Change Management some ICP Basics

Barley Chironda+14164767961

Twitter @barleychironda

LinkedIn @barleychironda

Disclaimer

Disclosures: Employee of Clorox HealthCare and a volunteer with the C.diff Foundation.

Views expressed are those of the presenter and do not reflect the organizations I belong.

1. Reasons for Change

2. Theories and Frameworks

3. Tools to aid in Change Management

4. Examples and Scenarios

5. Key will be practical Tips

The Plan

WHAT IS ONE REASON WHY

CHANGE FAILS

Gallup Survey Findings on Engagement

•HOW LONG in YEARS

DOES IT TAKE TO ADOPT

INNOVATION IN

HEALTHCARE

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WHAT IS CHANGE

MANAGEMENT

Change Management

What Is Change Management?• Structured process and set of tools for managing the

people side of change so that results are achieved, on time and within budget

• Organizational or Individual • Incremental or staggered

• What Is a Change Agent• Individual/group responsible for actually making the

change happen- (PDSA Cycle etc)

Beckhard Transition Model

Missing Piece of the Puzzle

SOME CHANGE TOOLS AND

EXPERIENCES

18

Design Thinking

Liberating Structures

1.124 all

2.Dot Voting

3.Fishbowl

4.Triz

SOME EXAMPLES

Process of CDI Disease Transmission: Chain of Infection

1)Ontario Agency for Health Protection and Promotion, Provincial Infectious Diseases Advisory Committee. Annex C – Testing, Surveillance and Management of Clostridium difficile. Annexed to: Routine Practices and Additional Precautions in All Health Care Settings. Toronto, ON: Queen’s Printer for Ontario; 2013. –Source of Chain of Infection Image

1. Hand hygiene

2. Contact precautions

3. Identification of cases

4. Appropriate use of antibiotics

5. Environmental disinfection

GO IMPROVE EVS CLEANING

• How can YOU Mr/Ms EVS guarantee that EVERYONE that

comes onto the unit picks up a CDIFF INFECTION ???

Liberating Structures

1. 124 all

2. Dot Voting

3. Fishbowl

4. Triz

Opportunities

CHANGING THE AUDITING

Liberating Structures

1. 124 all

2. Dot Voting

3. Fishbowl

4. Triz

…...Evidence supports the use of audit and feedback and provider reminder systems with organizational change and provider education

Conclusions

1. Addressed ALL gaps cited on Fishbone Diagram 2. Managed to also implement many new technology

by FLO

GO IMPROVE STEWARDSHIP

Liberating Structures

1.124 all

2.Dot Voting

3.Fishbowl

4.Triz

HOW CAN YOU GUARANTEE

EVERY PATIENT GETS A FALSE

POSITIVE URINE TEST?

Chironda, B., Clancy, S.C., & Powis, J.E. (2014). Optimizing urine culture collection in the emergency department using frontline ownership interventions. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 59 7, 1038-9.

GO IMPROVE HAND HYGIENE

Liberating Structures

1. 124 all

2. Dot Voting

3. Fishbowl

4. Triz

BRINGING IT ALL TOGETHER

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Takeaways

1. Change management is critical to Quality Improvement

2. Empathy is key in CM

3. Share your wins and lessons

4. Factor in Implementation Science in your processes

5. Start slow to go fast

Thank You