WELCOME 2019 EXAMINERS!
Examiner Training – Day 3
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WELCOME 2019 EXAMINERS! Examiner Training Day 3 1 Welcome Back! - - PowerPoint PPT Presentation
WELCOME 2019 EXAMINERS! Examiner Training Day 3 1 Welcome Back! Review Ground Rules Quench any burning issues Debrief Quiz Introductions/Icebreaker Master Examiner Introductions Name Company If you were the 8 th
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– “Questions” not “requirements”
– Renewed focus on meeting them where they are – Basic/Overall/Multiple rationale
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“What is the organization in business to do? Will your comment help them do it better?”
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5 10 15 20 25 30 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Healthcare Education Government Manufacturing Service Nonprofit
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18 13 20 23 25 31 33 31 27 17 3 7 10 15 12 12 8 4 10 1 3 5 2 3 1 4 2 5 2 2 2 1 3 5 2 3 2 3 2 3 10 20 30 40 50 60 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 More than 1,500 FTEs 501-1,500 FTEs 100-500 FTEs Less than 100 FTEs
4 6 11 20 12 21 7 7 7 1 3 3 5 14 6 7 6 4 5 3 5 5 9 1 8 5 6 6 19 12 14 13 10 11 14 17 26 26 10 7 10 20 30 40 50 60 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Level 1 = Org. Profile Level 2 = Basic req'ts Level 3 = Overall req'ts Level 4 = Multiple req'ts
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– Are there more employees than examiners?
– How many? Are they in or out of state? Do they each operate independently?
– Do regulations dictate their ability to innovate processes?
– Are they owned by someone else? Does the owner control the strategic plan, HR processes, or system of measurement?
– Are they dependent on anyone else for key requirements? Do they have control of key suppliers or not?
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– Validates progress – Clearly describes key gaps and their significance to guide future improvement – Helps senior leaders allocate resources
– Without reading the application – Plain English please!
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Remember the levels for item questions:
level THAT ARE IMPORTANT, focus your writing here
– Be sure to specify what is keeping them from meeting the next level (overall questions)
focus your OFI at the overall level
Level 4 does not mean it is ready for feedback on the multiple questions for every item!
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– If no approach is described, focus your OFI here – If an approach is present, move on to deployment/ learning/ integration
– If no results are presented for an area of importance, focus your OFI here – If results are present, consider trends/ comparisons/ segmentation/ integration
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the consensus scorebook for LOTS.
focus on the basic level question.
focus on a different evaluation
change your score.
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Table Item 1 4.2 2 3.2 3 4.2 4 3.2 5 4.2 6 3.2 7 4.2 8 3.2
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– Don’t put an OFI in a strength comment!
close gaps)
– NO: superior, outstanding, good, poor, great – YES: systematic, fact-based, fully deployed, sustained improvement
– . . . may help LOTS achieve its vision . . . achieve its vision . . . achieve its vision . . . .
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“People forget how fast you did a job, but they remember how well you did it.” Howard W. Newton
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Independent Review | Consensus | Site Visit
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Self assess
Apply Examiner review & site visit Award Receive Feedback Report Address OFIs
2 3 4 5 1
Complete Pre-work & Training
Independent
Review Consensus Review Site Visit Review Finalize Feedback Report
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Review for Conflict Log on to the system Review the Framework Read the Application Create Key Factor List
Click “Done”! Prepare Consensus items Participate in Consensus meeting Prepare Site Visit issues Complete Site Visit Prepare Final Scorebook
12 process items
(ADLI)
5 results items
(LeTCI)
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A key factor is an attribute of an organization or its environment that influences the way the organization operates and the key challenges it faces. Examiners will use key factors to focus their assessments on what is important to the applicant.
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12 Process Items
identify processes and gaps; analyze using process evaluation factors (A/D/L/I)
5 Results Items
results and identify gaps; analyze using results evaluation factors (Le/T/C/I)
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Examiner Item 1 7.4 2 7.5 3 2.1 4 4.1 5 5.2 6 6.2
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worksheet: (Process Item: pg. 199-203; Results Item: pg. 205- 209)
– Select 4-6 relevant key factors; consider what you are expecting to see (5-10 min.) – Read LifeBridge’s response (15-20 min.) – Analyze (30 min.)
– Score your assigned item (5 min.)
