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Facilitation Skills for ASaP. Improvement Facilitator Training Session 2. Objectives. Understand how effective facilitation is key to guiding teams in improvement Review certain tools and techniques for effective improvement facilitation
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Facilitation Skills for ASaP Improvement Facilitator Training Session 2
Objectives • Understand how effective facilitation is key to guiding teams in improvement • Review certain tools and techniques for effective improvement facilitation • Become more familiar with the ‘Facilitation at a Glance’ and ‘QI Guide’ reference tools
TEAM Facilitation
What factors can prevent “buy-in” from all team members when planning an improvement? Providers/Team Policies Patients x Buy-in Procedures Places/Equipment Cause/Effect Diagram (also known as Fishbone or Ishikawa)
Facilitator Wisdom • Improved buy-in • Ownership of improvement work • Enhanced understanding of others’ roles • Better solutions • Less dependence on facilitator The people who do the work need to change the work.
Facilitator Wisdom • Leadership is key • Improved buy-in • Clear direction • Quicker decisions • Less dependence on facilitator Without a visible sponsor, the change will seem optional. - Silversin
Leadership • Improvement Lead • Team member • Physician/Provider Lead • Office Manager, or • Clinic owner • Clinic Lead • Physician/Provider Lead • Office Manager, or • Clinic owner
Identifying the Improvement Lead • Interested • Involved • Keen • Organized • Comfortable leading • Communicates well
Facilitator Wisdom • Brainstorming (162) • Cause & Effect (12, 29, 170) • Defect Check Sheet (26) • 5 Whys (31) • Other options (153-94) The best way to get a good idea is to get lots of ideas. - Linus Pauling Facilitation at a Glance QI Guide IHI Open School (QI102)
Ensuring All Voices Are Heard • Facilitation at a Glance (pgs 135-52) • Establish meeting guidelines/norms • Ensure participants understand purpose of meeting/decision • Create “buy-in” – What’s in it for us? Our patients? • Use break-out groups and post-its for idea generating • Body language – “traffic cop”
Facilitator Wisdom COMMUNICATION • QI Guide (pgs 18-19, 35) • Improvement Team Communication • Huddles • Clinic Team Communication • Improvement Board • Team meetings You can have brilliant ideas, but if you can't get them across, your ideas won't get you anywhere. — Lee Iacocca QI Guide IHI Open School (QI105)
Improvement Board Process maps? Run chart? QI Guide (35) IHI Open School (QI201)
Summary • Facilitation is critical to success with improvement work • The team must do and own the work • Leadership is key for team participation and progress • For meetings, especially when redesigning screening processes, facilitation tools and techniques can help ensure that all voices are heard • Ongoing communication between the improvement team and also to the greater clinic team is important • Helpful tools and techniques are detailed in the QI Guide (binder) and Facilitation at a Glance