of urgency
  • 2. Build the guiding team
  • 3. Develop change vision
  • 4. Understanding / Buy-in
  • 5. Empower others
  • 6. Create short-term wins
  • 7. Don’t let up; be relentless
  • 8. Create a new culture

A Culture of Safety

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Step 7: Sustainment Plan

Step 7: Sustainment

Coaching at unit level Role modeling Monitor Report measures Continuous improvement Integrate into practices Rewards and incentives Develop spread initiatives Best practices Leadership emphasis Celebrate short-term wins Create new champions Be innovative

How will the effort be sustained?

          

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Step 8: Communication Plan

Create a Communication Plan targeting major stakeholders

Consider all groups, shifts, entities (e.g., night shift)

Identify organizational and front-line leaders

Communication plan for each group: who, what, when, how (e.g., dept. meetings, grand rounds, emails, newsletters, posters

Activate change team members….state the vision

Promote spread of TeamSTEPPS

How ill the initiative be communicated?

          

Step 8: Create Communication Plan

Persons and groups for support; front-line leaders, Answer: “What’s in it for me” for stakeholders Change team active in multi-channel communication

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Timeline and Milestones

Specific milestones and dates: When?

     

Specific milestones and dates: When?

      Set the Stage……Decide what to do…..Make it Happen……….…Make it Stick Phase I…………….Phase II……………..Phase III

Assessment…….Planning, Training & Implementation…….Sustainment Decide Days, Weeks, Months….

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Step 10: Review TeamSTEPPS Action Plan with Key Personnel

 Who needs to review, critique

and provide input to “near- final” plan?

 Have them identify potential

problem areas and provide suggestions about priorities and solutions

 Modify the Action Plan after

sufficient input and discussion

 What one thing can you

commit to doing within NEXT WEEK?

         

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Next Steps

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