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Results of Quarterly Team Update Interviews

Results of Quarterly Team Update Interviews. Kisha Ali, MS Donna Farley, PhD, MPH. August 8, 2013. Quarterly Team Update Tool 1. ICU collaborative developed the Team Checkup Tool (TCT) in 2005 during the MHA Keystone Designed to close the gap between hospital executives and frontline teams

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Results of Quarterly Team Update Interviews

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  1. Results of Quarterly Team Update Interviews Kisha Ali, MS Donna Farley, PhD, MPH August 8, 2013

  2. Quarterly Team Update Tool1 ICU collaborative developed the Team Checkup Tool (TCT) in 2005 during the MHA Keystone Designed to close the gap between hospital executives and frontline teams Purpose is to help collaborative or project, hospital, and team leaders identify and work with teams to provide needed training, resources, or other aids

  3. Quarterly Team Update Tool Quantitative results focused on 4 measures: 1. Training on patient safety 2. Implementation of CUSP tools 3. Leadership commitment and support 4. Barriers to progress

  4. Measure 1. Training on Patient Safety • Question 1: Since you began participating in the project, how many of your staff have viewed a video or presentation on the science of safety? - None/few - Less than one half - One half or more - Almost all/All • Question 3: Is a patient safety presentation now part of new staff orientation for your unit? - Yes/No

  5. Measure 1: Results from Training on Patient Safety Fig 1. Percentage Distribution by Number of Patient Safety Training Actions Taken

  6. Measure 2: Implementation of CUSP Tools • Question 18: What CUSP tools are you implementing? • Responses: - Shadowing - Morning briefings - Daily goals checklist - Culture checkup tool - Learning from defects tool - Barrier identification and mitigation - Observing rounds (fly on the wall) - Structured communications

  7. Measure 2: Results fromImplementation of CUSP Tools Fig 2. Percentage Distribution by the Number of CUSP Tools Used

  8. Measure 3: Leadership Commitment and Support • Question 21: Is the organizational leadership taking the following steps to reinforce its support for the work? • Checklist items: 1. Ensures training on science of safety 2. Monthly meeting with VAP team 3. Makes EVAP an organization-wide goal 4. Disseminating learning from defects lessons 5. Provides protected time to VAP team leaders 6. Reviews VAP rates quarterly at board meetings

  9. Measure 3: Results from Leadership Commitment and Support Fig 3. Percentage Distribution by the Number of Leadership Support Actions Taken

  10. Measure 4: Barriers to Progress • Question 29: In the past 6 months, how often did each of the following slow your CUSP team’s progress in implementing the CUSP and VAP interventions? • Responses classified into 4 categories: • Leadership support issues • Team skills and cohesion issues • Stakeholder push‐back issues • Workload and time issues

  11. Measure 4: Results from Barriers to Progress Fig 4. Percentage Distribution by the Number of Barriers Reported as Frequent or Always

  12. Measure 4: Results from Barriers to Progress Fig 5. Barriers Reported as Being Frequent or Always

  13. Measure 4: Results from Barriers to Progress Fig 6. Areas of Success - Lack of Barriers Reported as Being Frequent or Always

  14. Conclusion Currently we have conducted 43 Quarter 1 interviews Process works well Yet to begin our qualitative analysis of these interviews – should yield interesting results As we move forward, more Quarter 1 reports being scheduled, as we move into Q2 interviews

  15. Reference Lubomski LH, Marsteller JA, Hsu YJ, et al. The Team Checkup Tool: Evaluating QI Team Activities and Giving Feedback to Senior Leaders. Joint Comm J Qual Pt Safety. 2008; 34(10): 619-623.

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