W hat is TI CC? Transform ation of I n-patient Care and Culture is - - PowerPoint PPT Presentation

W hat is TI CC?

 Transform ation of I n-patient Care and

Culture is a collaborative project of the Northw est Organization of Nurse Executives ( NW ONE) and the W ashington State Hospital Association ( W SHA)

 TI CC w as conceived by m em bers of both

• rganizations representing CEOs and

CNEs from 9 hospitals across the state

Goals of TI CC?

 TI CC assists front line staff to

evaluate how direct care delivery can be transform ed in our hospitals to:

– Rem ove barriers to best practice – I ncrease the tim e care providers spend

in direct care delivery

– I m prove the efficiency and reduce the

cost of care delivery

TICC as a Vehicle to Transform Your Care Culture

 Providing staff with the tools to clearly see the

barriers to optimal patient care

 Provide staff with the skill to remove barriers and

solve problems

 Creating competence and confidence  Providing forums for staff to share their

knowledge and skill – differentiating the job from the profession

 Recognizing and rewarding creativity  Going where you didn’t imagine

Begin with a Focus Group

Describing the Rapid Cycle Process: The Focus Group

Focus Group Telling the Unit or Hospital’s Story Brainstorm ing – Challenges & Opportunities for I m provem ent

W hat do you do for your Patients? W ho are your patients? How can you im prove w hat you do?

Prioritizing Opportunities for I m provem ent Form ing Your W ork Group

Describing the Rapid Cycle Process: The Work Group

W riting the W ork Group Action Plan Define the Project Goals, Objectives & Measures of Success Define the Project’s W ork Design W hat W ho How Measurem ent tools and Tim elines Evaluation and Reporting

The Learning Collaborative

 Place to com e together as a state w ide

team – acknow ledging all the TI CC projects

 Safe space for sharing and “stealing

sham elessly”

 A place to learn and strategize together  A w ay to recruit new TI CC team s

The TI CC Process is Evidence Based

 Based on over 2 0

years of research process w ork described in Research Strategies for Clinicians by Marianne Chulay and Brady Granger

TI CC Enrollees



Othello Com m unity Hospital



Ferry County Mem orial Hospital



Pullm an Regional Hospital



Enum claw Regional ( St. Elizabeth’s Hospital)



W hitm an Hospital and Medical Center



Sunnyside Com m unity Hospital



Mark Reed Health Care District



Mason General Hospital



Skagit Valley Hospital



• St. Clare Hospital



University of W ashington MC



Klickitat Valley Health W aiting List:



Lincoln Hospital



• St. Joseph Medical Center



Allenm ore Hospital

Testing the Process:

W hat Have W e Learned From the TI CC Experience



A “troica” of leadership is essential



The staff m ust have the energy and passion to do the im provem ent w ork – the TI CC facilitators provide support and process expertise



Discipline and com m itm ent to data collection are essential to the process



I f an organization learns & em braces the TI CC process they w ill becom e increasingly independent of the TI CC facilitation group.



Top dow n and bottom up im provem ent processes m ust live in harm ony



I f you are not having fun, som ething is w rong

Contact I nform ation

Gladys Cam pbell, NW ONE CEO, gladysc@w sha.org