Collaboratives:Purpose and Structure

John Bingham

Vice-President, Performance Improvement

Chief Quality Officer

I keep six honest serving-men

(They taught me all I knew);Their names are What and

Why and WhenAnd How and Where and

Who.

“Just So Stories” Rudyard Kipling, 1902

Collaboration : A recursive process where two or more people or organizations work

together in an intersection of common goals — for example, an intellectual endeavor[1] [2]

that is creative in nature[3]by sharing knowledge, learning and building consensus.

From Wikipedia, the free encyclopedia

What?

IHI Definition of Collaborative:

“A Breakthrough Series Collaborative is a short-term (6- to 15-month) learning system that

brings together a large number of teams from hospitals or clinics to seek improvement in a

focused topic area.”

The Breakthrough Series Whitepaper © 2003IHI’s Collaborative Model for Achieving Breakthrough

Improvement

Key Elements of IHI Collaboratives:

1. Topic Selection2. Faculty Recruitment3. Enrollment of Organizations/Teams4. Learning Sessions5. Action Periods6. The Model for Improvement7. Measurement and Evaluation8. Summative Congresses and

Publications

How? IHI Breakthrough Series

Select Topic

(Develop

Mission)

Planning Group

Develop Framework & ChangesExpert

Meeting

Supports:

Email (listserv) Phone Conferences

Visits Assessments

Sponsors Monthly Team Reports

*AP3 –continue reporting data as

needed to document success

© 2003 Institute for Healthcare Improvement

Participants

(10-100 Teams)

Prework

LS 1

P

S

A D

LS 3LS 2

Dissemination

Publications, Congress, etc.

AP1

AP2

AP3*

LS – Learning Session

AP – Action Period

Holding the

Gains

P

S

A D

P

S

A D

UT Health System:

Who?

Source: The University of Texas System Fast Facts 2009

6

8,081

41,579

Number of Institutions

Number of Physicians

Number of Employees

The University of TexasHealth Science Center at Tyler

Where?

Why?

Source: The University of Texas System Fast Facts 2009

86,030

5,348,270

1,402,284

Number of UT Admissions

Number of UT Outpatient Visits

Number of UT Hospital Days

? % Percentage of UT System Patients Receiving all of the Evidence-Based Care That They Were Eligible to Receive

Why?

“Please…

Don’t Make Me Wait…

As I Have So Little Time Left!”

So… What Should/Could We Do?

1. Continue with Current UT Model

2. Develop More “Robust” UT Model

3. Join One or More of IHI’s Collaboratives

4. Partner With IHI to Develop IHI/UT System Collaborative Model

IHI Improvement Map Focus Areas:70 Evidence-Based Processes

New IHI Collaboratives Beginning Fall 2009: • IMPACT Leadership Community• Transforming Care at the Bedside• Improving Perinatal Care• Reducing Readmissions• Reducing Sepsis Mortality

Now

When?

Thank You!

Save the Date!David Eddy, M.D., Ph.D.

on Nov. 17

Special event for CS&E Alumni• Physician-mathematician makes

return to M. D. Anderson• Half-day event on use of evidence-

based guidelinesPlan to Attend!

Nov. 17, 2009 7:30-11:30 a.m.FCT 3.4165, Room 7 (Pickens

Tower)