1. BUILDING A CULTURE OF QI NNPHI QI Award Program Webinar #3 November 14, 2012 1-2:30 ET 1-800-273-7043, code 8422006

2. Organizational Culture of QI Organizational Structure and Processes Individual Approaches

3. Organizational Structure and Processes Performance Management System Leadership Commitment QI Council Agency-wide QI Plan Engage in QI efforts Trainings, professional affiliations QI part of employee performance evaluation

4. Individual Approaches Demystify QI Ask yourself: “What, exactly, is the problem, and how will we know if we have solved it?” Share what you learn

5. Demystify QI Clarify the true meaning of QI Simplify the concepts and address fears Apply QI tools and methods

6. They Are Not the Same Quality Assurance Reactive Works on problems after they occur Regulatory usually by State or Federal Law Led by management Periodic look-back Responds to a mandate or crisis or fixed schedule Meets a standard (Pass/Fail) Quality Improvement Proactive Works on processes Seeks to improve (culture shift) Led by staff Continuous Proactively selects a process to improve Exceeds expectations

7. They Are Not the Same Evaluation Assess a program at a moment in time Static Does not include identification of the source of a problem or potential solutions Does not measure improvements Program-focused A step in the QI process Quality Improvement Understand the process that is in place Ongoing Entails finding the root cause of a problem and interventions targeted to address it Focused on making measurable improvements Customer-focused Includes evaluation

8. Demystify QI Clarify the true meaning of QI Simplify the concepts and address fears Apply QI tools and methods

9. Applications of QI Tools Gathering and organizing ideas –Brainstorm –affinity diagrams Making tough choices –Prioritization matrix Understanding the nature of a problem –Force field diagrams –Fishbone diagram Planning –Flowcharts –Activity Network Diagrams

10. What, exactly, is the problem… Gather data Construct a flow chart Do a root cause analysis –5 whys –Fishbone diagram

11. …and how will we know if we have solved it? Measurable objective Aim statement

12. Share what you learn Replicate solutions Celebrate successes Stimulate interest Participate in COPPHI and PHQIX

13. November 15 th 1-2 ET Webinar Webinar: Submitting Your Work to PHQIX with RTI December 6-7 th Open Forum for QI *Registration fee waived December 30 th : –PHQIX Submission Due –Final Report Due to NNPHI Save the Dates *Note, if you have not used all of your QI coaching hours, please think about how you may access your coaching expertise to assist with your PHQIX submission!

14. QUESTIONS? To unmute your line, press *6