Quality/Performance Improvement FundamentalsTesting, Spreading, Implementing and SustainingJuly 30, 2013

Pat Teske, RN,MHA pteske@cynosurehealth.org(661)755-5317

Testing, Spreading, Implementing & Sustaining

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• Date – 7/30/13• Time – 10:30 – 11:30• Today’s Topics

– Hearing from your colleagues about:• Testing new approaches• Spreading tested ideas• Implement that sticks

– Building a sustainability plan

Skill Building

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• Skill building due to NF by 8/7/13• Complete your sustainability plan– Send to network facilitator

• Skill building post webinar call 8/14/13 - 10:30-11:30

Sustainability Plan Template

Let’s try itRaise your hand and chat

Please don’t put us on hold

HEN Topics• ADE• CAUTI• CLABSI• EED• Falls with Injury• HAPUs• OB Adverse events• Readmisions• VAE• VTE• SSI

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HARM

Sharing the Journey

The Science of InnovationSharing Successes

Sustainability

Which example will you be?

Is this your project? Or is this your

project?

Definition

• sus tain⋅1.to keep up or keep going, as an action or

process: to sustain a conversation. 2.to support, hold, or bear up from below; bear

the weight of, as a structure. 3.to bear (a burden, charge, etc.). 4.to undergo, experience, or suffer (injury, loss,

etc.); endure without giving way or yielding.

Quality Definition

Things don’t deteriorate when:1. You move onto another project2. It isn’t mentioned in a newsletter, memo or

e-mail3. TJC creates a new NPSG4. The CEO stops asking about it5. The quality director/team leader/champion

moves to the east coast

What’s your sustainability

plan?

Your thoughts..

• What do you need to have in place for your PI project to be sustainable?

Support Monitor

Hard WireTrain

Components of Sustainability

Organizational Support

Executive Support = $ + time

Oversight

Transition Planning

Ongoing MonitoringWhat?

How often?

Who?

Threshold for action?

Action?

Training

Who needs to be trained?

Who, how and when will the training be done?

What is included in the training?

Hard Wire

Make failure obvious

Look for weak signals of failure

Broad participation in design

Process mapping to understand weaknesses

Other Considerations: e.g.

Technology

Culture

Mandates with accountability

Sharing & communicating

Next Steps

Sustainability – Skill Building

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• Skill building due to NF by 8/7/13• Develop a sustainability plan– Send to network facilitator

• Skill building post webinar call 8/14/13, 10:30-11:30

Any more questions?