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Survey 4 Results Spread & Sustainability Learning Series. Reporting by Province. Survey 1 n= 51 Survey 2 n = 41 Survey 3 n = 37 Survey 4 n = 24. Culture of Safety. Leadership and Champions. Clinical Involvement. Communications. Monitoring Measuring and Feedback. - PowerPoint PPT Presentation
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Survey 4 Results
Spread & Sustainability Learning Series
Reporting by Province
Survey 1 – n= 51
Survey 2 – n = 41
Survey 3 – n = 37
Survey 4 – n = 24
Survey 1 Survey 2 Survey 3 Survey 40
5
10
15
20
25
30
1311
810
24
15
18
5
9 9
67
56
5
2
Reporting By Province
New Brunswick Newfoundland Labrador Nova Scotia Prince Edward Island
Culture of Safety
Leadership and Champions
Leadership and Champions (% agreement of those who know) Baseline #2 #3 #4
a. Our team has the appropriate support of physician champions. 34% 28% 24% 46%
b. Our team has the appropriate support of inter-professional clinical champions/colleagues. 80% 71% 78% 75%
c. Our team has the appropriate support of managers (frontline/middle & inclusive of directors). 73% 71% 68% 67%
d. Our team has an active Executive Sponsor supported by, and accountable to the Senior Leadership Team & Board. 91% 87% 83% 79%
Clinical Involvement
Clinical Involvement (% agreement of those who know) Baseline #2 #3 #4
a. Staff are generating and testing improvement ideas. 67% 68% 54% 50% b. Staff has the necessary knowledge, skills and attitude to consistently implement and spread the required changes. 64% x X
c. Staff has the necessary knowledge to consistently implement and spread the required changes. x 49% 46% 71%
d. Staff has the necessary skill to consistently implement and spread the required changes. x 70% 69% 63%
e. Staff has the necessary attitude to consistently implement and spread the required changes. x 49% 41% 33%
Communications
Communication(% agreement of those who know) Baseline #2 #3 #4
a. All people involved or affected by the change understand the role they play.
46% 49%
42%
42%
b. Our communications methods are effective in accelerating our improvements.
55% 54%
35%
50%
c. The rationale/reasons behind improvement changes are understood and accepted.
62% 58%
48%
54%
Monitoring Measuring and Feedback
Monitoring, Measuring, and Feedback (% agreement of those who know) Baseline #2 #3 #4
a. Our organization learns from system failures and shares insights (our own & from others). 90% 85% 89% 75%
b. Our measurement is done in real time and provides useful team performance feedback. 36% 45% 39% 50%
c. We have an adequate measurement and feedback system in place that helps to identify clinical practice gaps & improvement opportunities.
42% 62% 49% 58%
d. Our improvement measures are regularly reviewed by our team, staff, executive sponsor, and other stakeholders. 49% 84% 64% 71%
Resource Utilization
Resource Utilization (% agreement of those who know) Baseline #2 #3 #4
a. Our team makes efficient use of resources by engaging in opportunities to share and work with others within the walls of our Facility.
85% 85% 92% 79%
b. Our team makes efficient use of resources by engaging in opportunities to share and work with others within our Health Authority/Region.
83% 83% 89% 83%
c. Our team makes efficient use of resources by engaging in opportunities to share and work with others within our province.
68% 72% 77% 67%
d. Our changes are purposefully designed to minimize waste and maximize value for the patient. 80% 82% 91% 79%
Patient Safety Alone is Not Enough
Patient Safety alone is not a strong enough incentive (% agreement of those who know) Baseline #2 #3 #4
a. Staff believe the change makes their work more efficient. 35% 33% 29% 25% b. Staff sees the strength of the evidence as a change driver. 60% 68% 67% 46% c. Staff appreciates that quality improvement and associated change is an important component of their professional practice.
62% 63% 73% 58%
d. Staff appreciates the importance of standardizing critical activities. 78% 83% 82% 63%
e. Our Team passionately expects to achieve the quality improvements results we have set out. 79% 82% 85% 79%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Date
Sustainability and Spread Score
Jan-12 2 2 2 2 3 2 2 1 1 2 2 2 2 1 1 1
35%
Mar-12 3 3 4 3 4 3 3 1 3 3 4 3 3 1 2 1
55%
May-12 3 3 4 3 4 4 4 1 3 3 4 3 3 2 3 2
61%
Jul-12 3 3 4 3 4 4 4 3 3 3 4 3 3 3 3 3
66%
Sep-12 3 3 4 3 4 4 4 4 4 3 4 4 3 3 3 3
70%
Nov-12 3 3 4 3 4 4 4 4 4 4 4 4 3 3 3 3
71%
Jan-13 4 4 4 3 4 4 4 4 4 4 4 4 3 3 3 3
74%
Mar-13 4 4 4 3 4 4 4 4 4 4 4 4 3 3 3 3
74%
5 100% District-wide implementation; ongoing measurement in place, reached or exceeded target at least once in the last 6 months at all sites/Implantation à l’échelle régionale; évaluation continue en place, objectif ciblé atteint ou dépassé au moins une fois dans les 6 derniers mois à tous les sites.
4 76-99%
Partial or selective implementation; measures in place, variation within and between sites/Mise en œuvre partielle ou sélective; mesures mises en place, disparités au sein des sites et entre les sites.
3 61-75%
Partial or selective Implementation; no measures in place/Mise en œuvre partielle ou sélective; aucune mesure mise en place.
2 51-60% Team formed, charter developed/Équipe formée, charte élaborée.
1 0-
50% No activity or discussion only/Aucune activité ou discussion seulement.
n No information available/Pas d'information.
Dashboard
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Current Conclusions
Challenges – Communication, time for Physician participation, tolerance for unexplained practice variations & measurement / use of measures
Must Remember– Takes time to hard wire change
• Impacts of leadership turnover• Identification & celebration of good strategies & results• Interconnections between knowledge, capability, patient safety
attitudes and belief in spread & sustainability possibilities (safety culture)
Questions