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The Art of Engagement, Teaching, Sharing and Celebration
Christina Krause & Marlies van Dijk January 30 & 31, 2013
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Learning Sessions:“Have to Haves”
• Will – motivation comes from learning that it is possible and joining with colleagues working on the same problem
• Ideas – Acquire great ideas for change • Execution – Learn a method for making lasting
changes and begin using it
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Type of sessions?
• Plenary• Breakouts• Team meetings• Collaboration
Source: IHI
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Plenary
• What: – Leaders, especially the chair/sponsors, give well
planned presentation on the aims, gap and change package (wow factor high)
• Results: Will, Ideas and Execution
Source: IHI
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Break Out SessionsDepth
• What: – clinical content– Improvement methods
• Results: Will, Ideas and Execution
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Storyboard SessionCommunication and learning tool
What: Teams visit each other’s storyboards while faculty guide an activity around itResult:
Will: If they can do it, I can tooIdeas: Identify ideas others have tried and give credibility to ideasExecution: in later sessions
Source: IHI
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Using Worksheets to Foster Action
• Worksheets at the Learning Session provides structure for action
• Worksheet review:– Organization Team Meeting 1– Project Planning Form– PDSA Worksheet
Source: IHI
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Learning Session I(can be a call or webex)
•A viable plan for the first test of change•A written and feasible project plan that includes testing multiple changes•The motivation and confidence to get started immediately
Source: IHI
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Learning Session II
•Teams harvest change and use good ideas for change•Use of early adopters as examples•Understanding testing and measurement •Collaboration•Teams leave with a strong and detailed plans for the future
Source: IHI
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Learning Session III
•Celebration•Even more team teaching and involvement•Storyboards have result and tell the team’s story•Teams become focused on holding the gains and spread
Source: IHI
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What does a great gathering/meeting look like?
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Tool for a good session!
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2
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The Peg Game
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To Be Considered a PDSA Cycle • The test or observation was planned
(including a plan for collecting data).• The plan was attempted.• Time was set aside to analyze the data and
study the results. • Action was rationally based on what was
learned.
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PlanAct
DoStudy
Objective - test another approach to removing pegs Predictions - will we leave fewer pegs? Plan - who, what, record moves
Carry out the plan. Record moves. Note problems or changes to plan.
Compare data to predictions Summarize what was
learned. Update the team’s
theory (approach).
Does our approach leave 1 peg?
What new ideasshould we test on thenext cycle?
PDSA for the PEG Game
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10 Nuggets
1. First session: Excitement and hope overrides content
2. “Losing Sleep” is worth it3. Find active faculty who can embrace “self
organization” and “sense making”4. Modify Modify Modify 5. Understand theories of what makes a collaborative
successful (L. Couves, Improvement Associates)
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5 more
6. Tweak for local context without sacrificing no. 5 (L. Couves, Improvement Associates)
7. Don’t be afraid to tackle “harder stuff” – after low hanging fruit
8. They still work9. Quarter, half, quarter10. Fuel of Improvement – needs to be added!
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Another view:
Quality of …
“Engine” of quality
D. Balestracci. Data Sanity. 2009
“Fuel” of quality
Another View:
Quality of …
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Your Structures for Support Plan• Goal/Measurement strategy• Time Frame• Who do you want to engage• Alignment with strategic priorities of your
organization• Model and Approach (eg. networks,
collaborative, face to face meetings)