Just CultureImplementation – Phase 2Training and Expectations

Stephanie Sobczak and Jill HansonWHA Quality Improvement

Managers

1

Today’s Call• Past 30 Days• Presentation – Aspirus Wausau• Implementation – Phase 3– Training– Staff Roles and Expectations

• Partners for Patients Mid Point Event (March 12-13)

• Just Culture “Wave Two”

2

3

ACTION ITEMS

Request Just Culture Algorithms from WHA(if you didn’t already)

In your core team, practice using the Just Culture Algorithm with your hospital cases

Related to your implementation plan, discuss how you will introduce the algorithm to your management staff.• Who will use the algorithm?• In what circumstances will it be used?

Past 30 Days

Aspirus Wausau

Just Culture Training

4

What to Expect of a Just Culture Manager• Understands human fallibility, human reliability and

drift; and how to respond to and manage behaviors• Sets clear and consistent expectations:– For the result– The risk to be managed– To rules/guidelines to achieve it– The key behaviors to do it well

• Gives voice to the risk in the system• Works daily to raise perception of risk• Accords correct priority for tasks/results

5

Developing Your Training Plan

Goals• Develop consistent understanding and

management of human error, at-risk behavior, and reckless behavior

• Achieve an appropriate balance between a “blameless” culture and an “accountable” culture that supports patient safety improvement

6

Components for JC Train the TrainerShould cover:• Explaining a culture of safety• Management of risk• Behavioral choices• Event analysis• Applying fair and just principles after an event• Staff roles and expectations• Walking thru the Just Culture algorithm

7

Human Resources – Staff Roles• Help with managerial competencies• Monitor the use of disciplines• Help staff understand their

duties/expectations

8

Quality Directors/Risk Managers - Roles

• Facilitate event analyses• Assist with system re-designs

9

Just Culture Manager – Role• Know your critical and important tasks and

how to achieve them safely• Know, understand and choose to follow

procedures• Understand and manage the impact of

personal performance shaping factors

10

Just Culture Manager – Helping Others• Limit distractions• Change peer pressure thru peer coaching• Manage interpersonal differences with co-

workers• Come forward when you see risk in the

system• Choose to do the right thing, the first time!

11

Setting Staff ExpectationsJust Culture is about staff:• Looking for risks around them• Reporting errors and hazards• Helping to design safe systems• Making safe choices– Choices that align with the organizational values

(do they know what these are?)

12

WHA Partners for PatientsMid Point Event

March 12-13 “Catch the Wisconsin Wave”

Registration link: http://events.SignUp4.com/13PFP031112

13

Poll Question

• Are you planning on attending the Partners for Patients Mid Point event?

14

Mid Point Event – JC Breakout Session

• Wednesday March 13 - 2:15 – 3:00 pm• Session attendees identify where they are in

the Just Culture journey (via sticker)1. Have worked or implemented a Just Culture2. Working on becoming a Just Culture3. New to Just Culture – interested in learning more

– Break into discussion groups with each having someone in the 1, 2, and 3 category

15

JC Breakout Session Discussion• Round Robins– How has implementing Just Culture changed the

work environment?– What has surprised you since implementing a Just

Culture?– What advice do you have for someone just

starting out on this journey?

• Staggered questions; ten minutes to discuss; five minutes to report out

16

Breakout Session – Feedback Gathering• What would a “Wave Two” look like?• Deep Dive Workshop• Feedback survey– Does the collaborative model we’ve structured for

this initiative still work?– Are the resources from WHA adequate?– How can WHA assist with your Just Culture journey?– As a Wave One participant, would you be interested

in the Just Culture Deep Dive Workshop?

17

Just Culture Deep Dive Workshop

18

The Next 30 DaysACTION ITEMS

Register for the Partners for Patients Mid Point Event (http://events.SignUp4.com/13PFP031112 )

Continue to send in your scenario examples (for our Spring webinar discussions)

Develop your training plan

Identify what your staff role and expectations will be regarding your fair and just culture

19

Thank You!Questions?

Jill HansonStephanie Sobczak

March 6th Just Culture Webinar10-11 am

Event Investigations

20