The Art of Engagement, Teaching, Sharing and Celebration Christina Krause & Marlies van Dijk January 30 & 31, 2013

Learning Sessions: “Have to Haves” Will – motivation comes from learning that it is possible and joining with colleagues working on the same problem Ideas – Acquire great ideas for change Execution – Learn a method for making lasting changes and begin using it

Type of sessions? Plenary Breakouts Team meetings Collaboration Source: IHI

Plenary What: – Leaders, especially the chair/sponsors, give well planned presentation on the aims, gap and change package (wow factor high) Results: Will, Ideas and Execution Source: IHI

Break Out Sessions Depth What: – clinical content – Improvement methods Results: Will, Ideas and Execution

Storyboard Session Communication and learning tool What: Teams visit each other’s storyboards while faculty guide an activity around it Result: Will: If they can do it, I can too Ideas: Identify ideas others have tried and give credibility to ideas Execution: in later sessions Source: IHI

Using Worksheets to Foster Action Worksheets at the Learning Session provides structure for action Worksheet review: – Organization Team Meeting 1 – Project Planning Form – PDSA Worksheet Source: IHI

Learning Session I (can be a call or webex) A viable plan for the first test of change A written and feasible project plan that includes testing multiple changes The motivation and confidence to get started immediately Source: IHI

Learning Session II Teams harvest change and use good ideas for change Use of early adopters as examples Understanding testing and measurement Collaboration Teams leave with a strong and detailed plans for the future Source: IHI

Learning Session III Celebration Even more team teaching and involvement Storyboards have result and tell the team’s story Teams become focused on holding the gains and spread Source: IHI

What does a great gathering/meeting look like?

Tool for a good session!

The Peg Game

To Be Considered a PDSA Cycle The test or observation was planned (including a plan for collecting data). The plan was attempted. Time was set aside to analyze the data and study the results. Action was rationally based on what was learned.

PDSA for the PEG Game

10 Nuggets 1.First session: Excitement and hope overrides content 2.“Losing Sleep” is worth it 3.Find active faculty who can embrace “self organization” and “sense making” 4.Modify Modify Modify 5.Understand theories of what makes a collaborative successful (L. Couves, Improvement Associates)

5 more 6.Tweak for local context without sacrificing no. 5 (L. Couves, Improvement Associates) 7.Don’t be afraid to tackle “harder stuff” – after low hanging fruit 8.They still work 9.Quarter, half, quarter 10. Fuel of Improvement – needs to be added!

Another view : Quality of … Level One: doing (processes) Level Two: thinking/ decision making Level Three: information that influences thinking Level Four: information that influences behavior Level Five: relationships (information flow) Level Six: perceptions and feelings (culture) Level Seven: individuals mind-sets (personal beliefs and values) “Engine” of quality D. Balestracci. Data Sanity “Fuel” of quality Another View: Quality of …

Your Structures for Support Plan Goal/Measurement strategy Time Frame Who do you want to engage Alignment with strategic priorities of your organization Model and Approach (eg. networks, collaborative, face to face meetings)