RT2C Team Webinar July 9, 2015
Today’s Webinar: Approaches for collecting and displaying data in RT2C 1. Review of Core Objectives (Puzzle Pieces) 2. Measures Maps 3. Safety Crosses & Run Charts 4. Breakthrough Improvement Lanes 5. Dot Votes 6. Qualitative Measures: - Impact Statements - Patient Diaries - Patient Surveys
Core Measurement Productive Ward
Core Measurement Mental Health
Measures Map Outcome measure : What changes will we try to improve our outcome measure? Process measure : Process measure : Process measure : What unintended consequences might happen as a result of our changes? Balancing measure(s) :
Safety Crosses Sample Measure (e.g. FALLS) 1 1 2 2 Month: March 3 3 4 4 5 5 6 6 9 9 10 10 8 8 11 11 12 12 7 7 18 18 13 13 14 14 15 15 16 16 17 17 24 24 19 19 20 20 21 21 22 22 23 23 25 25 26 26 28 28 27 27 29 30 31 29 30 31
Run Charts Plotting Data Over Time
Run Charts Plotting Data Over Time
Run Charts Plotting Data Over Time
Run Charts Plotting Data Over Time
Run Charts Plotting Data Over Time
Run Charts
KHWD Boards and Breakthrough Improvement Lanes
How Breakthrough Improvement Lanes Work Promote better health for our communities How does this issue Provide the best care align with True North? Promote better health for our Develop the Innovate for communities best sustainability workforce Provide the best care Develop the Innovate for best sustainability workforce How are we doing? What is our target? Run Chart Let’s capture the issue in the moment Daily Incident • What process is What it creating this problem? Tracking looks like What are the root causes creating this problem? Pareto Analysis How will we address these root causes? Who? By When? Action Plan
It Often Starts with Safety Crosses
KHWD Board – Breakthrough Improvement Lanes Example
Dot Voting – Staff Satisfaction (General)
Dot Voting – Staff Satisfaction & RT2C Processes
Dot Voting – Staff Engagement with Initiative
Dot Voting → Bar Graph Display 100 Staff Satisfaction - Unit XX June 2013 90 84 80 Percentage Agreement 70 66 60 50 41 38 40 30 26 20 10 0 I enjoy my job I feel valued and supported I feel my workplace is I can do my job with Resources are readily in my workplace organized and well kept minimal interruptions available to me to provide safe and effective care Satisfaction Statement
Telling a story with patient feedback
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Patient Feedback Diary • Patients invited to post comments, suggestions on the KHWD board • Suggestions logged in Diary with date of resolution • Can capture stories around the improvement initiatives and the impact for the patient 23
November 2014 Huddle very positive experience December 2014 This week we February 2015 We invited one of our statement from Ward lead "I would like to reflect on had Felicia and Mary join our patients who described his experience yesterday's morning huddle. Susan, our manager, has afternoon RT2C huddle. It was while in ICU and how he remembers invited one of our patients to join us and give us some a pleasure to have you involved being restrained but did not feedback regarding overall service and his experience with our discussion with the understand why…he shared his fears on the floor while recovering from a major surgery. white board. We also had a and emphasized that the importance Even though I can not recall the exact words the patient patient who is a nurse, talk of clear communication between used, what stayed with me was his genuine response, about his experience on the patient and staff. He verbalized that emphasizing emotional stress being the most difficult to ward. He provided an this has been a life changing cope with, and a need for "spiritual care" in this emotional statement where he experience and one of the hardest challenging time. It seems that in spite of involvement mentioned how important hurdles in his life. He thanked the staff of so many people in his care, he felt lonely". choices of words are between and his wife for being alive today. patients and nurses. He also mentioned how touched he was with nursing staff helping him with simple tasks, tasks which we normally take for granted. It was a great experience involving a patient with our huddle .
Trend over time Number of Falls - Medicine 16 -Y connectors 14 -Safety checks every shift 12 -Risk assessment on admission 10 -Nightlights in all patient rooms -LOM on white boards Median = 8.0 Number of 8 Patient Falls 6 -New Falls & Injury Reduction Flowsheet 4 Goal: To reduce falls by 50% by June 2015 2 to 6 falls per month. 0 July Aug Sept Oct Nov Dec Jan-13 Feb #Falls (Safety Cross) 14 9 9 4 7 8 3 3
Trending your own data
Questions? What measurement approaches have worked for you?
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