PI Teams What I have learned & am still learning! Chris Cockrell RN

1. Clark Fork Valley Hospital PI Teams What I have learned & am still learning! Chris Cockrell RN Performance Improvement Manager Clark Fork Valley Hospital

2. Performance Improvement Team involves two or more departments working together toward a common goal of improvement in a process. Look at: • Forms • Roll of Facilitator • Roll of PI Committee

3. Request to Commission a Team

4. Request to Commission a Team • Describe the work process to be improved • Current Situation • Expected outcome • Measure of success • Performance Improvement Committee action: • Team commissioned: • Team not commissioned at this time • Not appropriate PI team

5. Team Start-up & Tracking

6. Quality Improvement Team Start-up & Tracking • Request submitted by: • QIC approval on: • Work Process to be improved: • QI Team name: • Expected outcome: • Team Leader: • Team Facilitator: • Team Members – Representing: • Involvement of non-managers

7. Quality Improvement Team Start-up & Tracking • Number of expected team meetings: • Initial report to QIC due: • Interim reporting dates: • Final report due:

8. PI Teams • Teams that lasted tooooooo long: • Ostomy Care Team • Swing Bed Team • Finalizing a team: • Swing Bed Team • Assign new team leader • Patient Billing Task Force

9. Ideas for PI Teams • Recommendations from other PI Teams • Plan of Corrections – Surveys • Risk Management/Incident Reports • Low volume/problem prone areas identified • Clinical Indicators • Suggestions from the PI Committee

10. PIN PI Team Report

11. PI Team Report

12. PI Team Report • Team Name • Meeting Date • Final Report Due • Team Members Present • Expected Outcome • Agenda & Minutes • Summarize Activities • Team Recommendations • Date of Next Meeting • PI Committee Review & Recommendations

13. PI Committee Recommendations • Risk Management Process Team • A single process • Neutral Environment • Accountability for monitoring/follow-up is done • Someone designated to do the monitoring

14. PI Team Report

15. PI Team Final Report

16. PI Team Final Report • Team Members: • Describe the Goal of the PI Project: • Describe the improvement process used: • What was the Result/Outcome of the improvement project (summary): • Projected return in improved work process performance: • Net result:

17. PI Team Final Report (2)

18. Sustainability • Had not really been addressed • Suspected some resolved teams goals were no longer being met • Fourth quarter 2009 – follow-up reporting considered • Reporting form developed

19. PI Team Follow-up Form

20. PI Team Follow-up Form • Team Members: • Describe the goal of the PI project: • What changes, if any, have been since the final report? • What is working or not working? • Has the Goal of the PI Project been sustained? • Days Unbilled Team • Risk Management Process Team

21. Facilitator Role • Assisting with writing request to commission a team • Keeping teams on track • Sounding board for team leaders • Offer suggestions when indicated • Too actively involved vs not involved enough • Constructive nagging

22. PI Committee • Proactive in the teams selection & how they will measure their success • Look at team member selection • Setting Deadlines for final reports • Making suggestions to PI Teams when indicated • Look at sustainability of the PI Teams

23. PI Teams can: • be a strong force for change in improving process within the facility • improve the communication & understanding between departments • involve the front line staff in making changes that effect patient care & the efficiency of the facility