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Implementing Change and Evaluating DataChris Espersen
Life at a CHC
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Learning from others’ fails…
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Planned change…
…unexpected change
Photo from the Des Moines Register
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Changing organization
Updated Organizational Chart
#1 Mindfulness
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#2 Patience
#3 Kindness
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Magic 3• Mindfulness
• Patience
• Kindness
+ planning!
Adding meaning to data collection
1. What do you mean, do I feel safe in my home? (DV screening)
2. You can’t see me until when?? (Third next available appointment)
3. Can’t I just go to the hospital? (Patients not recently seen)
4. Why does is say I have asthma? I never had asthma?? (Up to date problem list)
5. Why do you want to know how much I make? (Income status unknown)
6. Can my baby hear me? Do they have a fatal disorder?(Newborn screening)
7. I thought the dr told me I should get a mammogram?(Referrals on admin hold)
8. Is there something in my lungs? (Radiology orders in process)
9. Does it take that long to process my blood? It’s been 2 months?? (lab orders in process)
10. Who is my doctor?? (Empanelment)
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Accountability/Competency Tools
Too much data…
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Make data fun
Back up your data!
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Make data relevant
Validation
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Triangulation
60%
65%
70%
75%
80%
85%
90%
95%
100%
QTR 4
2010
QTR 4
2011
QTR 2
2012
QTR 4
2012
QTR 2
2013
QTR 4
2013
QTR 2
2014
QTR 4
2014
QTR 2
2015
I get called back quickly
Patient Satisfaction Data
Phone note chart audit
Staff questionnaire on phone note
process
Resources – Change Management• Switch: How to Change Things When Change Is Hard Chip Heath Dan
Heath February 16, 2010
• The Goal: A Process of Ongoing Improvement by Eliyahu M. Goldratt
• HBR's 10 Must Reads on Change Management (including featured article “Leading Change,” by John P. Kotter)
• Good to Great: Why Some Companies Make the Leap...And Others Don't Jim Collins
• Change Management: The People Side of Change Jeffrey Hiatt Timothy Creasey
• I Wish You Would Just Todd McDonald Kyndra Wilson
• Mindfulness Ellen J Langer
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Resources - Data• Measuring Quality Improvement in Healthcare: A Guide to Statistical
Process Control Applications, Raymond G. Carey. (2001).
• The Six Sigma Way Team Fieldbook, Peter Pande, Robert Neuman, & Roland Cavanagh. (2002).
• http://www.bphc.hrsa.gov/datareporting/reporting/index.html
• http://www.ahrq.gov/research/index.html
• http://www.cdc.gov/datastatistics/index.html
• http://www.ihi.org/resources/Pages/Measures/default.aspx
Resources – HRSA HITEQ
• HRSA funded National Cooperative Agreement to JSI, Westat, and AHP
• 18 months: 9/3/15 – 6/30/17
• Three strategies Develop and Disseminate Tools to Improve EHR Data Quality
Technical Assistance and Training
Promising Practices in HIE and HIT
• Your input!
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“I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel” – Maya Angelou
“Without her motivation I wouldn’t have come this far”
“If it hadn’t been for Dr. Kathleen BriteI don’t think I would have survived today. She has not only been someone who is a friend, but someone who is very caring. The whole office has been very supportive and caring.”
Thank you!
