1. Quality/Performance Improvement Fundamentals Testing, Spreading, Implementing and Sustaining July 30, 2013 Pat Teske, RN,MHA pteske@cynosurehealth.org (661)755-5317

2. Testing, Spreading, Implementing & Sustaining 2 Date – 7/30/13 Time – 10:30 – 11:30 Today’s Topics – Hearing from your colleagues about: Testing new approaches Spreading tested ideas Implement that sticks – Building a sustainability plan Date – 7/30/13 Time – 10:30 – 11:30 Today’s Topics – Hearing from your colleagues about: Testing new approaches Spreading tested ideas Implement that sticks – Building a sustainability plan

3. Skill Building 3 Skill building due to NF by 8/7/13 Complete your sustainability plan – Send to network facilitator Skill building post webinar call 8/14/13 - 10:30-11:30 Skill building due to NF by 8/7/13 Complete your sustainability plan – Send to network facilitator Skill building post webinar call 8/14/13 - 10:30-11:30

4. Sustainability Plan Template

5. Let’s try it Raise your hand and chat

6. Please don’t put us on hold

7. HEN Topics ADE CAUTI CLABSI EED Falls with Injury HAPUs OB Adverse events Readmisions VAE VTE SSI 7

8. Sharing the Journey

9. The Science of Innovation Sharing Successes

10. Sustainability

11. Which example will you be?

12. Is this your project? Or is this your project?

13. Definition sus ⋅ tain 1.to keep up or keep going, as an action or process: to sustain a conversation. 2.to support, hold, or bear up from below; bear the weight of, as a structure. 3.to bear (a burden, charge, etc.). 4.to undergo, experience, or suffer (injury, loss, etc.); endure without giving way or yielding. sus ⋅ tain 1.to keep up or keep going, as an action or process: to sustain a conversation. 2.to support, hold, or bear up from below; bear the weight of, as a structure. 3.to bear (a burden, charge, etc.). 4.to undergo, experience, or suffer (injury, loss, etc.); endure without giving way or yielding.

14. Quality Definition Things don’t deteriorate when: 1.You move onto another project 2.It isn’t mentioned in a newsletter, memo or e-mail 3.TJC creates a new NPSG 4.The CEO stops asking about it 5.The quality director/team leader/champion moves to the east coast Things don’t deteriorate when: 1.You move onto another project 2.It isn’t mentioned in a newsletter, memo or e-mail 3.TJC creates a new NPSG 4.The CEO stops asking about it 5.The quality director/team leader/champion moves to the east coast

15. What’s your sustainability plan?

16. Your thoughts..

17. Support Monitor Hard Wire Train Components of Sustainability

18. Organizational Support Executive Support = $ + timeOversight Transition Planning

19. Ongoing Monitoring What?How often?Who?Threshold for action?Action?

20. Training Who needs to be trained? Who, how and when will the training be done? What is included in the training?

21. Hard Wire Make failure obviousLook for weak signals of failureBroad participation in designProcess mapping to understand weaknesses

22. Other Considerations: e.g. TechnologyCultureMandates with accountabilitySharing & communicating

23. Next Steps

24. Sustainability – Skill Building 24 Skill building due to NF by 8/7/13 Develop a sustainability plan – Send to network facilitator Skill building post webinar call 8/14/13, 10:30- 11:30 Skill building due to NF by 8/7/13 Develop a sustainability plan – Send to network facilitator Skill building post webinar call 8/14/13, 10:30- 11:30

25. Any more questions?