RT2C Team Webinar July 9, 2015 Todays Webinar: Approaches for - - PowerPoint PPT Presentation

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RT2C Team Webinar July 9, 2015 Todays Webinar: Approaches for - - PowerPoint PPT Presentation

RT2C Team Webinar July 9, 2015 Todays Webinar: Approaches for collecting and displaying data in RT2C 1. Review of Core Objectives (Puzzle Pieces) 2. Measures Maps 3. Safety Crosses & Run Charts 4. Breakthrough Improvement Lanes 5. Dot


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RT2C Team Webinar

July 9, 2015

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Today’s Webinar:

Approaches for collecting and displaying data in RT2C

  • 1. Review of Core Objectives (Puzzle Pieces)
  • 2. Measures Maps
  • 3. Safety Crosses & Run Charts
  • 4. Breakthrough Improvement Lanes
  • 5. Dot Votes
  • 6. Qualitative Measures:
  • Impact Statements
  • Patient Diaries
  • Patient Surveys
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Core Measurement Productive Ward

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Core Measurement Mental Health

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Measures Map

Outcome measure: Process measure: Process measure: Process measure: Balancing measure(s):

What changes will we try to improve our

  • utcome measure?

What unintended consequences might happen as a result of our changes?

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Safety Crosses

Sample Measure (e.g. FALLS)

Month: March

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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Run Charts

Plotting Data Over Time

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Run Charts

Plotting Data Over Time

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Run Charts

Plotting Data Over Time

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Run Charts

Plotting Data Over Time

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Run Charts

Plotting Data Over Time

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Run Charts

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KHWD Boards and Breakthrough Improvement Lanes

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Promote better health for our communities Develop the best workforce Provide the best care Innovate for sustainability

Run Chart Action Plan

Promote better health for our communities Develop the best workforce Provide the best care Innovate for sustainability

Daily Incident Tracking Pareto Analysis

How does this issue align with True North? How are we doing? What is our target? Let’s capture the issue in the moment

  • What process is

creating this problem?

What are the root causes creating this problem? How will we address these root causes? Who? By When? What it looks like

How Breakthrough Improvement Lanes Work

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It Often Starts with Safety Crosses

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KHWD Board – Breakthrough Improvement Lanes Example

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Dot Voting – Staff Satisfaction (General)

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Dot Voting – Staff Satisfaction & RT2C Processes

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Dot Voting – Staff Engagement with Initiative

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Dot Voting → Bar Graph Display

84 66 41 26 38 10 20 30 40 50 60 70 80 90 100 I enjoy my job I feel valued and supported in my workplace I feel my workplace is

  • rganized and well kept

I can do my job with minimal interruptions Resources are readily available to me to provide safe and effective care

Percentage Agreement Satisfaction Statement

Staff Satisfaction - Unit XX June 2013

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Telling a story with patient feedback

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Patient Feedback Diary

  • Patients invited to post

comments, suggestions on the KHWD board

  • Suggestions logged in

Diary with date of resolution

  • Can capture stories

around the improvement initiatives and the impact for the patient

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November 2014 Huddle very positive experience statement from Ward lead "I would like to reflect on yesterday's morning huddle. Susan, our manager, has invited one of our patients to join us and give us some feedback regarding overall service and his experience

  • n the floor while recovering from a major surgery.

Even though I can not recall the exact words the patient used, what stayed with me was his genuine response, emphasizing emotional stress being the most difficult to cope with, and a need for "spiritual care" in this challenging time. It seems that in spite of involvement

  • f so many people in his care, he felt lonely".

December 2014 This week we had Felicia and Mary join our afternoon RT2C huddle. It was a pleasure to have you involved with our discussion with the white board. We also had a patient who is a nurse, talk about his experience on the

  • ward. He provided an

emotional statement where he mentioned how important choices of words are between patients and nurses. He also mentioned how touched he was with nursing staff helping him with simple tasks, tasks which we normally take for

  • granted. It was a great

experience involving a patient with our huddle. February 2015 We invited one of our patients who described his experience while in ICU and how he remembers being restrained but did not understand why…he shared his fears and emphasized that the importance

  • f clear communication between

patient and staff. He verbalized that this has been a life changing experience and one of the hardest hurdles in his life. He thanked the staff and his wife for being alive today.

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Trend over time

July Aug Sept Oct Nov Dec Jan-13 Feb #Falls (Safety Cross) 14 9 9 4 7 8 3 3 2 4 6 8 10 12 14 16 Number of Patient Falls

Number of Falls - Medicine

Goal: To reduce falls by 50% by June 2015 to 6 falls per month.

Median = 8.0

  • Y connectors
  • Safety checks every shift
  • Risk assessment on admission
  • Nightlights in all patient rooms
  • LOM on white boards
  • New Falls & Injury Reduction Flowsheet
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Trending your own data

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Questions? What measurement approaches have worked for you?