Kata and Connection - Wild...
Transcript of Kata and Connection - Wild...
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Kata and Connection By Amy Mervak
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We will be the
recognized leader
in compassionate
care for people in
our communities
coping with
illness, aging,
dying, and loss.
Our Vision
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Helps Us Practice Practicing the Kata Empathy
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Reflection on this Integration
Integrating Kata into our Rapid Improvement Event Format
Two Parts
Weekly Routines Event Routines Compassion
Org level goals Process level goals
Vision
Scientific Thinking
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Reflection on this Integration
Integrating Kata into our Rapid Improvement Event Format
Part 1
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Challenge (from level above)
Current Condition
Target Condition Experiments
Value Stream Level – Rapid Improvement Event
Organization Level
Best care in last 7 days
of life
Dynamic, supportive
scheduling process
Process analysis
steps
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Connecting the Levels
Mike Rother – Toyota Kata
Current Condition
“We didn’t think of that.”
“That’s not the case anymore!”
“Here’s what we need to do!” Action Items
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Visit needs
identified by
RN Manager
Staff availability identified
by RN Manager
Coverage plan
created by RN Manager
Plan shared with staff and visits
assigned by Scheduler
Target Condition Clinical
staff maintain accurate
schedules
Visit needs
identified by
Scheduler
Staff availability identified
by Scheduler
Coverage plan
created by Scheduler
Plan shared with staff and visits
assigned by Scheduler
Plan approved
by RN Manager
Clinical staff
maintain accurate
schedules
Sequence of Steps
Process Level
Challenge (from level above)
Current Condition
Target Condition
Value Stream Level – Rapid Improvement Event
Organization Level
Best care in last 7 days
of life
Accurate calendars
Dynamic, supportive
scheduling process
Timely coverage plans created by
Schedulers
Connecting the Levels
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Experiments
Mike Rother – Toyota Kata
Experiments • Work w/ individuals to test
frequent syncs • Addressed EMR obstacles.
Results • Individuals - 58% improvement • Group - 21% improvement
During the Event
In one week, 50% improvement of “Hours to Sync”
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a b c d e f g h i j k l m n o p q r s t u v w x
Hours to Sync Data
Down is better
Each letter represents one individual clinician
7/8/16 Snapshot
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a b c d e f g h i j k l m n o p q r s t u v w x
Down is better
Each letter represents one individual in the field
7/8/16 Snapshot
7/19/16 Snapshot
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Targeted individuals
Target Condition Met
Practicing Coaching Cycles
COACHING
FREQUENT PRACTICE MASTERY
STARTER KATA
"I'm getting better at this"
Structured routines.
Practice.
STARTER KATA
MASTERY
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Familiar Language
Mike Rother – Toyota Kata
Process Level
Challenge (from level above)
Current Condition
Target Condition
Value Stream Level – Rapid Improvement Event
Organization Level
Best care in last 7 days
of life
Accurate calendars
Timely coverage plans created by
Schedulers
Emergent visits covered
by 9am
Connecting the Levels
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Experiments
Dynamic, supportive
scheduling process
Mike Rother – Toyota Kata
Post-Event Transition
25 min 5-75 min
6 min 2-10 min
Avg Huddle Length
Pre
Post
Range
Emergent visits covered by 9am
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Seamless Confident learners Progress
Target Condition Met
Process Change
Process Level
Challenge (from level above)
Current Condition
Target Condition
Value Stream Level – Rapid Improvement Event
Organization Level
Best care in last 7 days
of life
Accurate calendars
Timely coverage plans created by
Schedulers
Connecting the Levels
Organizational Learning
Individual Development
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Emergent visits covered
by 9am
Experiments
Dynamic, supportive
scheduling process
Kata at Rapid Improvement Events = Strategy Deployment Mike Rother – Toyota Kata
Reflection on this Integration
Integrating Kata Practices into a Rapid Improvement
Event Format
Part 2
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Conduct Experiments to get there
Grasp the Current
Condition
Establish your Next
Target Condition
Get the Direction or Challenge
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Vision
Reflection
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We will be the
recognized leader
in compassionate
care for people in
our communities
coping with
illness, aging,
dying, and loss.
We will be the
recognized leader
in compassionate
care for people in
our communities
coping with
illness, aging,
dying, and loss.
Our Vision
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Three Kinds of Empathy http://www.danielgoleman.info/ three-kinds-of-empathy-cognitive-emotional-compassionate
Accessed 10/27/16
Cognitive empathy
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Abel
Clara
Three Kinds of Empathy
Emotional empathy
Cognitive empathy
19 “Care" by Bilwanath Chatterjee is licensed under CC BY 2.0 https://www.flickr.com/photos/39045500@N08/4908596012/in/photostream/
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Three Kinds of Empathy
Compassionate empathy
Emotional empathy
Cognitive empathy Cognitive empathy
Emotional empathy
Compassionate empathy
20 “An act of kindness in the blizzard" by Michael Krigsman is licensed under CC BY-ND 2.0 https://www.flickr.com/photos/mkrigsman/8456613229/
Helps Us Practice Practicing the Kata Empathy
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“Empathy is really important…
Only when our clever brain and
our human heart work together
in harmony can we achieve our
true potential.” - Dr. Jane Goodall
State Department Photo / Public Domain
Vision?
How does practicing the Kata help you and your organization connect with its
Mission?
Values?
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Thank You