QHR Monthly Quality Management Call1

QHR Monthly Quality CallHow to Engage Staff in Quality

presented by King’s Daughters Medical CenterFriday, April 27, 2012

11:00 AM Central Standard TimeCall-in number 1-888-378-4350, passcode 7064020

1. Welcome and Opening Remarks...................................................Donna Wood, Practice Leader Clinical Operations, QHR

2. Foundation for Quality Culture ……………………………..………..……Merida Johnson, Director Quality Management & Patient Safety, King’s Daughters Medical Center

3. King’s Daughters Medical Center CEO Vision Theoretical Framework

3. Hardwiring Quality Structure Changes

4. Application: Lewin’s Theory of Change5. Unfreezing: Process Changes6. Changing: Management Tools7. Refreezing: Staff Engagement in Quality/PI Activities8. Questions and Answers

Next QHR Quality Call – Friday, May 25, 2012 at 11:00 AM CT: Topic: Engaging Physicians in a Shared Quality Agenda Presenter: Jamie Cox, Senior Consultant, Clinical Operations, QHR

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King’s Daughters Medical Center

Merida is a Registered Nurse with more then 30 years experience in Nursing Education and Administration. She received her B.S.N. at Louisiana State University Medical Center at New Orleans and her M.S.N. at the University of South Alabama. Prior to her affiliation with King’s Daughters Medical Center, Merida was the Clinical Operations Officer for LifeCare Hospitals of New Orleans and a Nursing Instructor at Holy Cross College in New Orleans.

Currently, Merida is a member of the National Association for Healthcare Quality and serves as a Board Member of the Mississippi Association for Healthcare Quality (MsAHQ) where she is responsible for Continuing Education. She is certified as a Healthcare Quality Professional and a Clinical Preceptor for graduate Nursing students at the University of South Alabama.

Merida has presented a poster on “Quality Culture Transformation” at the 2011 National Association for Healthcare Quality’s Educational Conference in Sacramento, California. She is a frequent contributor of patient safety and quality topics to Brookhaven's local newspaper and MsAHQ’s newsletter.

Merida JohnsonDirector, Quality Management and Patient SafetyKing’s Daughters Medical CenterBrookhaven, Mississippi

Proprietary and Confidential

How to Engage Staff in QualityApril 27, 2012

King’s Daughters Medical CenterBrookhaven, Mississippi

Call-in number 1-888-378-4350, passcode 7064020

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Foundation for Quality Culture

C.E.O. Vision KDMC’s Mission

Theoretical Framework Studer’s Pillars of

Excellence Lewin’s Theory of

Change

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Hardwiring Quality

Structure Changes “Quality is a Priority”

oAgenda item for all meetings

Hospital Strategic PlanoQuality goals and objectives

Quality and Performance ImprovementoPerformance evaluation item

oAnnual Departmental PI Presentations

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Unfreeze Change Refreeze

Hardwiring Quality

Studer’s Pillars of Excellence Pillars as Agenda Categories High-Middle-Low Conversations

Lewin's Theory of Change Unfreezing Change Refreezing

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Unfreezing: Quality Process Changes

Rapid Cycle Process Improvement Methodology Short-term projects Repeated PDSA Test Cycles Attractive to Staff

Quality Rounding Quality/PI conversations

Staff Training

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Unfreezing: Change Management Tools

Force Field Analysis Driving Forces Restraining Forces

Ishikawa Diagram Drill down causes of staff

disconnect

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Changing: Management Strategies

Senior Leadership SupportQuality Director as Change AgentQuality ChampionsStaff-Driven PI TeamsMaking Quality and PI “child’s play”Timely Rewards and Recognition

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Refreezing: Staff Engagement in Quality ActivitiesPDSA Pep Rally – October 2010

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Refreezing: Staff Engagement in Quality ActivitiesPDSA Football Tournament – October 2010

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Refreezing: Staff Engagement in Quality ActivitiesThe Great PI Adventure – May 2011

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Refreezing: Staff Engagement in Quality Activities“Hooray for Hollywood” – October, 2011

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Refreezing: Staff Engagement in Quality Activities

“Washing In The Sink” – January 2012

A staff-created Hand Hygiene Video

 

View this video on YouTube at: www.youtube.com/watch?v=B8NQxrxQrOY

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Questions

Merida Johnson, Director Quality Management and Patient Safety, KDMC mjohnson@kdmc.org

Please submit ideas or comments to: Donna Wood, Practice Leader, Clinical Operations, QHR

Donna_Wood@QHR.com

Next QHR Quality Call: Friday, May 25, 2012, at 11:00 am CT Topic: Engaging Physicians in a Shared Quality Agenda Presenter: Jamie Cox, Senior Consultant, Clinical Operations, QHR

Legal Disclaimer: Any sample quality program tool is intended to be reviewed and revised by a hospital to meet that hospital’s unique circumstances. Neither these tools nor any quality program tool should be used until it has been adopted by a hospital’s medical staff and governing board. Nothing herein is a substitute for the independent medical or clinical decision-making of any person.