1. Sustaining Your Gains

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

3. The involvement of families and community members in your improvement work will help you sustain › More partners in care › Recognition and encouragement from team mates › Maximizing community and family support You’ve had a head start!

4. You can all work as one to sustain changes in practice and community!

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

6.  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 procedures to reflect change  Celebrate success! Strategies to Sustain the Changes Adapted from: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007

7.  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’ Predictors of Sustainability Adapted from: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007

8.  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 Sustainability Activity

9. Thank you!