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

PI Teams

What I have learned & am still learning!

Chris Cockrell RN Performance Improvement Manager Clark Fork Valley Hospital

Clark Fork Valley Hospital

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

Request to Commission a TeamRequest to Commission a Team

Request to Commission a TeamRequest 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

Team Start-up & TrackingTeam Start-up & Tracking

Quality Improvement Team Start-up & TrackingQuality 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

Quality Improvement Team Start-up & TrackingQuality Improvement Team Start-up & Tracking

• Number of expected team meetings:

• Initial report to QIC due:

• Interim reporting dates:

• Final report due:

PI TeamsPI 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

Ideas for PI TeamsIdeas 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

PIN PI Team ReportPIN PI Team Report

PI Team ReportPI Team Report

PI Team ReportPI 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

PI Committee RecommendationsPI Committee Recommendations

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

PI Team ReportPI Team Report

PI Team Final ReportPI Team Final Report

PI Team Final ReportPI 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:

PI Team Final Report (2)PI Team Final Report (2)

SustainabilitySustainability• 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

PI Team Follow-up FormPI Team Follow-up Form

PI Team Follow-up FormPI 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

Facilitator RoleFacilitator 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

PI CommitteePI 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

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