– Do NOT write feedback-ready comments yet
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Complete Pre-work & Training
Independent
Review Consensus Review Site Visit Review Finalize Feedback Report
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Review for Conflict Log on to the system Review the Framework Read the Application Create Key Factor List
Click “Done”! Prepare Consensus items Participate in Consensus meeting Prepare Site Visit issues Complete Site Visit Prepare Final Scorebook
12 process items
(ADLI)
5 results items
(LeTCI)
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SYNTHESIZE
Synthesize team members’ IR into 6-10 comment topics Develop rationale: B/O/M, evaluation factors, and initials
WRITE
Draft 6-10 feedback comments based on your chosen topics Use TEST
SCORE
Score the item based
review
REVISE
Revise comments based on feedback from your backup Provide feedback to your partner
PREPARE
Prepare to present your items during the team’s consensus meeting
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Examiner Item 1 7.4 2 7.5 3 2.1 4 4.1 5 5.2 6 6.2
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Is the comment Criteria-based? Is it insightful? T = Start with the “topic sentence” or main point E = Give 1 – 2 supporting examples from the application S = Explain the “so what” (relevance) to the applicant by linking the comment to a key factor T = Try it out loud!
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Complete Pre-work & Training
Independent
Review Consensus Review Site Visit Review Finalize Feedback Report
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Review for Conflict Log on to the system Review the Framework Read the Application Create Key Factor List
Click “Done”! Prepare Consensus items Participate in Consensus meeting Prepare Site Visit issues Complete Site Visit Prepare Final Scorebook
12 process items
(ADLI)
5 results items
(LeTCI)
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. . . We received the site visit schedule and several pages of requested documents and broadly worded topics just a week prior to the visit. That made full preparation difficult. . . . One examiner stated his questions too harshly to frontline staff. He was a bit condescending with his approach to several of the staff involved with the frontline staff focus group that the examiners requested. We had to ask the team lead for the questions that the examiners had established for the site visit, and they were received two days prior to the site visit. …With being a government agency, some of the thought process and questions can be very difficult to answer or connect to. It can be like fitting a square peg in a round hole. …Sometimes the team asked questions about things outside our control that we can't impact and added no value for us.
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– Documents, interviewees – Site Visit Issue only (verify/clarify questions) – The team leader sends these lists to the applicant 10-14 days before site visit
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“The secret to success is constancy of purpose.” Benjamin Disraeli
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Award Recommendation Score Summary Key Themes
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– Are item scores supported by the item comments? – Are scores stratified over all of the items?
– Indicate on worksheet if score would move up or down by scoring range
– Does the scoring band reflect the applicant’s maturity? – Does the scoring band align with the key themes?
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SCORNG SUMMARY FOR APPLICANT # 1709 Item Number Strengths (+) Strengths (++) OFIs (-) OFIs (- - ) Strengths (+) Strengths (++) OFIs (-) OFIs (- -) Comments KT a/b 7 7 KT c/d 5 3 1.1 55% 39 3 2 4 50% 35 65% 46 3 2 3 Deleted 1 OFI 1.2 45% 23 4 3 1 30% 15 45% 23 3 2 1 1 strength merged with another strength; deleted 1 OFI 2.1 45% 20 4 4 50% 23 65% 29 6 1 1 1 Moved 1 strength from 4.1 to 2.1; changed 2 OFIs to strengths; changed 1 OFI to (- -) 2.2 50% 20 3 3 50% 20 65% 26 2 1 2 1 Changed 1 strength to ++; changed 1 OFI to (- -). 3.1 30% 12 3 1 2 50% 20 65% 26 5 3 Added 2 strengths; deleted 1 OFI; added 1 OFI; no more (-
3.2 35% 16 3 2 1 50% 23 65% 29 3 2 1 4.1 40% 18 3 2 3 1 30% 14 45% 20 2 1 2 Moved 1 (++) strength to 2.1; deleted 1 strength; delete 1 (- ) OFI and 1 (- - ) OFI. 4.2 60% 27 4 2 2 1 50% 23 65% 29 3 2 1 1 Moved 1 strength to 5.2; deleted 1 OFI 5.1 65% 26 4 3 70% 28 85% 34 4 1 Deleted 3 OFIs; added 1 OFI 5.2 60% 27 5 1 2 50% 23 65% 29 5 2 2 Moved 1 strength from 4.2 and made it a (++); deleted 1 OFI; added 1 OFI 6.1 40% 18 3 5 30% 14 45% 20 3 1 1 Deleted 3 OFIs;changed 1 OFI to a (- - ) 6.2 45% 18 4 4 50% 20 65% 26 4 2 Deleted 2 OFIs 263 255 338 7.1 35% 42 3 2 1 30% 36 45% 54 3 2 1 Deleted 1 OFI and added 1 OFI 7.2 25% 21 2 4 10% 9 25% 21 2 3 1 Changed 1 OFI to (- - ) 7.3 40% 34 3 3 30% 26 45% 38 3 2 Deleted 1 OFI 7.4 20% 16 2 2 2 30% 24 45% 36 2 2 2 7.5 40% 32 3 2 50% 40 65% 52 3 1 Deleted 2 OFIs and added 1 OFI 145 134 202 408 389 539 Scoring Bands (Calculated) Approach 4 3 5 Results 2 2 3 Scoring Bands (Team Recommendation) Approach 5 Results 3 Consensus Site Visit Score Scoring Range
Level 4 Level 3 Level 2 Principles
Continue to improve and build upon outstanding results and excellent systems Commitment and practice Beginning to commit and implement
Processes
Exhibit processes that serve as role models for others, with some at or near “best-in- class.” Demonstrate significant progress in building systematic processes Put in place some key process improvements
Effectively Address
Multiple questions Overall questions Basic questions
Results
Demonstrate management excellence with superior results over time, directly attributable to a systematic well-deployed improvement approach. Results for some key processes show improvement that is directly attributable to a systematic approach. Process improvements are directly attributable to a fact-based improvement
may not be evident; however, a measurement system should be in place.
