SEIU Healthcare PA Model for Labor-Management Quality Partnership Process Making Quality Care Partnership Succeed 2011 Quality Care Summit

4 Pieces of the Model 1.Foundational Principles 2.Structures (of meetings/committees) 3.Problem Solving Process 4.Training and Support

1. Foundational Principles Front-line Nurses are experts – Focus on changes at the point of care and patient experience Evidenced Based approach Working together we can achieve better results on improving patient care than not. Engaging employees on quality improvement benefits union and management

Foundational Principles Strategic Formal Partnership Contractual Agreement with Goals and Process Informal Commitment between Union and Management

2. Structures Formal Structure on Quality Improvement Process Labor- Management Committee Ad-hoc Committee

2. Structures Work Area Committee(s) Interdisciplinary Project team formed from broader committee Facility Based Committee Nursing or Multi- disciplinary

2. Structures Agreed upon structure for meetings – Should include work at the unit level Agreed upon Purpose Decision Makers Participation

3. Problem Solving Process Data driven and experimental Have an agreed upon model Not overly complicated Engage and build consensus

Problem Solving Process: Examples LEAN (Toyota) Methodology PDCA Six Step Process

Problem Solving Process

6-STEP PROBLEM SOLVING Define Problem Clear Quantifiable Goal Gather and Evaluate Information Brainstorm Ideas for Solving Problem Reach Consensus on a Solution and Implementation Plan Obtain Commitments for Implementation Plan Track Outcomes and Measure Results 4 Select & Plan Solution 5 Implement Solution 6 Monitor & Evaluate Solution 1 Identify & Select Problem 2 Analyze Problem 3 Generate Potential Solutions Problem Solving Process (c) Workplace Systems, Inc. 1996

4. Training and Support Technical Skill – Data collection, – Problem Analysis – Measurement and Goal Setting Process Skills – Communication, Leadership, Team Work, Conflict Res. On-Going Support – Help and Coaching – Sharing Successes

Best Practices/Tips Get started and adjust course as needed Start small and use results to make the case for more resources Find other “allies”/champions Stay persistent and positive

How can you start to put the puzzle together at your facility?

Worksheet What are areas of strength and weakness at our facility based on 4 elements of the model? What are key skill training priorities? What areas would we like to focus on? What are simple next steps we could take?