Leaders and Clinicians: Why Learning Boards Should Be Your New Best Friend

Learning Boards

Felicia Laing Vancouver Coastal Health

Meghan MacLeod Providence Health Care

Boards Boards Boards Boards

Our Hour

1. Introduction 2. Engaging Staff with Learning Boards at VCH 3. Learning to use Learning Boards at PHC 4. Tapping into audience experience 5. Questions and closing

Improvement Board

Knowing How We’re Doing Board

Boards are Powerful Tools

• Share information: goals, metrics, analyses • Share ideas for change • Show where we are at

• Support teamwork and communication • Drive action and improvement • Contribute to a positive culture

• There are many right ways

Engaging Staff to Use Learning Boards at VCH

VCH Strategic Goals

Bringing in change

“I’m concerned about the impact on my staff. Can we do this in stages?” Manager

“It would be nice if we had a say on what it is we are working on.” Staff Nurse

Setting up a culture for improvement Knowing what the priorities are

Involving staff in the what and why

Huddles Daily touch base with

team

Brief! 5 to 10 min

Interdisciplinary

What’s happened, what’s new, what’s coming

Discovery and action dialogues

Knowing how we’re doing

Doing something about it

Getting staff participation

Dot vote

Getting leadership support

Getting leadership support

From NHS Releasing Time to Care

Getting leadership support

Celebrating successes

Key learnings Align measures with strategic goals

Ensure staff awareness and involvement

Do daily huddles

Empower staff – training, tools, voice

Have many small wins

Do leadership checks

Commit to the long haul

Learning to use Learning Boards

Surgical Program PHC

PHC Quality Boards

PHC Learning Boards

Opportunity Card

Aver

age

Perc

ent P

ositi

ve

PHC Perioperative Safety Culture

Goal Zone

Danger Zone

PHC Perioperative Communication & Collaboration

Learning Board Promises

• Harness ideas • Generate engagement • Spur action • Provide visibility • Capture all voices • Share the workload • Improve teamwork and

communication

And Go!

Tied to strategic operational plan Great concept & look Incomplete audience Wrong presentation? Wrong presenter? No follow-up

And No

“Sounds like a make work project…No.”

No Start

Round 2

Round 2

Great concept & look Developed a process Introduced by area leadership Cleared board in central area Positive response & uptake

Round 2

Round 2

Not built into routine No follow-up

False Start

Round 3

Round 3 Preparation

Refined process Added prioritization stop light Initial introduction by area leadership Cleared board in central area Beside Quality Board Trialed draft at weekly team huddle

Round 3

Round 3

Present & supportive local leadership Team ownership New Nurse Leader with idea board experience

Immediate action “I’ve been wanting this to change for three

years.”

Round 3

Next Up

• Introducing to other disciplines • Building into routine • Collectively working out

– Process – Expectations – Look – Writing ideas respectfully – Finding time for staff to do QI work

• Engaging other disciplines • Role of senior leadership

Collective Wisdom

What is ONE thing that will contribute to the successful implementation, use, and sustained

use of learning boards?

Write your strategy, tip, trick, thought, etc

on your card.

25 will get us 10

• Take your pen. Mill about • Trade cards • Read (don’t look at the back)

Rate importance from 1-5 (5 is highest) Write number on the back

• Repeat x 5

Our Top 10

1. High visibility & centrally located

2. Staff buy-in to get engagement

3. Interprofessional sharing

4. Make it visually simple 5. Design to draw

attention

6. Involve patients at the learning boards

7. Keep boards up to date with recent info

8. Weekly check-in 9. Involve all

stakeholders in all stages

10. Creating capacity for staff to champion ideas

Closing

• Strategies will be available on BCPSQC

• What are you curious about?