1. Bethany Geldmaker PNP, PhD Tracy Jebo MPH Continuous Quality Improvement (CQI): Part 3

2. Learning Objectives 1.Review results of the Self-Assessment Survey results 2.Results of on line vote on priority area to develop a CQI plan based on the self- assessment survey and Advisory Board feedback 3.Developing the CQI plan PDSA Cycle

3. CQI Process: PDSA Cycle CQI (Continuous Quality Improvement): Involving all stakeholders to examine the performance of a process and address identified gaps The use of a deliberate and defined improvement process Plan-Do-Study-Act Cycle will be used for this project

4. PDSA Cycle: Nine Steps The PDSA cycle is used to improve existing processes, not to plan or implement new programs Always relies on data to support its decisions

5. Self-Assessment Survey: 11/2013 Purpose: to capture the professional development and training process – professional development training – quality of professional development – role of continuous quality improvement in professional development activities – evaluation activities – data collection and analysis

6. Self-Assessment Survey: Key Findings Strengths Identified by survey: – Members of the ECMHAB are involved in early childhood mental health initiatives, supportive of offering cross-disciplinary training and knowledgeable about the populations they serve – Trainings delivered are high quality – ECMHAB members are familiar with both project’s logic models (95%) and evaluation plans (76%) – Members are aware of their opportunity to provide input into quality improvement measures

7. Self-Assessment Survey: Key Findings Training and Education Needs – Information about trainings (updates on attendance, registration process, logistical details) – Reporting back outcome data to advisory board from evaluations – CQI and PDSA process – Outcome data: reviewing what is available and what is collected

8. Self-Assessment Survey: Key Findings Perceived Gaps/Opportunities for Improvement: – Communication methods – # of trainings insufficient to meet needs (regional/specialty-specific or both?) – Meeting needs of different cultures and literacy levels – Ensuring evidence-based practices and programs are being implemented

9. Follow-Up Vote: 2014 CQI Plan Three areas were presented to the Board for a priority vote: (1) Cultural Competency: Analyze data on who is attending trainings to see if demographics are representative of the overall population. (2) Unmet Training Needs: Conduct a survey or collect available data to identify regional or specialty-specific gaps. (3) Communication: Map out state and regional processes for advertising trainings to investigate where and/or what gaps exist.

10. Prioritization Results Priority AreaRanked #1 Ranked #2 Ranked #3 Weighted Rank Cultural Competency 2571.64 Unmet Needs9322.50 Communication3651.86

11. PDSA Cycle: Plan-Do-Study-Act Plan-Do-Study-Act Cycle (Steps 1-2) Step 1: Identifying a problem  Unmet Training Needs Self-assessment survey and priority vote Step 2: Assembling a Q.I. team that can address the problem ECMHAB

12. PDSA Cycle: Plan-Do-Study-Act Plan-Do-Study-Act Cycle (Step 3)  Step 3: Identify what the true cause(s) of the problem may be, map the process to understand the existing activities that lead to the problematic issue This is where we will work today!

13. PDSA Step 3: Identify Problem Unmet Training Needs – Identify any specific gaps where the number of trainings is insufficient to meet the need (regional/specialty-specific or both) Discussion (questions follow) – Identify any data/information currently available for this problem – Identify what additional data/information we need before moving forward – Identify any known gaps

14. PDSA Step 3: Identify Problem Discussion Question 1 What other mental health trainings are out there? Who provides them?

15. PDSA Step 3: Identify Problem Discussion Question 2 How are these trainings advertised?

16. PDSA Step 3: Identify Problem Discussion Question 3 How do we know that the number of trainings are not sufficient to meet the need?

17. PDSA Step 3: Identify Problem Discussion Question 4 What additional data/information do we need in order to better understand the unmet needs?

18. PDSA Cycle: Plan-Do-Study-Act Step 4: Brainstorming and conducting background research to look for possible solutions Step 5: Working to develop a theory of improvement that can be tested

19. Plan-Do-Study-Act Plan-Do-Study-Act Cycle Step 6: Test your theory of improvement Step 7: Study the Results of your Test Step 8: Either standardize your improvement (if test was successful) or develop a new theory for improvement (if test was unsuccessful) Step 9: Establish Future Plans

20. Next Steps in Moving the Process Forward Take discussion from today and develop materials to map out the process. May include: – Draft survey? Survey response data? – Presentation of additional data found? – Draft process map? Next Board meeting: – PDSA Steps 3 & 4: present results and possible process MAP for feedback