1. Group Medical Visits Health Literacy Patient Self-Management Learning Session 3

2. Welcome back! Agenda Action Period questions Share progress & measures  Revelations  Challenges  Successes Key concepts and strategies Sustain the improvements 2

3. Report out: Action period experiences “All teach, all learn, all share” Successes, challenges, keys to success Tests of change - PDSAs Measurement – what does the data tell us? Patient experience 3

4. Sustainability 4

5. Why focus on sustainability? Up to 70% of change initiatives fail, impacting:  Best possible care  Staff and provider frustration  Reluctance to engage in future 5

6. What are you trying to sustain With your team discuss what you would like to sustain, is it: A specific change?  A measured outcome from your efforts?  An underlying culture of improvement?  Relationships established?  A combination? (5 min) Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 6

7. Strategies to sustain the changes Be clear about the benefits(use measurement) Establish and document standard processes and have a plan for ongoing training Establish an ongoing measurement processes Make changes to job descriptions and policies and procedures to reflect change Celebrate success! Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 7

8. Predictors of sustainability Staff, providers and patients can describe why they like the change and it’s impact Providers and staff are confident and can assist in explaining to others Job descriptions reflect new roles Measurement is part of the practice and used to monitor progress The change is no longer ‘new’, but ‘the way we do things around here’ Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 8

9. Sustainability activity At your table, develop a plan for increasing the probability of sustaining your improvement work Use one or more of the strategies outlined in the previous slide, or come up with others Share your ideas with the group 9

10. Facilitating the spread of improvements Explain benefits of GMV’s, patient self management and health literacy Address concerns & questions of providers Use the data Share your work with others Source: Holding the Gains and Spreading the Improvement to Others, IHI Presentation, IHI.org, 2001 10

11. Next Steps… Ongoing support Informal meeting and calls 11