Questions? Contact: Skip Valusek MHQP Education Chair skipvalusek@comcast

1. Welcome to the MHQP & HealthForce MN Quality Brownbag Room Monthly Noon Brownbag Fourth Thursday Every Month May 28 Panel It’s Overwhelming . . . Where Do I Start ? Questions? Contact: Skip Valusek MHQP Education Chair skipvalusek@comcast.net Slides are posted at: http://www.healthforceminnesota.org/pages/Programs/courses.html

2. Hopefully you provided your name & organization when you signed in. If so: Just say Hi in the Chat Pod and we’ll capture your name and organization in the log. If not: identify yourself and organization in the Chat Pod to the left of your screen. If there are more than one attending on your sign-in, tell us how many by saying “Hi (tell us the number of attendees) “ Register your Attendance

3. Rural / Outstate ? Metropolitan area ? Organization that has (or serves) both ? Poll: Who is Attending this Session ?

4. Healthcare system Hospital Clinic or Clinic System Long term care Healthplan Homecare / Hospice A Quality Support Organization Other ? (Identify other in Chat Pod) Poll: Who is attending: Organization Type ?

5. 1 2 3 4 5 6 7 >7 Poll: How many total participating in your room ?

6. I am a healthcare quality professional and am interested in additional education. I am a healthcare professional interested in developing quality skills as a core competency. I am a healthcare professional interested in learning more about healthcare quality. Poll: What do you hope to gain by participating?

7. Jeri Reinhardt Benedictine Health System Toni Lauer Albert Lea Medical Center Carol Barnhart Cigna Skip Valusek HealthEast Today’s Panel

9. It’s Overwhelming . . . Where Do I Start ? Benedictine Health System Jeri Reinhardt, RN, Director, Quality Jeri.reinhardt@bhshealth.com 612-845-2833

10. Registered Nurse Quality Leader for Benedictine Health System BHS a two-time recipient of a Minnesota Council for Quality – Award Facilities have received 4 of the 6 American Health Care Association highest level Quality Awards Examiner for MNCQ Master Examiner for the AHCA Jeri Reinhardt: Introduction

11. Get training on Baldrige Criteria Leadership Commitment and Integrity Consider hiring a “coach” Benchmark with organizations Mission/Vision and Values Strategic Plan Customer Requirements What to work on the first year?

12. 2nd year – Develop/align Measurement System 3rd year – Understanding Process and Systems 4th year – Get training on Baldrige Criteria What to work on next?

13. National Baldrige – www.baldrige.nist.gov Minnesota Council for Quality – www.councilforquality.org American Society for Quality (ASQ) – www.asg.org Team Handbook – Scholtes, Joiner & Streibel www.orielinc.com Mind Tools – www.mindtools.com Best Resources

14. HealthCare and Quality Background 25 years with ALMC Human Resources & Quality (and a very short stint as the assistant to the CEO at the beginning of my career in Healthcare). Why the audience should trust you Because like many of you I or someone close to me has been a patient who has trusted us to do our best… I am a good listener and love working at the frontline to identify real-time solutions that lead to ideal patient care for every patient. Toni Lauer: Introduction

15. Listen for the burning platform You have to lead people gently toward what they already know is right…you have to help them find the reason to get started Find a leader, critical dept, where you can experiment Start using what you know in some way (you don’t necessarily need to call it something) What to work on the first year?

16. 2nd year – Start spreading the news 3rd year – Be visible about what you have learned and keep listening 4th year – Press forward What to work on next?

17. ALMC Colleagues MHS Colleagues Minnesota Council for Quality Evaluator Training Site visit experience Do research – “Go to Gemba” “Brown Bag Series” Best Resources

18. HealthCare and Quality Background Variety of positions in healthcare ambulatory care operations and medical education. Formally involved in quality for the last 10 years. Why the audience should trust you I’ve been there – fell into it and learned from the ground up. Obtained my CPHQ and Six Sigma Green Belt. Carol Barnhart: Introduction

19. Understand what leadership wants you to accomplish; why do they need you to do quality. Get specifics. Understand who your customers are. Find out if you have top leadership support and resources to do the job. Create a plan for a few smaller projects that are urgently needed. Figure out where data comes from in your organization and who can help you get it. Understand metrics & variation. What you should do in the first year

20. Root cause analysis Process flow diagram Cause & Effect diagram Pareto, Histogram, Scattergram Using Excel (data functions including pivot tables) Using teams & running a good meeting FMEA What skills in years 2-5Learn skills as you need them

21. NAHQ online resources for members IHI website Regulator’s websites Colleges & Universities evening classes Attend your annual professional society meetings Develop a peer network Best sources of education & training to think quality

22. Focus on the Voice of the Customer Focus on processes Demand data that is well defined Use metrics wisely (a few is better) Drive improvement to root causes Structure team meetings to rapidly move ahead Do a post mortem on your projects to learn Beginning Basics

23. HealthCare and Quality Background Industrial/Systems Engineer PI and Quality Director Informatics Infrastructure Why the audience should trust my counsel: 39 years in information planning, design and implementation supporting real time and analytical decision support Skip Valusek: Introduction

24. Framework orientation/familiarization Baldrige Joint Commission Chapters Nursing Magnet your EHR Project Management Skills Basic Data Understanding Source systems and abstracting measure design presentation MS Office skills Word, Excel, Powerpoint What you should do in the first year

25. Year 2 Framework: Minnesota Council for Quality Baldrige Examiner & Joint Commission Chapters Skills: Measurement design; Lean; Project Management Year 3 Framework: Minnesota Council for Quality Baldrige Examiner Skills: PI Tools; Process/workflow modeling; Project Management Year 4 Framework: Minnesota Council for Quality Baldrige Team co-Lead Skills: Statistics; Information systems/EHR Year 5 Framework: Minnesota Council for Quality Baldrige Team Lead Skills: Excel in Fault Tree Analysis/FMEA; Root Cause Analysis What skills in years 2-5

26. Frameworks MN Council for Quality Baldrige Training and PI Network NAHQ: CPHQ Magnet (Nursing) Read IOM books To Err is Human Crossing the Quality Chasm Competing on Analytics Tools Institute of Healthcare Improvement (IHI) & Don Berwick books Institute for Clinical Systems Improvement (ICSI members) NAHQ: CPHQ Project Management Institute (PMI) Best sources of education & training to think quality

27. Welcome to the MHQP & HealthForce MN Quality Brownbag Room Monthly Noon Brownbag Fourth Thursday Every Month June 25Data & MeasurementHintsSally Irrgang Questions? Contact: Skip Valusek MHQP Education Chair skipvalusek@comcast.net Slides are posted at: http://www.healthforceminnesota.org/pages/Programs/courses.html