1. OneCF LLC2 Quality Coaches January 12, 2015 2:00–3:15 PM (ET)

2. Welcome Sign On and Check In Phone Number: (866) 537-0817

3. OneCF Center LLC2 Overall Aim: Assess and develop a CF care center that provides seamless care from the time of diagnosis through advanced care. This collaborative will focus on integrated care, smooth transitions (pediatric to adult), warm handoffs and transfers, and improvement of mesosystem care such as referral to specialists (Endo, GI, ENT, Psych) and inpatient care.

4. CF Foundation Leadership of Health Care Quality and Improvement Development Program Overall Aim: Assess and develop personal and team leadership skills and abilities to lead quality and improvement as part of a CF Pediatric and Adult leadership team. Create conditions for successful improvement

5. Agenda 2:00Welcome, Sign On and Check In 2:05 Learning & Coaching Plan review/Coaching readiness tool 2:30Review January-June 2015 Activities 2:45Focus on Fundamentals - Clinical microsystems - 5Ps - DMIC 3:00 Individual learning and development - Tools and communication - Measurement with Brant (2/2 5-6pm) 3:10Final questions/clarifications 3:15Adjourn

6. OneCF LLC2 Teams, Coaches & Leaders Team & CoachLeaders Boston Children’s Hospital/JudyKate, Leah, Greg, Ahmet Columbia NYC/LaCreciaEmily,Claire, Hossein, Shirley Nationwide Columbus Ohio/Suzanne John, Terri, Karen, Deanne, Judy Rush Chicago Illinois/Staci Robert, Jenifer, Girish, Kathryn University of Missouri Columbia/Bob Jim, Connie, Natalie, Joe University of North Carolina/RandySheree, Jennifer, Magee, James

7. Connecting Teams, Coaching and Leadership LeadershipTeams & Coaches Expectations 5Ps/performa nce Anticipate & assist with data Regular meetings- Provide time & space PDSA Rapid Tests of change with measures Sustain Inspire, Know & Tell Stories

8. Site Visit and Pre-Assessments Upcoming Deadlines: 360 Leadership Assessment: Monday, January 19 (66/270) Submit Learning/Coaching Plans: Monday, February 2 (2/6) - Coach site visit agenda details - Monthly plan 25/27 Completed (12/30/14) 26/27 Completed (12/30/14) Leader self-reports & 360 reports distributed first week of February

9. Planning the Site Visit Baseline Assessments= Learning/Coaching Plan Site Visit itinerary (includes VSM) Prepare coach site visit summary before leaving Submit final coach visit summary and action plan which includes revised learning/coaching plan -9-

10. Coaching Readiness Tool -10-

11. Learning Plan -11-

12. Leader Follow ups Q is P Coach site visit planning –Time with OneCF Team, Pedi & Adult Team –Time with leader to review self/360 reports and develop improvement plan Self plan, dyad plan, OneCF Leadership team plan Start with self now Support leaders to “create the conditions” –Based on Taskbooks -12-

13. -13- Improvement Fundamentals January 12- March 9, 2015 TopicActivities (QuIRK)How? 1. Introduction to Clinical Microsystems Read: Q by D Ch 1 (QuIRK #2) Microsystems at a Glance 1/12/15 AC Task book Coaches 2. Dartmouth Microsystem Improvement Curriculum Ramp Read: Q by D Ch15 Value Stream Map & Theme (Pedi to Adult Transition) 1/12/15 AC Task book Coaches 3. The 5Ps & Action Guide for Accelerating Improvement in CF Read: Q by D (QuIRK #2) 5Ps One Page book 1/12/15 AC Task book Coaches 4. Effective Meeting SkillsRead: (QuIRK #1)1/12/15 AC Task book

14. -14- OneCF LLC2 Teams Preparation for March Face-to-Face TaskHowOneCF LLC2 Website 1. Progress report including coach site visit report/plans PowerPoint Template Value Stream Map Task book Each team brings VSM 2. Register & Make Hotel reservations/travel plan Registration URLElectronic registration and reservations 3. Pre-readingTask book 4. Leader PIP & DIP progress report Personal leadership and Dyad leadership plan and actions template Task book 5. MeasurementData collection plan, Ticks/tallys & run charts from 5Ps Task Book

15. Coaches Improvement Skills & Measurement Development LearnerHelper(s) LaCreciaPaula StaciSuzanne & Randy JudyBob Individual coach development plans based on your needs assessments. Please remember you are coaching the leadership team and the improvement team(s). -OneCF LLC2 needs -Leader self/360 -Coaching readiness list -Learning/Coaching Plan

16. BWI Topics OneCF LLC Sustain and continue the OneCF journey –Ongoing leadership development using pre/post leader survey results –Review of the QIKAT pre/post to guide planning –Review of the pre/post RC survey results and future planning –Data walls/instrument panels (cascading measures) –OneCF Improvement meetings to continue (rhythm) –Use VSM to guide next focus –Measurement that connects to CF Registry Transition Phase –Orienting new staff, celebrate –Multiple improvements using driver diagrams –Linking to organization Submit abstracts, publications & presentations with measurement woven throughout -16-

17. BWI Topics OneCF LLC2 DMIC with advanced improvement tools –Hand off/Transition specific tools and methods –Force Field analysis –Spaghetti diagrams –PDSA & measures Operational definitions Data collection plans Ticks & Tallys Run Charts Data walls Leadership development planning using Leader reports and action to date –Dee Hock “how you spend your time” –Individual and Dyad leader planning -17-

18. Next Steps Coach site visit planning using needs assessments and Leader self/360 results and PIP/DIP (Learning/coaching plan & detailed itinerary) Individual coaching development plans –What is your plan? Improvement tools/communication and measurement –February 2 nd 5pm ET add on for measurement with Brant –What else do you need? Coaching leaders: Individual and dyad leadership coaching/create conditions for team improvement success Coaching teams: Fundamental improvement using DMIC (effective meeting skills & 5Ps) -18-

19. -19- Questions or Clarifications? February 2, 2015 5-6pm Coach time with Brant March 9, 2015 2:00-3:30 Coaching Session

20. OneCF LLC2 Face-to-Face Meeting Marriott BWI Airport March 26 th 2015 6-9pm Everyone Friday March 27 th 8am-1pm PowerPoint and Poster progress reports with OneCF LLC1 presenting (also panel discussions) ** You will register yourself at the Marriott Hotel- information will be listed in the Taskbook.

21. Thank You -21- www.clinicalmicrosystem.org Please complete the Survey Monkey listed in the chat box.