AHQA 2015: Extending our Reach: Innovation, Efficacy … or Utilizing... · Beth Greene & Beth...

Beth Greene & Beth Hercher

QI Advisors atom Alliance Nursing Home Team

Sept. 9, 2015

AHQA 2015: Extending our Reach:

Innovation, Efficacy and CollaborationDeveloping Virtual LANs to Achieve Measurable Results

for the Nursing Home Collaborative

atom Alliance Partners

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Our Nursing Home Team

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How We Deployed Effective Multi-state

Intervention Strategies to Achieve

Successful Virtual LANS

1. Designated a Team Leader

2. Developed Effective Teamwork/Situational Awareness

3. Selected and Shared Evidence-Based Methods and

Resources

4. Used Effective Systems for Resource Management

5. Collectively and Collaboratively Overcame Barriers

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1. Designated a Team Leader

Assigned a leader to

lead and organize a core team

establish clear goals

facilitate open communication and teamwork among

team members

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Effective Team Leaders

Organize workgroups

Articulate contract goals

Make decisions through collective input of the workgroup

Empower members to speak up and challenge, when appropriate

Actively promote and facilitate good teamwork

Facilitate briefs, huddles, debriefs and conflict resolution

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2. Developed Effective

Teamwork/Situational Awareness

Situational – Any team member who has the skills to

manage the situation at hand.

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Assessed Team Members

Credible multidisciplinary skill sets

Certifications (CPHQ, MSW, LPTA, MDS, RNs)

Leadership and management

Sales and marketing

Passion for long-term care

67 combined years of experience in long-term care

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3. Selected and Shared Evidenced-Based

Methods and Resources

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LSSCC: IHI Model for Improvement

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Leading and Sustaining Systemic Change

Collaborative Purpose

Charter, lead and develop self-directed, high functioning

teams to drive and sustain systemic improvements using

Quality Assurance and Performance Improvement

(QAPI) methodology

Leading and Sustaining Systemic

Change Collaborative (LSSCC) Purpose

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Example of Alignment with Evidenced

Based Resources and QAPI

Kotter’s Steps 1 & 2

of change (high level concepts)

QAPI Steps 1-3 (nursing home specific)

Step 1

Establish a sense of urgency

Step 1

Leadership accountability and

responsibility

Step 2

Create a guiding coalition

Step 2

Develop a deliberate approach to

teamwork

Step 3

Take your QAPI Pulse

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Peer Coaches

Visit this link to access the map:

http://bit.ly/1Uq7iGO

4. Used Effective Systems for Resource

Management (Internal)

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4. Used Effective Systems for Resource

Management (External)

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5. Collectively and Collaboratively

Overcame Barriers

Process BarriersX

xx

Team Barriers

Technology Barriers

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Measurement

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Thank You

This material was prepared by atom Alliance, the Quality Innovation Network-Quality Improvement

Organization (QIN-QIO), coordinated by Qsource for Tennessee, Kentucky, Indiana, Mississippi and

Alabama under a contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of

the U.S. Department of Health and Human Services. Content does not necessarily reflect CMS policy.

15.ASC2.08.047

Beth Greene

Quality Improvement Advisor

beth.greene@area-g.hcqis.org

Beth Hercher

Quality Improvement Advisor

beth.hercher@area-g.hcqis.org