OUR CONTINUOUS JOURNEY TO EXCEPTIONAL

Mission Accomplished through CQIplus CQIplus helps us fulfill our mission, Through our Exceptional health care services, we reveal the healing presence of God.

Approach CQI – 1990 PDSA Change Management Facilitation Skills CQIplus Six Sigma Lean SAH Focus - CQIplus integration began to expand culturally – 2010 Additional Hospitals – Training offered – 2012

Approach 5 CQIplus Principles Patients and other customers are our first priority Quality is achieved through people All work is part of a process Decision making by facts Quality requires continuous improvement

Deployment Began with the Chosen Few Now includes formal and informal leaders who are interested in challenging themselves and the status quo Who are the participants? Administration – 5% Physicians – 5% Directors – 27% Managers/Supervisors – 35% Line Staff – 27% Contracted Services – 2% YOU DONT NEED A TITLE, JUST AN INTEREST

Learning Oklahoma Region Project Team Leader Training (PTL) 9 days (72 hours) of classroom training - Practical Lecture Breakouts Lessons Learned Application of Tools Peer Review Survey of Instructors Test Modules – Knowledge Level Presentation to Administrative Council and Leadership – Share/Reward Executive Champions/Mentors assigned to all students

Learning Oklahoma Region cont… Advanced Project Team Leader Training (APTL) Operational Team Leader Training (OTL) Lean Principles for Process Improvement Emerging Leaders New Employee Orientation Leadership Training Series

Learning SSMHC System CQIplus for Administrative Council Members CQIplus Workgroups Steal Shamelessly Speaker Series Showcase for Sharing Leadership Retreats Collaboratives Emergency Department Throughput/Satisfaction Palliative Care Readmissions

Learning Nationally Collaboratives Quest/Partnership for Patients (P4P) Palliative Care Readmissions Inpatient Surgical Mortality Adverse Drug Events Professional Organizations Oklahoma Quality Awards (OQA) American Society of Quality (ASQ) American College of Healthcare Executives (ACHE) Institute for Healthcare Improvement (IHI)

Learning PTL Certification Requirements Executive Champions Mentors Project Team Members

Learning Project Team Members Survey Question – What was the best thing about participating in your workgroup? That people were able to understand the process and how they affect my work when they do not do what I need them to do. Also, I liked getting results that made my job more effective. It was an opportunity for everyone to be able to visualize the complexity of a seemingly simple task. The group was a good mix of users across functional areas. The best things were being introduced to our CQI process, debating with others in the know and learning about the topic at hand. Knowing about potential performance improvement efforts and CQI projects. Having a clearer perspective of how meaningful sources for projects is determined. Great experience, especially for first timers on a team of this kind

Integration Patient Care – 38% Clinical Outcomes Patient Safety Patient Satisfaction Commitment – 27% Employee Commitment Physician Commitment Financial – 35% Financial Performance Growth

Integration Physician Continuing Medical Education (CME) UR Committees (SAH and HF) Performance Improvement/Patient Safety Council (PIPS) Patient Safety Quality Council (PSQC) Patient Centered Medical Homes (PCMH) Board Membership (representing transitional care opportunities) Newsletters (staff, physicians, nursing) Quality Companion – Electronic database of projects (in process and completed – available across system) Sharepoint Sites

Continued Opportunities Resource limitations Ability to change faster Competing priorities Communication challenges Transitional Care/Community Integration and Changing Responsibilities We are in this together…We will succeed or fail as a community. The choice is ours.