Module 2 Part 2 Quality Improvement Teams Who and How? Adapted from: The Health Resources and Services Administration (HRSA) Quality Toolkit

Learning Objectives Module 2 Part 2 Define who are the stakeholders? Discuss tips for successful team development

Quality Improvement (QI)Team – Who? Individuals invested in or affected by improvement efforts Individuals representing all areas that will be affected by the proposed improvement Patient representatives Finance Quality Care providers Community liaisons

The Power of Teams: Why a team? A comprehensive multidisciplinary QI team is preferred over individual decision makers, especially when: A task is complex Creativity is necessary The path to improvement is unclear Efficient use of resources is required Cooperation is essential to implementation Team members have a stake in the outcome The process involved is cross-functional No one individual has sufficient knowledge to solve the problem

Forming the Team: How to do it? Identify three kinds of expertise: System leadership Technical / Operational leadership Day-to-day leadership Build a team that suits your problem Team size and composition will vary

Defining Roles and Responsibilities Understands the processes Effectively leads team meetings Team Leader Assists the team leader in planning meetings and developing agenda Is responsible for meeting time tracking Team Facilitator Contribute knowledge and experience Support improvements in their areas Help drive change Team Members

Team Example: Reducing HF Readmissions Aim: Reduce HF 30-day readmission rates and ensure patients are receiving GDMT Emergency Department Cardiac ICU Quality Improvement Care Coordination Project Sponsor Clinical Leader: Medical Director or Physician Champion Clinical Leader: Cardiologist, Intensivist, Hospitalist or Medical Director Clinical Leader: Quality Improvement Director or Care Coordination Director Chief Operating Officer Technical Expertise: Director or Nurse Manager Nursing Education Leader Day-to-Day Leadership: Front-line Nurse Care/Case Manager

Team Example: Reducing HF Readmissions Emergency Department Cardiac ICU Quality Improvement Care Coordination Project Sponsor Clinical Leader: Medical Director or Physician Champion Clinical Leader: Cardiologist, Intensivist, Hospitalist or Medical Director Clinical Leader: Quality Improvement Director or Care Coordination Director Chief Operating Officer Technical Expertise: Director or Nurse Manager Nursing Education Leader Day-to-Day Leadership: Front-line Nurse Care/Case Manager

Key Roles in a QI Program QI ROLES Day-to-Day Leader Data Entry Person Provider Champion Operations Person Data Specialist Measurements and observations used to describe the health system outcomes, processes and patient experiences

Stakeholder Investment QI Summary Identify Stakeholders Document Needs Analyze stakeholder influence/interest Manage stakeholder expectations Take action

Selecting Members for a Team Consider someone who: Represents any discipline and ideally works directly with the system targeted for improvement Is willing to learn from other team members Is willing to maintain open communication with staff, leadership, and consumers Is willing to assume individual responsibility to contribute to the team's success Commits to the success of the improvement project

Summary Success of your QI efforts rests on the team that is created Choose people who represent the processes being improved A well-defined, functional team is associated with success!