Download
1 / 20
210 likes | 326 Views
Assisted Living Enforcement Process Improvement Project Leading Age Assisted Living Enforcement Training October 18, 2013 Oklahoma State Department of Health and Oklahoma University Center for Public Management. Agenda. Introduction, meeting process, ground rules
E N D
Assisted Living Enforcement Process Improvement ProjectLeading Age Assisted Living Enforcement Training October 18, 2013Oklahoma State Department of HealthandOklahoma University Center for Public Management
Agenda • Introduction, meeting process, ground rules • Ginger Thompson, OUCPM and Performance Solutions • Quality Improvement Project Overview – How we got here • Henry F. Hartsell Jr., Protective Health Services • Swim Lane Steps – Understanding complexity & consequences • Mike Cook, Long Term Care Service • Plan of Correction Tool -- Reduce or eliminate fines & waste • Patty Scott, Long Term Care Service • Informal Dispute Process – New law November 1, 2013 • Sue Davis, Patty Scott, Long Term Care Service
Ground Rules! Know the agenda One person talk at a time Listen Don’t talk over someone Respect Be on time, return from breaks timely Provide session summaries Turn electronics off or vibrate Knock-Knock rule
Objectives • Gain familiarity with: • Quality improvement project • Swim Lane process map • Optional plan of correction template • How to participate in pilot • Informal dispute resolution
Project Overview: How we got here(and where we are going) • Henry F. Hartsell Jr., Ph.D. • Deputy Commissioner for Protective Health Services
Quality Improvement in Public Health • Deliberate improvement process - PDCA • Plan • Do • Check • Act
Quality Improvement in Public Health • Achieve measureable improvements • Efficiency • Effectiveness • Performance • Accountability • Outcomes
Plan: Identify Opportunities • Opportunity exists to ensure OSDH implements clear & reasonable enforcement process for assisted living centers to: • Positively impact residents • Reduce need for penalties • Reduce waste for all involved
Plan:Participants • OSDH staff members • Assisted living providers • University of Oklahoma Center for Public Management
PDCA Plan Phase:Describe Current Process • Swim Lane map shows: • Steps • Responsibilities • Where delays, mistakes, inefficiency are most likely • See the waste
Swim Lane Process Map • Lanes (responsibilities) are horizontal • Steps are vertical • Time moves left to right • Boxes are steps or tasks • Diamonds are decision points • Lines & arrows are connections • Ovals are start and end points
Swim Lane Lanes • Surveyors • Enforcement staff • OSDH Long Term Care Leadership • General Counsel • Assisted Living Centers • Administrative Law Judge • Informal Dispute Resolution Panel
Swim Lane Analysis:Find Causes of Waste • Plan of correction incomplete • By first revisit, problems not: • Corrected • Monitored • Documented • Rework, delays, penalties • 40 centers had 2nd revisits in 2012!
PLAN: Root Cause Analysis Issue Issue Issue Issue Idea Issue Issue Idea Issue Idea Issue Issue Issue Issue Issue Idea Issue Issue
Plan Phase: Identify Improvements • Ensure a complete & acceptable plan of correction 1st time • Optional POC template walks assisted living centers through all required elements • Improvement Theory: • Increase proportion of POCs accepted 1st time • Reduce proportion of 2nd revisits by 15% in three months
PDCA: Where we are going • Plan: • Reduce POC rejections • Reduce 2nd revisits • Use Optional Plan of Correction Template • Do: • Test Optional POC Template in Nov - Jan • Check: • Adopt, adapt, abandon • Act: • SOPs, train, track, solve problems, feedback
