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Aberdeen City
Format for Workstreams sessions• Introductions at your table• Improvement Bootcamp overview and other
improvement journeys• Components of a learning system – how does our
work stack up?• Workstream presentations – 30 mins each including
Q&A• Table top reflection on own learning and application
of improvement methodology
The Bootcamp Experience : from this…..
The Bootcamp Experience : to this……
Components of a Learning System 1. System level measures2. Explicit theory or rationale for system changes3. Segmentation of the population4. Learn by testing changes sequentially5. Use informative cases: “Act for the individual learn
for the population” 6. Learning during scale-up and spread with a
production plan to go to scale7. Periodic review8. People to manage and oversee the learning systemFrom Tom Nolan PhD, IHI
Workstream Breakout Day 2 Aberdeen
3rd. largest city in Scotland.
Population = 220, 420.
70, 198 are aged 0-25.
AberdeenThe economy is dominated by the Oil Industry.
Despite the healthy state of Aberdeen’s economy, the gap between the affluent and our most vulnerable citizens is evident.
Current project
Early intervention:
Allocation of Health Plan Indicator by
16 weeks of pregnancy
Why…
A Pathway of Care for Vulnerable
Families(0-3)
Initial Snap ShotTOTAL NO. OF CASENOTES
HPI - YES HPI - NO COMPARISON
Antenatal - 20
2 (10%) 18 (90%) Matched prediction
Postnatal - 40
5 (12%) 35 (88%) Matched prediction
OVERALL TOTAL
7 (12%) 53 (88%) Matched prediction
Key wins in presented areas of workImproved communication
Improved understanding of GIRFEC
Improved social risk assessment in pregnancy
Earlier engagement with women and families
Development of Assessment Tools
Improved quality andCONFIDENCE
Key wins in presented areas of work
Key lessons
Leadership
Ownership from wider team
Workstream Leads capacity
Collaboration has to become the ‘norm’.
We need to grow our own Improvement Coaches
Be brave!
Key lessons
Developing Measurement - Key Wins
The initial snap shot
Real Time Data
Real time picture
Highlights what’s working well
Demonstrates whether the change was an
improvement
Developing Measurement - Lessons Learnt
Make data collection easy
Involve the frontline staff in design
Have a plan and don’t be afraid
Keep it simple!
Developing Measurement - Lessons Learnt
Results do the talking
Builds confidence
Engages others
Encourages ownership and accountability
Small scale delivers results
Testing – Key Wins
Test, Test, Test!
Study & Act QUICKLY
Be focused & persistent!
Invest time to reap rewards
Testing – Key Wins
Stay focussed and understand where
you want to be
Start small – don’t try to solve the worries of
the world
Don’t be distracted by others frustrations
Testing – Lessons Learnt
Test under different conditions
Spread
The ‘so what’ factor
The Next 3-6 Months…..
TABLE DISCUSSION• Who are individuals and/or teams currently
working on in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning?
• Reflecting on the emerging knowledge within this area, what are some potential tests of change you could run that might accelerate your work?