Changing the story

Creating a Change Platform: Quality Improvement in Residential Care

“Safer Care for Older Persons (in residential) Environments”

Adrian Wagg@TRECResearch

Fatima Al-Roubaiai@falroubaiai

Changing the story

Changing the story

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Changing the story

http://galleryhip.com/the-word-culture.html

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What is SCOPE?

• Empowers frontline staff to deliver better care by enabling and empowering teams to:

– Improve their ways of working– Improve care for residents– Make their working life better

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Empowering the Team

• Led by Personal Support Working/Healthcare Aide• Supported by SCOPE Team and Senior Sponsor

Learn how to make long lasting changes to improve care

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Learning Session 2May 2016

Learning Session 3Sep 2016

Learning Session 1Feb 2016 Jan 2017

SCOPERecruitment

36 Care Homes

The Process

Modified from Institute of Healthcare Improvement (IHI) Breakthrough Series Collaborative Model

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http://www.liberatingstructures.com/

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80% of Care

Healthcare Aides are under considerable stress, yet remain highly committed to their work

Actively engaging care aides to improve bedside care is a powerful strategy

http://www.trec.ualberta.ca/en/Publications/~/media/trec/Documents/Newsletter/TREC_Report.pdf

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Who are they?

http://www.trec.ualberta.ca/en/Publications/~/media/trec/Documents/Newsletter/TREC_Report.pdf

• Mostly women

• Many English is second language

• 2 jobs or more

• Truly believe they make a difference

• Committed to residents

• Use informal sources of information for care

https://www.youtube.com/watch?v=fPBJe9bW6BY&feature=youtu.be

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Changing the story

Once upon a time…there was a boy lost in the

woods…

http://www.vangoghgallery.com/catalog/Painting/165/Girl-in-the-Woods.html

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Ideas

https://www.youtube.com/watch?v=sfmQvc6tB1o

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http://gapingvoid.com/2007/05/13/great-ideas/

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TRIZ

Designing a perfectly adverse system

The worst possible results from your work

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Why do we use TRIZ?

• Creative destruction

• Challenge the status quo and sacred cows

• Gives permission to discuss taboo subjects

• Builds trust

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TRIZ – First Step

• Be creative! Make yourself laugh! This is SERIOUS FUN...

• Reflect in your groups, make a list of “to-do’s” list in answer to…

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How will we ensure staff are not interested in change?

How do we ensure our residents are harmed?

How can we be sure that our staff morale is rock bottom?

How do we ensure resident care plans are never used?

Pick one you like!

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TRIZ – Second Step

Go down the list and ask:

Is there anything on that list that we currently practice, even remotely?

Is there an element of truth in here?

Cross out the ones that you are not doing EVER

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TRIZ – Third Step

Look at your list…what items do you want to commit to avoiding?

Pick your top two. What will you do to avoid those items?

Do you need leadership or organizational help?

What needs to stop or change? Be as concrete as you can.

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“Leadership is not about making clever decisions and doing bigger deals. It is about helping release the

positive energy that exists naturally within people.”Henry Mintzberg

There has never been a time in the history of healthcare when this perspective has been more pertinent.”

Helen Bevan

Changing the story http://3060100.org/articles/transformation-mind-heart-connection/

http://applecopywriting.com/heart-and-mind-using-both-a-logical-and-personal-perspective-for-powerful-copywriting/

Engage Hearts & Minds

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Questions?

Adrian Wagg

wagg@ualberta.ca

@TRECResearch

Fatima Al-Roubaiai

falrouba@ualberta.ca

@falroubaiai