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IHQC –Fundamentals in Quality ImprovementPre-Work Webinar

Sponsored by: Kaiser Permanente Southern California Community Benefit

3/20/2017A project of Community Partners

Fundamentals in Quality ImprovementTraining Program

Launching April 19, 2017

Pre-Work Webinar

March 20, 2017Webinar Recording will be available on

www.IHQC.org

Today’s Agenda Preparing for Fundamentals in QI Training

• IHQC’s History

• Overview of the Fundamentals in QI Training Program

• Designing your small-scale improvement project

• Next Steps

3 Sponsored by: Kaiser Permanente Southern California Community Benefit

IHQC – Home of the BCCQ Program

• Our Mission – Increasing the quality and accessibility of safety net healthcare

• Since 2007, IHQC (through the BCCQ Program) has created multiple learning communities – participant-defined, applied learning laboratories for clinics, provider care teams to:– Engage in quality and process improvement trainings

– Interact and share promising practices with their peers

– Apply tools and techniques that will advance their own improvement efforts

– Prepare for an ever-changing healthcare environment

4 Sponsored by: Kaiser Permanente Southern California Community Benefit

Fundamentals in QI Training ProgramHigh-level training in quality and process improvement (PI) science, project management, systems change, using data for improvement, and change management. Participants then apply these skills by completing a short, self-defined QI/PI project. This 8-12-week program will provide:

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Knowledge SharingLearn from experts in the field about quality and process improvement tools and strategies

Peer-to-Peer Exchange of IdeasShare lessons learned and best practices with your colleagues and peers from other organizations

Coaching & Access to Improvement ToolsReceive coaching from IHQC staff and faculty about how to refine your project. And you’ll get access to IHQC’s library of improvement tools and templates

Implement Your Own Improvement ProjectApply these tools and strategies in your own improvement project at your organization

Icons Designed by Freepik and distributed by Flaticon

Adult Learning TheoryOver time we retain…

Source: Health Coaching Curriculum, Created by UCSF Center for Excellence in Primary Care, 2014

IHQC’s Applied Learning Model

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KNOWLEDGE BUILDING• Quality Improvement &

Process Improvement strategies and tools

Peer-to-Peer Learning Opportunities

• Collaborative environment

• Share lessons learned across teams

Coaching and Support

QI project

Sponsored by: Kaiser Permanente Southern California Community Benefit

Training Content & TimelineEvent Date

Pre-Work Webinar (Recorded)

Today, March 20th

Improvement Project Ideas Due (1-2)

Wednesday, April 12th

In-Person Kickoff Workshop

Wednesday, April 19th, 2017Marriott Riverside at the Convention Center3400 Market Street, Riverside 92501

Webinar: Project Progress and Data Displays

Thursday, May 11th, 201712:00pm-1:00pm

Final In-Person Closing Workshop

June 2017 (Date TBA)

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Considerations for your Improvement Project:Designing an Improvement Project

Participants are encouraged to draft and implement a small scale (~8 week) improvement projects at their organization to give them an opportunity to apply the improvement tools and strategies that they review during this program. Example small-scale improvement project include:

• Decrease no-show rates

• Decrease cycle time

• Increase % of diabetic patients with up-to-date labs

• Improve eligibility and enrollment process

9 Sponsored by: Kaiser Permanente Southern California Community Benefit

Change Ideas

• Improving Care Delivery – Updated protocols, proactive care plans, care

coordination

• Improve Workflows, reducing wait times– Minimize handoffs and reduce set-up times

– Do tasks in parallel instead of in a series

• Improve Work Environment – Implement teamlets, cross-training,

• Eliminate Waste and Error – Eliminate multiple entry steps and redo’s

10 Sponsored by: Kaiser Permanente Southern California Community Benefit

Change Packages

Identifying Your QI Needs

• Required Reporting

– HEDIS, UDS, Meaningful Use

• PCMH or value-based care self-assessments

• Organization’s strategic goals/priorities

• Satisfaction surveys or team brainstorms –what improvement project should we be working on?

12 Sponsored by: Kaiser Permanente Southern California Community Benefit

Considerations for your IHQC Improvement Project

Are you addressing the real problem or issue?

Are the right players are on our team?

Do we have existing data (baseline and target)?

Do we have the necessary buy-in and leadership support?

Can we make an impact in 8-12 weeks?

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Are you addressing the real problem or issue?

• 5 Why’s Technique

– Sometimes what we think is the cause of the problem is just a symptom of the actual problem. To help get to the root cause, ask “why” that problem is happening, and for the reason you think it’s happening, ask why that happens. Do this a total of 5 times

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5 Why’s Example

• % of diabetic patients w/ A1c’s under control isn’t improving. Why? Maybe because patients aren’t showing up for their appointments? – Why aren’t patients showing up for appointments?

Guess – they forgot?– Why did they forget? Maybe because patients didn’t

receive reminders about upcoming appointment?– Why didn’t we call patients? We didn’t have the right

phone numbers in their patient record– Why didn’t we have the right phone numbers? We

only ask patients for their phone number if there isn’t already a number listed in their EHR, we aren’t confirming existing #’s

Are the right players on our team?

• Larger Improvement Initiatives relay on Multidisciplinary Teams– Clinical lead, operations lead, project manager, care

team member, senior executive sponsor

• Key players– Whose input/perspective do you need in the area

you’re trying to improve? Frontline staff? Clinician?

Consider having these key players attend the Fundamentals of QI training with you

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Do our data reports confirm this is a challenge at our organization?

• Leveraging/Aligning your HEDIS & UDS Measures

– Cancer screening rates, Immunizations, Controlling BP, Prenatal Care, BMI

• Cycle time – do you have data that shows that wait times are long?

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Leadership Support & Buy-In

• Helping Move Your Improvement Work Forward

– Aligns the goals of the improvement project with the strategic goals of the organization

– Allocates resources to the team as needed to remove roadblocks and barriers to progress

– Communicates to Board of Directors and other external stakeholders

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Can you make an impact in 8-12 weeks?

What Can We do to Improve CRC screening

INREACH

OUTREACH

Find more referral sites for + screens

Patient Education

Community Education

Considerations for your IHQC Improvement Project

Are you addressing the real problem or issue?

Are the right players are on our team?

Do we have existing data (baseline and target)?

Do we have the necessary buy-in and leadership support?

Can we make an impact in 8-12 weeks?

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Q&A

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Next Steps• Homework - email to IHQC by Wed., April 12th

– 2 small-scale improvement project ideas

• IHQC will provide feedback

• Register for in person kick off session on Wednesday, April 19th

– https://www.surveymonkey.com/r/NB6WZCC

Sponsored by: Kaiser Permanente Southern California Community Benefit

Preview of April 19th Kickoff Session

Agenda

• Problem Assessment

• Defining and Visualizing your QI Project

• Measurement for Improvement

• Small Tests of Change

• Action Planning

23 Sponsored by: Kaiser Permanente Southern California Community Benefit

Start

Process

Decision

Input/Output

End

Yes

No

Plan

DoStudy

Act

IHQC Staff Contact Info:

- Bridget Hogan Cole, MPH - bcole@IHQC.org

- Chris Hunt, MPH – chunt@IHQC.org

- Teresa Hofer, MPH – thofer@IHQC.org

- Sirisha Gummadi, MHA – sgummadi@IHQC.org

- Sharon Lau – slau@IHQC.org

www.IHQC.org

Sponsored by: Kaiser Permanente Southern California Community Benefit