Quality Improvement Learning Programme Learning Session 2 A person - PowerPoint PPT Presentation

Quality Improvement Learning Programme Learning Session 2 ‘ A person who never made a mistake never tried anything new’ Albert Einstein

Hello, Housekeeping, How will we do this?

Learning Outcomes This session: Reflect on learning so far Programme: Understand how to develop Driver Diagrams including use Develop confidence & of cascading driver diagrams. capability in Quality Improvement Understand the Quality Improvement Measurement Lead an improvement project journey – measurement plans Develop skills to teach others data collection, run charts. Plan next steps for own project Learning Learning Learning Learning Learning Session Session Session Session Session 2: 1: 3: 4: 5: Action Action Action Action Period – Period – Period – Period – Personal Personal Personal Personal Learning Learning Learning Learning & & & & Support Support Support Support

Recap of Learning Session 1 QI Foundations incl. 3 Step Improvement Framework The Model for Improvement Improvement Toolkit Improvement in Practice

Let’s check in! Jump in when you like, if you want to; Say your name Share as much or as little as you want about your hopes for today’s session.

The System of Profound Knowledge Appreciation for a System Psychology Theory of Knowledge The human side of change – YOU! Understanding Variation Deming 1993 https://www.youtube.com/watch?v=xKv--YA8XJE

Reflection Point: Habits of an Improver Lucas, B (2015) The habits of an improver. Available at http://www.health.org.uk/sites/default/files/TheHabitsOfAnImprover.pdf

The Emotional Cycle of Change EUREKA! Stage 4 CONSIDER Stage 1 CONCEPT The Learning Pit Clarity James Nottingham (2016 ) Stage 3 CONSTRUCT Stage 2 CONFLICT Confusion Source: James Nottingham, 2016 ,

Reflection Point: All about you! Individual reflection on your experiences so far (5 minutes): • Learning related to the Lens • Developing habits of an improver • Use of improvement tools: o Project Charters o Process Mapping o Forcefield Analysis • Improvement team • Baseline data

Project Surgery: 4 in each group Step 1. Individual presentations (10 mins for each project) Use the template to: Remind the group of your project aim and any support you are seeking. Share experiences and learning so far in relation to the project . Step 3. Agree actions Step 2. All teach, all learn… Summarise actions you Each provide feedback (W.W.W. will take based on & E.B.I) and suggestions to feedback provided. support.

The System of Profound Knowledge Appreciation for a System Psychology Theory of Developing Knowledge our theory of change Understanding Variation Deming 1993 https://www.youtube.com/watch?v=xKv--YA8XJE

3 Step Improvement Framework & Driver Diagrams 2 Correct changes Are we using our full knowledge to identify 3 1 Clear change method the right changes and Aim Does everyone know Is there an agreed aim prioritise those that are and understand the that is understood by method(s) we will use to everyone in the likely to have the biggest improve? system? impact on our aim? 6 4 5 Spread plan Measurement Capacity and capability Have we set out our plans Can we measure and Are people and other for innovating, testing, report progress on our resources deployed in implementing and sharing improvement aim? the best way to enable new learning to spread the improvement? improvement everywhere it is needed?

Improvement Toolkit: Driver Diagram Describe theory of change Develop your measures Communication tool Track project progression NB: It is not set in 13 stone!

Driver Diagram In order to Ideas to ensure We need to Which requires… achieve this this happens ensure…. AIM Process Measure: Analyse performance of all To what extent would a # of matches ‘formal match analysis tool’ matches High Quality analysed each enable better learning? Scotland Coaching month Learn from successful will win at teams To what extent would least 4 individualized fitness plans Improve diet of all players matches Excellent improve player fitness? Health & Process Measure: during the Individual physical fitness To what extent would a # of players fitness plans six nations monthly one to one completing weekly dietician session improve rugby physical fitness plan Recognition of team physical fitness levels? strengths tournament Winning High expectations of effort Do what extent does in Feb-Mar levels needed regular team building Mentality events improve whole team 2019 performance? Actively value all team Process Measure: members contribution # of players who self Outcome report that they think To what extent would High Measure: their contribution to Develop a shared increased ‘set pieces’ help performing understanding of tactics for the team is ‘highly improve performance on the # of matches Team-work each game valued’ day? won during six nations tournament

Vision – Scotland has the best rugby team in the world Improvement Toolkit: ‘Cascading’ Driver Diagram In order to Ideas to ensure We need to Which requires… achieve this this happens ensure…. AIM Analyse performance of all To what extent would a ‘formal match analysis tool’ matches High Quality enable better learning? Scotland Coaching Learn from successful will win at teams To what extent would least 4 individualized fitness plans Improve diet of all players matches Excellent improve player fitness? Health & during the Individual physical fitness To what extent would a fitness plans six nations monthly one to one dietician session improve rugby Recognition of team physical fitness levels? strengths tournament Winning High expectations of effort Do what extent does in Feb-Mar levels needed regular team building Mentality events improve whole team 2019 performance? Actively value all team members contribution To what extent would High Develop a shared increased ‘set pieces’ help performing understanding of tactics for improve performance on the Team-work each game day?

What can we learn from improvement ‘experts’? “When everything is a priority, nothing is a priority” Karen Martin PRIORITISATION “The results of taking on too much is that nothing gets done. Or it doesn’t get done well.” Karen Martin

Understanding the status of your drivers Level Driver Status Level Predicted impact 0 Driver not defined or status 0 Driver has no impact / irrelevant to unknown our ‘customers’ or staff 1 Informal understanding by some 1 Driver has minimal impact on people. No formal description outcomes 2 Driver documented and understood 2 Driver will improve services for our by all (including ‘customers’ where ‘customer’ but others are more appropriate) important 3 Driver defined and carried out 3 Driver has impact on outcomes reliably. Measures to track the quality of the driver defined 4 This driver is necessary for delivering 4 Regular monitoring of driver with services. It has a direct and stakeholders acting on data for significant impact on outcomes for further improvement the ‘customer’ 5 Driver essential for achieving results. 5 Driver outcomes predictable and Improvement in this driver alone embedded in the system. Driver would have a direct, immediate consistently meets the needs of all impact on outcomes requiring it

Pri rioritising Projects: W What is is your pri riority? High High High impact/undefined Impact/defined process process Impact Low Low impact/defined impact/undefined process process Low Defined Undefined Process

Population Segmentation: Who is your priority? The whole population receiving your ‘service’ Slides provided by

Population Segmentation: Who is your priority? The whole population People who have “ fallen receiving through the your ‘service’ cracks ” of our system. Slides provided by

Population Segmentation: Who is your priority? The whole population People who have “ fallen receiving Sub- through the your ‘service’ groups cracks ” of based on our system. needs Slides provided by

Population Segmentation: Who is your priority? The whole population People who have “ fallen receiving Sub- through the your ‘service’ groups cracks ” of based on Interventions our system. needs intended to address the needs of sub- groups: Test using Plan Do Study Act cycles. Slides provided by

Population Segmentation: Who is your priority? The whole population People who have “ fallen receiving Sub- through the your ‘service’ groups cracks ” of based on Interventions our system. needs intended to address the needs of sub- groups: Test using Plan Do Study Act cycles. Some interventions will work and some will not. All should result in learning and start on the smallest practical scale. Slides provided by

Task: Prioritisation What actions do you need to take to understand and decide the priority focus for your project? All teach, all learn!

CHECKPOINT: The Improvement ‘Journey’ Stakeholders System? Aim & Change Theory? & Team ?

Lunch Start again at ?

Too busy to improve? Too busy to improve? Big rocks?

What are your big rocks?