PI Teams What I have learned & am still learning! Chris Cockrell RN Performance Improvement Manager Clark Fork Valley Hospital

Performance Improvement Team involves two or more departments working together toward a common goal of improvement in a process. Look at: Forms Roll of Facilitator Roll of PI Committee

Request to Commission a Team

Describe the work process to be improved Current Situation Expected outcome Measure of success Performance Improvement Committee action: –Team commissioned: –Team not commissioned at this time –Not appropriate PI team

Team Start-up & Tracking

Quality Improvement Team Start-up & Tracking Request submitted by: QIC approval on: Work Process to be improved: QI Team name: Expected outcome: Team Leader: Team Facilitator: Team Members – Representing: –Involvement of non-managers

Quality Improvement Team Start-up & Tracking Number of expected team meetings: Initial report to QIC due: Interim reporting dates: Final report due:

PI Teams Teams that lasted tooooooo long: –Ostomy Care Team –Swing Bed Team Finalizing a team: –Swing Bed Team Assign new team leader –Patient Billing Task Force

Ideas for PI Teams Recommendations from other PI Teams Plan of Corrections – Surveys Risk Management/Incident Reports Low volume/problem prone areas identified Clinical Indicators Suggestions from the PI Committee

PIN PI Team Report

PI Team Report

Team Name Meeting Date Final Report Due Team Members Present Expected Outcome Agenda & Minutes Summarize Activities Team Recommendations Date of Next Meeting PI Committee Review & Recommendations

PI Committee Recommendations Risk Management Process Team –A single process –Neutral Environment –Accountability for monitoring/follow-up is done –Someone designated to do the monitoring

PI Team Report

PI Team Final Report

Team Members: Describe the Goal of the PI Project: Describe the improvement process used: What was the Result/Outcome of the improvement project (summary): Projected return in improved work process performance: Net result:

PI Team Final Report (2)

Sustainability Had not really been addressed Suspected some resolved teams goals were no longer being met Fourth quarter 2009 – follow-up reporting considered Reporting form developed

PI Team Follow-up Form

Team Members: Describe the goal of the PI project: What changes, if any, have been since the final report? What is working or not working? Has the Goal of the PI Project been sustained? –Days Unbilled Team –Risk Management Process Team

Facilitator Role Assisting with writing request to commission a team Keeping teams on track Sounding board for team leaders Offer suggestions when indicated Too actively involved vs not involved enough Constructive nagging

PI Committee Proactive in the teams selection & how they will measure their success Look at team member selection Setting Deadlines for final reports Making suggestions to PI Teams when indicated Look at sustainability of the PI Teams

PI Teams can: be a strong force for change in improving process within the facility improve the communication & understanding between departments involve the front line staff in making changes that effect patient care & the efficiency of the facility