1. Application of Nominal Group Technique: Benefits of Public Health Accreditation Patricia G. Porter, RN, MPH, CHES QI Toolbox

2. Overview Types of CQI Tools Brainstorming Basics Overview of Nominal Group Technique Application of Nominal Group Technique to gain consensus. QI Toolbox

3. Types of Basic QI Tools Idea Generation*Shared Decision Making* Data Collection Analyze Cause and Effect* Process Definition Analyze and Display Data* Planning Tools Meeting Management

4. Brainstorming Basics Idea generation – Problems, CE, FAA, solutions, analysis Types – Unstructured (+) Spontaneous, piggybacking, energetic (-) Politics, sensitivities, outspoken and new members – Structured (+) Everyone participates, pass (-) Less spontaneous, piggybacking compromised – Brainwriting

5. Rules of Brainstorming Every idea is a good idea Do not discuss items during brainstorming Piggybacking encouraged Promote creativity – stand up, colored markers, Use the parking lot! Have fun!

6. Examples of Shared Decision Making Tools Criteria Rating Forms Is/Is Not Stratification – lumping and splitting by consensus List Reduction Voting – Weighted – Multi-voting – Nominal Group Technique

7. Nominal Group Technique Shared Decision Making Combination strategy - brainstorming & voting Team decisions (P) Problem, CE, solutions, (C) conclusions, (A) next steps Steps: 1.Generate list and clarify meanings 2.Every member ranks/votes on issues 3.Use results to formulate next steps

8. Lets try NGT: Benefits of PHA 1.Individuals generate lists (Completed in AM) – Brainwriting 2.Results collated & labeled as indicators 3.Lets review our list – Additions? – Comments? – Combinations?

9. NGT – Benefits of PHA What next? 1.Break into groups of 10 2.Each person ranks items on worksheet 1.Today we will rank 5 indicators (5 = highest) 2.Add up scores (by indicator) for everyone in group 3.Collate scores and report scores to large group 4.Scores for all groups calculated and discussed

10. Benefits of PHA: What to do with this information? Strongest selling points as perceived by peers Use to develop elevator speech for: – BOS – Leadership and staff – Other key internal and external stakeholders – Funding/request for additional resources

11. Observations/Comments/Questions? Your QI Toolbox