Practices
Outstanding examples of high- performance organizations Many practices from which
learn and grow.
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ABC is in the early stages of developing systematic approaches to address the basic questions of the process categories, as evidenced by: listening to customers through XX system; conducting an annual Strategic Planning retreat; recruiting and hiring of new employees; emergency preparedness and prevention planning; and the existence of processes that promote ethical standards of conduct. While there are multiple processes in place, many are not fully deployed and/or lack the means to establish cycles of learning that could lead to continuous improvements for the organization. ABC collects large amounts of data but is still in the early stages of determining how to effectively analyze this data for use in strategic planning. Segmentation of data and important comparison results that would allow the
a rapidly changing healthcare environment are missing.
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XYZ has demonstrated significant progress in building systematic processes that effectively address the overall questions of each item . . . It has established documented processes for most of the identified key work systems. These processes are deployed and aligned throughout the organization appropriately to meet the key business needs of the organization. Some of the processes remain informal as it is still a small company at this
new owner and is now in the early stages of being transitioned to the entire workforce.
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Results for many of the key processes show improvement that is directly attributable to a systematic improvement approach. There are 26 KPIs that are managed. What the company lacks in maturity is results and depth of addressing key multiple questions, including segmentation and comparisons to companies offering similar products. There are many examples from which other organizations can learn and grow, such as the application of multiple technologies to run and grow the business, which is unique for this industry and company size.
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ABC is an outstanding example of a high-performing organization. This high performance starts with the leadership system and with the senior leaders who demonstrate an uncommon commitment to continuing improvement and Baldrige principles. Their approaches for strategic planning and innovation are “best in class,” and their processes for ensuring patient-centered care and excellence are role
results over time, including increasing market share and national top decile performance in numerous healthcare measures. These results are directly attributable to a systematic, well-deployed improvement approach, which includes XYZ committees throughout the
and a focus on innovation.
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The management team effectively addresses the salient multiple questions of each item and demonstrates alignment throughout the organization. Patients and families are at the center of each system, including leadership, strategic planning, operations, and workforce systems. ABC continues to improve and build upon its
favorable trends and results.
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Note: Level 4 applicants complete an HRO survey that is shared with the Panel of Judges
Bands for LifeBridge using the descriptions (words)
for the Panel of Judges.
– LifeBridge submitted a Level 4 application
Include supporting comments.
– Use language from the Recognition Level descriptions in the Framework booklet – Give examples to support your recommendation (refer to LOTS’ Key Themes) – If appropriate, tell what was missing that held the team back from a higher Award level recommendation
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– Includes examiner hours
– Executive summary of feedback (strengths and OFIs) – Includes scoring bands pre- and post-site visit
– Comments (strengths and OFIs) linked to key factors – Scoring range by item
– Stages of assessment process – Scoring guidelines – Scoring band descriptors
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– August/September: Check and Act, Plan – November: Do
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Elaine Boyd TDEC Nashville
Doug Brock Kendall Electric Chattanooga Chris Gray Griffin Mechanical Dickson Jim Hill John Deere (retired) Winter Haven, FL Melody Poole North Mississippi Health Services Holly Springs, MS Lavona Russell Cat Financial (retired) Nashville Renee Tew Maury Regional Medical Center Columbia
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– Application – Site visit issue documentation in Scorebook Navigator – Final scorebook
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– Consolidating key factors – Drafting key themes – Ensuring that comments are Criteria-based, actionable and serve the best interests of the applicant – Ensuring correct grammar and consistent writing style – Incorporating feedback from Panel of Judges – Working with team leader to prepare Final Scorebook and deliver to TNCPE at the conclusion of site visit
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– Team leader sends SV agenda and issues to applicant
– Team leader (with scorebook editor) completes Final Scorebook
– TNCPE sends Feedback Report to applicant
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All webinars will take place at 11:00 CDT/12:00 EDT
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“One person with a commitment is worth more than 100 people who have only an interest.” Mary Crowley
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