The Art of Engagement, Teaching, Sharing and Celebration

Christina Krause & Marlies van Dijk January 30 & 31, 2013

Learning Sessions:“Have to Haves”

• Will – motivation comes from learning that it is possible and joining with colleagues working on the same problem

• Ideas – Acquire great ideas for change • Execution – Learn a method for making lasting

changes and begin using it

Type of sessions?

• Plenary• Breakouts• Team meetings• Collaboration

Source: IHI

Plenary

• What: – Leaders, especially the chair/sponsors, give well

planned presentation on the aims, gap and change package (wow factor high)

• Results: Will, Ideas and Execution

Source: IHI

Break Out SessionsDepth

• What: – clinical content– Improvement methods

• Results: Will, Ideas and Execution

Storyboard SessionCommunication and learning tool

What: Teams visit each other’s storyboards while faculty guide an activity around itResult:

Will: If they can do it, I can tooIdeas: Identify ideas others have tried and give credibility to ideasExecution: in later sessions

Source: IHI

Using Worksheets to Foster Action

• Worksheets at the Learning Session provides structure for action

• Worksheet review:– Organization Team Meeting 1– Project Planning Form– PDSA Worksheet

Source: IHI

Learning Session I(can be a call or webex)

•A viable plan for the first test of change•A written and feasible project plan that includes testing multiple changes•The motivation and confidence to get started immediately

Source: IHI

Learning Session II

•Teams harvest change and use good ideas for change•Use of early adopters as examples•Understanding testing and measurement •Collaboration•Teams leave with a strong and detailed plans for the future

Source: IHI

Learning Session III

•Celebration•Even more team teaching and involvement•Storyboards have result and tell the team’s story•Teams become focused on holding the gains and spread

Source: IHI

What does a great gathering/meeting look like?

Tool for a good session!

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The Peg Game

To Be Considered a PDSA Cycle • The test or observation was planned

(including a plan for collecting data).• The plan was attempted.• Time was set aside to analyze the data and

study the results. • Action was rationally based on what was

learned.

PlanAct

DoStudy

Objective - test another approach to removing pegs Predictions - will we leave fewer pegs? Plan - who, what, record moves

Carry out the plan. Record moves. Note problems or changes to plan.

Compare data to predictions Summarize what was

learned. Update the team’s

theory (approach).

Does our approach leave 1 peg?

What new ideasshould we test on thenext cycle?

PDSA for the PEG Game

10 Nuggets

1. First session: Excitement and hope overrides content

2. “Losing Sleep” is worth it3. Find active faculty who can embrace “self

organization” and “sense making”4. Modify Modify Modify 5. Understand theories of what makes a collaborative

successful (L. Couves, Improvement Associates)

5 more

6. Tweak for local context without sacrificing no. 5 (L. Couves, Improvement Associates)

7. Don’t be afraid to tackle “harder stuff” – after low hanging fruit

8. They still work9. Quarter, half, quarter10. Fuel of Improvement – needs to be added!

Another view:

Quality of …

“Engine” of quality

D. Balestracci. Data Sanity. 2009

“Fuel” of quality

Another View:

Quality of …

Your Structures for Support Plan• Goal/Measurement strategy• Time Frame• Who do you want to engage• Alignment with strategic priorities of your

organization• Model and Approach (eg. networks,

collaborative, face to face meetings)