1. Getting Staff Buy-in for change

3. 1.Select an Aim that is important to the CEO No CEO buy-in; no staff buy-in Connect organization’s strategic goals to change team’s charge Staff feel important

4. 2. Define a Change Project: Focus on: – One aim – One level of care – One location – One population Build excitement

5. 3. Appoint and empower a Change Leader Change Leader is closely connected to CEO Overcomes challenges, celebrates successes

6. 4. Appoint a Change Team Treat being on the Change Team as an honor Select people who are invested and flexible about change Be clear about what they’re expected to do Have CEO send formal invitations Have fun!

8. 5. Allocate Sufficient Resources Make PI a priority Free up Change Team members’ time

9. Chg 1 Chg 2 Chg 3 Month CEO models acceptance and recognizes that lots can be learned from what doesn’t work 6. Monitor Progress

10. 7. Perform a Walk-through CEO and Change Leader Use as springboard to motivate staff

11. 8. Select a Project Aim Confirm or revise aim, based on walk- through

12. 9. Measure Baseline Data Depend on the data to know if a change was an improvement ARC Wait Times Are Down 77% From Baseline

13. 10. Select a Change Idea to Test Get everyone’s ideas, (Nominal Group Technique, Flowcharting) Seek to understand different perspectives

14. 10. Select a Change Idea to Test (continued) Start with an easy win Choose something that will benefit staff

15. 11. Test Changes Everyone is involved Simple data collection Huddles

16. 12. Increase Financial Strength Bring all levels of staff into the financial conversation No margin, no mission Admissions

17. 13. Sustain Improvements Make the Change Team’s efforts stick Make it impossible to revert back to the old way of doing things

18. A long-term residential and outpatient chemical dependency program for pregnant women and/or mothers of children under age 6 with a focus on keeping mothers with their children. Description of Organization Seattle, Washington Seattle, Washington Funding sources: ##% block grant funded; ##% Medicaid: Funding sources: ##% block grant funded; ##% Medicaid: Pregnant or Parenting Woman only Pregnant or Parenting Woman only ##% CPS involved ##% CPS involved Services provided: Level III.5 Long-term Residential Services provided: Level III.5 Long-term Residential Outside Our Building Our Newly Painted Lobby Picture of Team Aim Addressed Create an open and inviting atmosphere that creates support and acceptance during our intake process process Create an open and inviting atmosphere that creates support and acceptance during our intake process process Why this was a problem? Why this was a problem? Clients have reported the building feels uninviting and “like a jail” Clients have reported the building feels uninviting and “like a jail” Intakes where being done in a public area and with little privacy Intakes where being done in a public area and with little privacy Changes Made Designated an office for admissions Designated an office for admissions Moved the search of Client belongings to a private area. Moved the search of Client belongings to a private area. Provide Childcare for Mom’s during their intake for Moms who enter with their children Provide Childcare for Mom’s during their intake for Moms who enter with their children Found donated funds to paint a mural in the front lobby Found donated funds to paint a mural in the front lobby No X-rays Paperwork Change Walk-ins 14. Tell your story

19. 15. Select the Next NIATx Project Spread and/or start new project