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Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

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Page 1: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

Pennsylvania Leadership Academy

September 29th 2010

DAPIMTM : A Framework for Continuous Quality Improvement

Page 2: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 2

Agenda and Goals

Understanding the Need for a Framework for CQI

DAPIMTM : A Framework for CQI

Reflecting Thinking – Identifying Your Approach to Implementing Change

Assessing Readiness for Change

Reflecting Thinking – Identifying Your Readiness for Implementing Change

Agenda

Page 3: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 3

Continuous Quality Improvement Defined

CQI is not a time-limited initiative or project. It is the ongoing process by which an agency makes decisions and evaluates progress.”

Casey Family Programs & National Resource Center (NRC)

Page 4: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 4

Implementation Defined

Implementation is a specific set of activities designed to put into practice an activity or program of know dimension.

From the National Implementation Research Network

Page 5: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 5

Organizational Effectiveness Defined

OE is a systemic and systematic approach to continuously improving an organization’s performance, performance capacity and client outcomes. “Systemic” refers to taking into account an entire system or in the case of OE an entire organization; “systematic” refers to taking a step-by-step approach. In simple terms, therefore, OE is a step-by-step approach to continuously improving an entire organization.

Page 6: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 6

Organizational Systems Model

Page 7: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved.

DAPIMTM and “Learning by Doing”

Implement

Work products – team activities, action plans, charters for working teams, communication efforts

Plan

Work products- quick wins, mid- and long-term improvement plans, communication and capacity plans

Define

Work products – baseline surveys, alignment notes, initial feelings, ground rules, defined areas for improvements, desired future state

Performance& Capacity

Monitor

Work products – monitoring quick wins and other changes, evaluations and measures of progress and impact

Assess

Work products – findings: strengths and gaps, root causes and general remedies

Page 8: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 8

Learning by DoingHow It Works A real-world team meets periodically

In a facilitated peer group

To troubleshoot “real life” challenges

Over 4 – 6 months

Peers and facilitators help learners examine their challenges in new ways Experience with similar situations

New models and targeted “training”

Tangible continuous improvement activities

Page 9: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 9

OE Approach to CQI

Page 10: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 10

DAPIMTM Work Products to Support CQI

Continuous Improvement Plans

Chartered Work Teams

Communication Plans

Team Activities

Page 11: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 11

Reflective Thinking

Think about current change efforts in your agency… where are they in the stages of implementation…. Have you been systematic in defining, assessing, planning, implementation and monitoring the change effort?

Page 12: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 12

Readiness for Change

Three Levels of Readiness Priority gap area for continuous improvement

Moving from a gap to an area of strength to support continuous improvement

An area of strength that is supporting continuous improvement as “a way of doing business”

Page 13: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 13

Readiness for Change

Elements to Consider Organizational Readiness

Leadership Readiness

Staff Readiness

General Capacity to Improve and Innovate

Page 14: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 14

Reflective Thinking

Returning to the change effort you are implementing…. which elements of readiness are priority areas for continuous improvement work, where are you moving from a gap area to an area of strength, and which elements are strengths for you and will be and asset in making continuous improvement a way of doing business?

Page 15: Pennsylvania Leadership Academy September 29 th 2010 DAPIM TM : A Framework for Continuous Quality Improvement

© 2010 American Public Human Services Association. All rights reserved. 15

Contact Information Kathy Jones Kelley APHSA, OE Consultant [email protected]

Resources www.aphsa.org www.ppcwg.org www.fpg.unc.edu/~nirn www.casey.org www.muskie.usm.maine.edu