The Art of Engagement, Teaching, Sharing and Celebration

1. The Art of Engagement, Teaching, Sharing and Celebration Christina Krause & Marlies van Dijk January 30 & 31, 2013

2. Learning Sessions:“Have to Haves” • Will – motivation comes from learning that it is possible and joining with colleagues working on the same problem • Ideas – Acquire great ideas for change • Execution – Learn a method for making lasting changes and begin using it

3. Type of sessions? • Plenary • Breakouts • Team meetings • Collaboration Source: IHI

5. Plenary • What: • Leaders, especially the chair/sponsors, give well planned presentation on the aims, gap and change package (wow factor high) • Results: Will, Ideas and Execution Source: IHI

6. Break Out SessionsDepth • What: • clinical content • Improvement methods • Results: Will, Ideas and Execution

7. Storyboard Session Communication and learning tool What: Teams visit each other’s storyboards while faculty guide an activity around it Result: Will: If they can do it, I can too Ideas: Identify ideas others have tried and give credibility to ideas Execution: in later sessions Source: IHI

8. Using Worksheets to Foster Action • Worksheets at the Learning Session provides structure for action • Worksheet review: • Organization Team Meeting 1 • Project Planning Form • PDSA Worksheet Source: IHI

12. Learning Session I • (can be a call or webex) • A viable plan for the first test of change • A written and feasible project plan that includes testing multiple changes • The motivation and confidence to get started immediately • Source: IHI

13. Learning Session II • Teams harvest change and use good ideas for change • Use of early adopters as examples • Understanding testing and measurement • Collaboration • Teams leave with a strong and detailed plans for the future • Source: IHI

14. Learning Session III • Celebration • Even more team teaching and involvement • Storyboards have result and tell the team’s story • Teams become focused on holding the gains and spread • Source: IHI

15. What does a great gathering/meeting look like?

16. Tool for a good session!

17. The Peg Game

18. To Be Considered a PDSA Cycle • The test or observation was planned (including a plan for collecting data). • The plan was attempted. • Time was set aside to analyze the data and study the results. • Action was rationally based on what was learned.

19. PDSA for the PEG Game

20. 10 Nuggets • First session: Excitement and hope overrides content • “Losing Sleep” is worth it • Find active faculty who can embrace “self organization” and “sense making” • Modify Modify Modify • Understand theories of what makes a collaborative successful (L. Couves, Improvement Associates)

21. 5 more • Tweak for local context without sacrificing no. 5 (L. Couves, Improvement Associates) • Don’t be afraid to tackle “harder stuff” – after low hanging fruit • They still work • Quarter, half, quarter • Fuel of Improvement – needs to be added!

22. Another View: D. Balestracci. Data Sanity. 2009 Another view: Quality of … Quality of … “Engine” of quality “Fuel” of quality

26. Your Structures for Support Plan • Goal/Measurement strategy • Time Frame • Who do you want to engage • Alignment with strategic priorities of your organization • Model and Approach (eg. networks, collaborative, face to face meetings)