Group Medical VisitsHealth Literacy

Patient Self-ManagementLearning Session 3

Welcome back!

Agenda

• Action Period questions• Share progress & measures

Revelations Challenges Successes

• Key concepts and strategies• Sustain the improvements

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Report out: Action period experiences

“All teach, all learn, all share”

• Successes, challenges, keys to success• Tests of change - PDSAs• Measurement – what does the data tell us?• Patient experience

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Sustainability

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Why focus on sustainability?

Up to 70% of change initiatives fail, impacting: Best possible care Staff and provider

frustration Reluctance to engage in

future

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What are you trying to sustain

With your team discuss what you would like to sustain, is it:A specific change?

A measured outcome from your efforts? An underlying culture of improvement? Relationships established? A combination?

(5 min)

Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 6

Strategies to sustain the changes

• Be clear about the benefits(use measurement)

• Establish and document standard processes and have a plan for ongoing training

• Establish an ongoing measurement processes

• Make changes to job descriptions and policies and procedures to reflect change

• Celebrate success!

Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 7

Predictors of sustainability

• Staff, providers and patients can describe why they like the change and it’s impact

• Providers and staff are confident and can assist in explaining to others

• Job descriptions reflect new roles• Measurement is part of the practice and used to

monitor progress• The change is no longer ‘new’, but ‘the way we do

things around here’

Source: NHS Improvement leader’s Guide: Sustainability, NHS Institute for Innovation and Improvement, 2007 8

Sustainability activity

• At your table, develop a plan for increasing the probability of sustaining your improvement work

• Use one or more of the strategies outlined in the previous slide, or come up with others

• Share your ideas with the group

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Facilitating the spread of improvements

• Explain benefits of GMV’s, patient self management and health literacy

• Address concerns & questions of providers• Use the data • Share your work with others

Source: Holding the Gains and Spreading the Improvement to Others, IHI Presentation , IHI.org, 2001 10

Next Steps…

• Ongoing support• Informal meeting and calls

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