1. The Improvement Facilitator Role Improvement Facilitator Training Session 1 Day 1

2. Objectives A really brief introduction to Facilitation Your roles and responsibilities as an ASaP Improvement Facilitator

3. Facilitate - Definition fa·cil·i·tate [fuh-sil-i-teyt] –verb (used with object), -tat·ed, -tat·ing. To make easier or less difficult; help forward (an action, a process, etc.): Careful planning facilitates any kind of work. Improvement Facilitator

4. Who is an Improvement Facilitator (IF)? A naturally positive, optimistic and intuitive person A skilled communicator; able to connect with all members of clinic teams Results-oriented ;able to stay focused on “process” development Flexible while assisting each team to customize the process that will work for them in the long-term Enthusiastic and able to foster the desire for change within teams Able to ensure that teams stay focused during meetings.

5. Core Practices of an Improvement Facilitator Facilitators: Stay neutral on the content Listen actively Ask questions Paraphrase continuously Summarize discussions Manage the climate

6. Facilitation Tools & Techniques References F2

7. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

8. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

9. The ASaP Intervention Panel Identification Focused Improvement Build on Success Document process to ID patient/provider attachment Generate patient lists for screening Choose + document screening methods: opportunistic and/or outreach Choose + document screening maneuvers Define & document team roles & responsibilities Test small change (PDSA) Standardize processes Measure reliability of processes Apply for CME credits Identify other clinical improvement opportunities Baseline Chart Review & Current Screening Process Assessment 4-Month Follow Up Chart Review & Screening Process Assessment Sustainability Chart Review & Continued Follow-up Reviews 30 days 60 days Ongoing A6 9

10. Sample Improvement Facilitator Journey

11. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

12. ASaP Training Plan Improvement Facilitators & Chart Reviewers H1

13. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

14. IHI Open School H4

15. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

16. ASaP Webinars Monthly (end of month) One hour format CPAs and Guest presenters Schedule in Community of Practice Guide & on TOP website H4

17. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

18. Weekly Teleconferences Regional, cohort IF directed ~9 weeks Optional after 9 week period Sharing, building IF Community of Practice H4

19. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

20. Yammer – Online Community Build connections between IFs across the province Increase IF competencies Internal mentoring Spread of screening process redesign Spread of QI principles beyond ASaP Continuous professional development of members H4

21. Expectations of ASaP Improvement Facilitators Support clinics with ASaP interventions (as assigned by your Primary Care Organization) Attend ASaP training sessions (4 days) Self-directed learning: IHI Open School (until March 2014) Attend monthly webinars (July 2013 – March 2014) Attend weekly teleconferences (for ~9 weeks) Engage on Yammer ASaP discussion board Engage with your CPA (1:1 coaching)

22. IF Self Assessment Handout

23. Summary Refer to Facilitation at a Glance book in your toolkit for facilitation skills needs Participate in ASaP training Take advantage of the world-class IHI Open School resource to enhance your QI theory base Participate in the range of ASaP Community of Practice offerings