Embed Size (px)
Citation preview
Overview
Colorado HIV-STIC NIATx Process
Improvement Model
Linda J. FrazierNovember 8, 2011
Colorado Springs, CO
The NIATx Way
What is Process Improvement?
An experiment in change
• Using a structured process
• Guided by the customer
• Driven by data
Based on the Model For Improvement in The Improvement Guide,by Langley, Nolan, Nolan, Norman, & Provost
NIATx Learning Collaborative Model
• Learning Sessions
• Coaching
• Peer Mentoring
• The NIATx Website
• All-Member Calls
Questions to Consider
What is it like to be our customer?What are we trying to accomplish?How will we know if a change works?What changes can we test that may result
in improvement?How can we sustain positive changes?
Model for Improvement
Start by asking three questions:
1. What are we trying to accomplish?
2. How will we know a change is an improvement?
3. What changes can we test? (next Tuesday!)
• Model for ImprovementLangley, Nolan, Nolan, Norman, & Provost. The Improvement Guide, San Francisco, Jossey-Bass Publishers, 1996
NIATx Aims
Reduce Waiting Times
Reduce No-Shows
Increase Admissions
Increase Continuation Rates
Five Key Principles: Evidence-based Predictors of Change*
1. Understand and involve the customer
2. Focus on key problems
3. Appoint an influential change leader
4. Seek ideas from outside the organization
5. Do rapid-cycle testing (PDSA Cycles)
Gustafson and Hundt, 1995
Key Points Identify the top 5 problems that keep the Executive
Sponsor awake at night Conduct a Walk-through Strategically select the project (one aim + one level of
care + one location/population) Assigns between one and seven (at most) people to
achieve the aims of the selected project Use Rapid Cycle PI – PDSA to test what works Measure Change – ongoing before, during & after
Key Change Team Roles
Executive Sponsor
Selects Team Appoints Change Leader Selects Key Problems Works to Remove
Barriers & Facilitate PI
Change Team
Change Leader – ability, leverage, time
Change Team – small, appointed by Executive Sponsor, tasked with specific process
Data Coordinator – tracks metrics, compiles results
Conducting a Change Exercise
PDSA cycles Plan the changeDo the planStudy the resultsAct on the new
knowledge
Rapid cycle changes Changes should be
doable in 2-3 weeks
(Title)
Name(s) of presenter(s)Organizational Affiliation
Initial Assignments that get projects started on the right foot
• The NIATx Way
• Problem Awareness
• Walk-through
• Visual Modeling Tools
• Nominal Group Technique
• Identifying potential solutions
(Title)
Name(s) of presenter(s)Organizational Affiliation
Initial Assignments that get projects started on the right foot
• Appointing roles
• Executive Sponsor and Change Leader
• Change team
• Identifying your starting point
• Establish a baseline
(Title)
Name(s) of presenter(s)Organizational Affiliation
Initial Assignments that get projects started on the right foot
• Agency preparation
• Inform the staff about Process Improvement
• Communicate about why, who is primarily involved, and what is going on
