Changing the story Creating a Change Platform: Quality Improvement in Residential Care “Safer Care for Older Persons (in residential) Environments” Adrian Fatima

Changing the story

Changing the story What is SCOPE? Empowers frontline staff to deliver better care by enabling and empowering teams to: –Improve their ways of working –Improve care for residents –Make their working life better

Changing the story Empowering the Team Led by Personal Support Working/Healthcare Aide Supported by SCOPE Team and Senior Sponsor Learn how to make long lasting changes to improve care

Changing the story Learning Session 2 May 2016 Learning Session 3 Sep 2016 Learning Session 1 Feb 2016 Jan 2017 SCOPE Recruitment 36 Care Homes The Process Modified from Institute of Healthcare Improvement (IHI) Breakthrough Series Collaborative Model

Changing the story PALETTE OF LIBERATING STRUCTURES Designer: Lesley Jacobs

Changing the story 80% of Care Healthcare Aides are under considerable stress, yet remain highly committed to their work Actively engaging care aides to improve bedside care is a powerful strategy

Changing the story Who are they? Mostly women Many English is second language 2 jobs or more Truly believe they make a difference Committed to residents Use informal sources of information for care

Changing the story

Once upon a time… there was a boy lost in the woods…

Changing the story Ideas

Changing the story

Changing the story TRIZ Designing a perfectly adverse system The worst possible results from your work

Changing the story Why do we use TRIZ? Creative destruction Challenge the status quo and sacred cows Gives permission to discuss taboo subjects Builds trust

Changing the story TRIZ – First Step Be creative! Make yourself laugh! This is SERIOUS FUN... Reflect in your groups, make a list of “to-do’s” list in answer to…

Changing the story How will we ensure staff are not interested in change? How do we ensure our residents are harmed? How can we be sure that our staff morale is rock bottom? How do we ensure resident care plans are never used? Pick one you like!

Changing the story TRIZ – Second Step Go down the list and ask: Is there anything on that list that we currently practice, even remotely? Is there an element of truth in here? Cross out the ones that you are not doing EVER

Changing the story TRIZ – Third Step Look at your list…what items do you want to commit to avoiding? Pick your top two. What will you do to avoid those items? Do you need leadership or organizational help? What needs to stop or change? Be as concrete as you can.

Changing the story “Leadership is not about making clever decisions and doing bigger deals. It is about helping release the positive energy that exists naturally within people.” Henry Mintzberg There has never been a time in the history of healthcare when this perspective has been more pertinent.” Helen Bevan

Changing the story Engage Hearts & Minds

Changing the story Questions? Adrian Fatima