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April 9 , 2014. Amy Compton-Phillips Kaiser Permanente Goran Henriks Qulturum Pedro Delgado IHI. Accelerating the Pace and S cale of I mprovement. Session M11 2014 IHI/BMJ International Forum , Paris. Aims.
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April9, 2014 Amy Compton-Phillips Kaiser Permanente Goran Henriks Qulturum Pedro Delgado IHI Acceleratingthe Pace and Scale of Improvement Session M11 2014 IHI/BMJ International Forum, Paris
Aims • Understand the concept of Quality and Innovation Centres and think critically about how it might take shape in different contexts • Develop ideas about supporting quality improvement and innovation in your own region or system • Understand how to begin to develop a quality and innovation centre to serve your region or area
Our time together 1.30 - 1:45 Intro & Structure 1.45 - 2.30 Qulturum 2.30 - 2.45 Reflections 3.00 - 3.15Break 3.20 - 4.20 KP 4.20 - 4.30 Closing
IHI’s Triple Aim Populationhealth Per Capita Cost Experience of Care
Whatis a Quality and Innovation Center? A leading resource and driving force for system-wide, transformative health and healthcare improvement in a system or region (intentionality; commitment; infrastructure)
Role of a QIC • Leadership and resources in a system or region for focused and sustained attention to improving quality • Discover, test, and spread innovations and best practices • Build QI capacity and scientific thinking • Spark & support (system/regional/national) initiatives & demonstrate impact • Build relationships, establish links, and connect people (physically and virtually) to learn, improve and innovate • Offer technical and content expertise • Identify and coordinate disparate improvement activities • Influence policy and practice in their context
Quality and Innovation Center Driver Diagram Primary Drivers Secondary Drivers Aim • Ability to identify and measure gaps • Editorial and publishing skills and/or resources • Ability to convene a wide array of stakeholders Generating will for improvement in a region To support a system or region to achieve transformative health and healthcare improvement • Methods for harvesting innovations • Methods for developing innovations Innovating in quality improvement • Methods to build improvement capacity / capability • Process to test new ideas • Capabilities in spread and scale-up • Capabilities in data management and measurement • Process for evaluating improvement ideas Executing quality improvement ideas Fostering a robust organizational infrastructure • Staffing and operations plans to facilitate QI work • IT to support QI work • Structures and strategies for internal and external communications • The mission, vision, values and strategic plan all guide the work of the organization
Where are you as a QIC? A developmenttool WILL IDEAS EXECUTION
10 Lessons (1-5) • Constancy of purpose • Ambitious aims and pace of change • Transparency and pursuit of reliability • Measurement for improvement • Skills, time and space for improving
What Improvement Skills are Needed for Each Role? Change Agents (Middle Managers, Stewards, project leads) Everyone (Staff, Supervisors, UBT lead triad) Operational Leaders (Executives) Experts • Analysis, prioritization of portfolios • Deep statistical process control • Deep improvement methods • Leadership team advisory re portfolio selection, process • Effective plans for implementation and spread • Setting direction and big goals • Execution leadership • Portfolio selection and management • Managing oversight of improvement • Being a champion and sponsor • Understanding variation to lead • Managing implementation and spread • Setting goals and measures • Identifying problems • Mapping process • Sequencing tests of change • Simple understanding variation • Implementation and spread • Simple waste reduction • Simple standardization • Setting goals and measures • Identifying problems • Mapping process • Testing change • Simple waste reduction • Simple standardization • Team behaviors
10 Lessons (6-10) • Co-design and co-production(patients) • Exploration beyond healthcare for ideas • Behave their way to a culture change • Measure financial impact of initiatives • Celebratesuccess—and rewardit
“Based on our performance, we can confidently and conservatively expect to harvest at least a 5:1 return on investment for value creation work”
A mobile, transparent world 2m per min; x3 in 3 years Every 9.6 min
O + A = R L = T + P
“There are painters who transform the sun into a yellow spot, but there are others who with the help of their art and their intelligence, transform a yellow spot into sun”