11/15/2012 Public Health Quality Improvement 101 Public Health - PDF document

11/15/2012 Public Health Quality Improvement 101 Public Health Quality Improvement 101 Learning, Experiencing, & Doing Quality Improvement Workshop 2 November 15 th , 2012 Good Morning! Good Morning! 2 Public Health Quality Improvement 101 Public Health Quality Improvement 101 Holding Your Gains: Sustaining your Project Presenters: Greg Randolph, Claire See, and Cappie Stanley 3 1

11/15/2012 Objective Objective xxxxxxxxxxxxxxxxxxxxxxxxx Sustainability Sustainability “ There will come a time when you think you are finished. That will be the beginning.” ‐ Louis L’Amour It Ain’t Over ‘til It’s Over… Yogi Berra 2

11/15/2012 Overview Overview • Describe the vital few strategies for sustaining your QI project improvements • Learn some “field tested” strategies for sustaining your improvements How Do They Do It? How Do They Do It? Sustainability: Key Strategies Sustainability: Key Strategies • Assign Ownership of System • Hardwire Sustainability into the System • Measurement Measurement • Senior Leadership 3

11/15/2012 Sustainability: Sustainability: Key Key Strategies Strategies • Assign ownership of sustaining to an individual • Hardwire sustainability into your systems • Continue measuring to monitor sustainability • Continue involving senior leadership Ownership Ownership • Assign “Process Owner” for sustainability – Gives senior leader updates, calls team meetings as needed – Reviews monitoring data – Designs ongoing improvements (PDSAs) as D i i i t (PDSA ) needed • Adapt, create tools that will make it easy to continue doing the right thing Ownership Ownership • Assign “Process Owner” for sustainability – Periodic Communications • Awareness and technical • Celebrates milestones! 4

11/15/2012 Process Owner Checklist Process Owner Checklist • Take a few mins to review the checklist • Then we will address any questions and highlight some key points highlight some key points… 13 “Hardwire” Sustainability “Hardwire” Sustainability • Involves numerous staff – Job descriptions/recruitment include expectations – Staff evaluations include expectations & metrics “Hardwire” Sustainability “Hardwire” Sustainability • Plan for turnover/absences – Staff orientation includes relevant training – Cross training for critical roles – Document roles/responsibilities! Document roles/responsibilities! – Contingency plans for special situations • Educate/involve customers 5

11/15/2012 Ongoing Ongoing Measurement ( Measurement (Q Quality Control) uality Control) • Simplify Measures – Decrease number – to one measure if possible – Decrease frequency of measurement • Use your Data y – Have a plan to take action if data shows slippage – Meetings, planning, recruiting, accreditation Senior Leaders Senior Leaders • Engagement – Owner gives regular status updates – Work with leadership to add to dashboard – Present to Board of Health or other opportunities to give visibility to your good work g y y g – Celebrate milestones Team Planning: Team Planning: Develop Your Sustainability Plan Develop Your Sustainability Plan Step 1 • Review the Sustainability Checklist • Work with your team to develop sustainability plans Step 2 Step 2 • Report out and get feedback • Post final plan by December 14 th 18 6

11/15/2012 Whew, I’m tired from all this learning!! 19 Team Report Team Report ‐ Outs Outs 20 Lunch Time! Lunch Time! 21 7

11/15/2012 Team Song Title Team Song Title ‐ Clay Clay • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 22 Team Song Title Team Song Title ‐ Jackson Jackson • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 23 Team Song Title Team Song Title ‐ Appalachian Appalachian • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 24 8

11/15/2012 Public Health Quality Improvement 101 Public Health Quality Improvement 101 Economic Impact/ROI What It Is How To Do It & Why It’s Important What It Is, How To Do It, & Why It s Important Presenter: Gene Smith 25 ROI / Economic Impact ROI / Economic Impact • Your team has made process improvements to your health organization or business. • It is now time to consider the financial impact of your project • What is your return on investment for the efforts of this project? Industrial Extension Service 26 www.ies.ncsu.edu Terminology/Formula Terminology/Formula ROI (return on investment ) : A performance measure used to evaluate the efficiency of an investment ROI = Benefits ‐ Costs/Costs EI (economic impact): Refers to costs and benefits of an activity. EI = Benefits ‐ Costs 27 9

11/15/2012 ROI / Economic Impact ROI / Economic Impact • Justification for our time / energy spent on project • Great way to display how successful our project was in today’s financial state • • Something we should learn to do on all our projects Something we should learn to do on all our projects • Great way to help “sell the concept of improvement projects” Industrial Extension Service 28 www.ies.ncsu.edu Examples of Financial Improvement Examples of Financial Improvement • The scheduling process saved our organization $50,000 per year in nursing expense • Our new open access process have allowed us to see 10 more patients per day, increasing revenue and allowing us to improve our cost by $35,000 per d ll b $ year • Our new process for clinic has allowed us to eliminate temporary help saving $20,000 per year Industrial Extension Service 29 www.ies.ncsu.edu Capturing Financial Improvement Capturing Financial Improvement • Reflect on your team’s stated benefits for the project – Understand your baseline metrics from the project start – Determine the tangible and intangible benefits • Determine the project savings due to improvement in financial terms • Capture the cost you incurred to complete the project • Compare the two Industrial Extension Service 30 www.ies.ncsu.edu 10

11/15/2012 Identify Benefits Identify Benefits • A benefit is a positive change or improvement in outcomes • Benefits Include:  Expand our capacity to service more clients / day  Free up staff time  Reduce operation cost  Productivity improvement / better efficiency  Improved accuracy / better reliability  Faster service times  Elimination of duplicate work Industrial Extension Service 31 www.ies.ncsu.edu Identify Benefits Identify Benefits • Benefits can (cont.):  Provide cost avoidance  Improve our work environment  Improve staff satisfaction Improve staff satisfaction  Improve employee retention  Increase revenue  Help us meet our legal or regulatory obligations Industrial Extension Service 32 www.ies.ncsu.edu Determine the Project Cost Determine the Project Cost • Time of resources utilized for the project – Meetings – Kaizens – Workshops / Webinars / Teleconferences – Travel costs T l • Equipment purchased • Materials consumed • Food • Additional labor required Industrial Extension Service 33 www.ies.ncsu.edu 11

11/15/2012 ROI / Economic Impact Example ROI / Economic Impact Example Industrial Extension Service 34 www.ies.ncsu.edu EI/ROI EI/ROI Form orm 35 Team Breakout Session Team Breakout Session Lets Start the Process of Capturing Lets Start the Process of Capturing Your Project ROI / Economic Impact Your Project ROI / Economic Impact Industrial Extension Service 36 www.ies.ncsu.edu 12

11/15/2012 Break Time… Break Time… 37 Team Song Title Team Song Title ‐ Alexander Alexander • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 38 Team Song Title Team Song Title ‐ Buncombe Buncombe • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 39 13

11/15/2012 Team Song Title Team Song Title ‐ Wilson Wilson • Share Your: – Health Department Name – Team Aim – Team Song Title (or song) • Why did you choose this song title? 40 Public Health Quality Improvement 101 Public Health Quality Improvement 101 Problem Solving to Resolve Your QI Issues Presenter: Claire See Presenter: Claire See 41 "None of us is as smart as all of us." -Japanese proverb 42 14

11/15/2012 Problem Solving Report Out Problem Solving Report Out • What are the key ideas for solving your issue? • What questions do you have about the issue? 43 Newspaper Headlines Newspaper Headlines Please give your headlines to Kerri. 44 15