summary of action period 3
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Summary of Action Period 3. TN Patient Safety Collaborative: Reducing Physical Restraints Learning Session 4 April 6, 7, & 8, 2010 Beth Hercher, QI Specialist. Hardwiring Changes by Overcoming Barriers to Change. Setting goals Developing and testing changes - PowerPoint PPT PresentationTRANSCRIPT
Summary of Action Period 3
TN Patient Safety Collaborative: Reducing Physical Restraints
Learning Session 4
April 6, 7, & 8, 2010Beth Hercher, QI Specialist
Hardwiring Changes by Overcoming Barriers to Change•Setting goals•Developing and testing changes•Team composition and functioning•Organizational change issues
Setting GoalsBarriers•Goal is not a stretch•Goal gets diluted over time•Initial goal statement is unclear
Solutions•Enlist senior leaders•Identify barriers, seek solutions•Outline approach and timeline•Repeat & review goals at team meeting
Developing and Testing ChangesBarriers•Disagreement on change concepts•“We’ve tried this before”
•Disagreement on what to change first•Fear that resources will not be available
Solutions•Establish process changes first. Include front line staff•Identify why previous efforts have failed•Testing ideas provides quick assessment of what will work•Share plans with leaders and get feedback; be specific about skills and resources needed
Team Composition and FunctioningBarriers•Change may create additional work for front line staff•Team meetings unproductive•Team does not meet regularly•Team does not follow through
Solutions•Make changes part of day-to- day routine; include front-line staff in designing changes•Establish team rules•Investigate reasons, lack of focus•Clarify specific responsibilities and time frames for completing
Organizational Change IssuesBarriers•Interdepartmental•Resistance to change•Physician resistance•Mergers, downsizing or reorganization•No visibility for the project
•“That won’t work here”
Solutions•Bring them into the project•Work with early adopters•Identify one physician champion•Align project with organizational goals•Storyboard, facility newsletter/ poster•Recruit resisters
Hardwiring Changes Summary
•Establish and document clear goal-setting
•Use concurrent monitoring/feedback•Align the project with organizational
goals•Make reversal as difficult as possible•Establish and reward ownership•Leadership buy-in and support
“Today’s problems will not be solved with the same thinking that created them.”
— Albert Einstein
This presentation and related materials were developed by QSource, the Medicare Quality Improvement Organization for Tennessee, under contract with the Centers for Medicare & Medicaid Services (CMS), a division of the Department of Health and Human Services. Contents do not necessarily reflect CMS policy. QSource-TN-PS-2010-05
Thank You!
TN Patient Safety Collaborative: Reducing Physical Restraints
Learning Session 4
April 2010
Beth Hercher, QI [email protected]