Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
Unity is strength presentation handout
1. 4/25/2014
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Unity is Strength:
The PowerofCollaboration
Kevin Warren
President/CEO
Texas HealthCare Association
Melody Malone,PT, CPHQ, MHA
Quality Improvement Consultant
TMF HealthQuality Institute
Objectives
At the conclusion of the session, participants
should be able to:
Recognizethebenefitsof forming coalitions for
a common purpose.
Apply a plan to form a successful coalition.
Form project teamsfocused on achieving
specific outcomes.
Implement a project teamfocusedon achieving
a specific outcome.
OurProcess…Today
Project TeamSpecific
Process
Purpose Players
Community Focus
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Benefits
Resource Sharing
Knowledge /Expertise
CommunityPresenceandTrust
Opportunitiesforcommunitycohesion
SharedResponsibility(andRisk)
Collective Leverage /Bargaining
Mitigate “GroupThink”
“Knowledge is of two kinds. We know a
subject ourselves, orwe know where we can
find information upon it.”
Samuel Johnson, 1775
What’s theGoal?
Improvementof some components,processes,
or outcomes?
OR
Complete systemtransformationtoensure
successeverytime?
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Purpose(s)ofExternal Coalition
Building?
CensusGrowth?
Clinical Improvement?
ReducingRehospitalizations?
Specializedservice delivery?
Staff retention/recruitment?
Policydevelopment?
CommunityInvolvement/Outreach?
DeterminingtheNeed (“Reflection”)
ConsiderThis…
Organizational Description: Environment, Service Offerings, workforce profile,
Assets, Regulatory Requirements, M/V
KeyCustomers: Their requirements and how do you know?
Competitive Environment: Organizational Position, Success Factors, Data
Sources
Strategic Planning: Your Strategic Challenges / Advantages and why
are they important?
Performance Improvement: How do you measure success/opportunity?
Source: AHCA/NCAL NationalQuality Award
Bronze Application Criteria
Being Effective
Be specific(purpose,timeline,structure)
Have a Plan
Make it Measurable
Take Ownership
OpenCommunication
Feedback
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“What endures is youreffect on other
people and the kind of world, organization
and culture that you've helped to create.”
Jeffrey Pfeffer
Stanford University
Building organizational
momentumthrough
meaningfulrelationships
with front-linestaffas
daily problemsolvers
What wewant is to:
Maximize efficiencyandeffectiveness
Retainstaff
Ensure thatemployeesare fullyengagedon
a dailybasis
Avoidharm
Be successful
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Questions:
Whendidyoulearnhow tobe on a team?
• RedRover, RedRover
• Sports
• School
•Did everyonepulltheirweight?
MoreQuestions:
Do youhave teamworknow?
• On the floor?
• In a QI team/PIPteam?
• In your leadershipteam?
MoreQuestions:
What’sthe barriertoteamwork?
• Hierarchy
• Language
• Education/knowledge(formal/informal)
• Shared purpose
• Hidden agendas
• Turnover
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So…
How easyis it to connect to:
•Individuals
Empathy
Fuelsconnection
Perspectivetaking
Stayingoutof judgment
Recognizingemotioninothersand
communicatingthat
Empathy
FeelingWITHpeople
A vulnerablechoice
I have toconnectwithinmyself toasimilar
experience
– Dr.Brené Brown
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So…
How easyis it to connect to:
•Individuals
•Teams
CultureofTeamwork
To beunderstood,you must first
understand
InvestingInsidetheNursing
HomeWalls
First Things First
Create aculture of teamwork
• We can’teat ouryoung– use empathy
• We have tobreakdownbarriers
• We have toforgive
• We have toask forforgiveness
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Successful QI Project Teams
Needanorganizational culture of quality
Needasharedmental model
Have accountability
Have a blame-freeenvironment
Blame-FreeEnvironment
Humanerror isnotthe cause of accidents,it
isa symptomof deepertrouble.
Humanerror isnot random.
Humanerror isnot the conclusionof an
investigation,itisthe beginning.
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Human Factors
“HumanFactors”is abouthow featuresof our
tools,tasksandworkenvironmentscontinually
influence whatwe doandhow we doit.
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ThreeCategoriesofPerformance
Gaps
The planitself wasinadequate toachieve
desiredoutcome (planningerror).
The planis notexecutedproperly
(executionerror).
There wasa deliberatedeparture from“safe”
practice (violation).
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Movingto a teamculture
Fuel connections–empathy
Grow knowledge,skillsandabilities
Developasharedmentalmodel
Be a learningorganization
Coach andmentordaily
Onecaution!
AvoidGroupThink
• Desirefor harmonyor conformity in the
group resultsin an irrationalordysfunctional
decision-making outcome.
Watch out for:
• Suppression of individual opinions, and
• Creativethought
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TheSocial Age
Requiresustobe:
More strategic
More creative andinnovative
More solutions-oriented
And,doit faster!
PIP Team Charter
Servesasa catalyst
Givesdirectiontothe team
Givesprotectionthe teamneedstosucceed
Communicatestonon-teammemberswhat
isgoingon
PIP Team Charter
Bringsthe teamtogetherforacommon:
• Mission
• Scope of operation
• Objectives
• Timeframe
• Consequences
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PIP Team Charter
Project Name:
TeamLeader:
TeamMembers(resident/familyincluded?):
Aim Statement:
Sponsor:
Frequency of reports:
Timelines/deadlines:
Other (Resourcelimitations?):
Let’s Build a Team
Let’s Build an Action Period
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“It's notwhetheryourglassisemptyorfull,it's
whatyoudo withitthatreallymatters.”
– SueNelson Buckley
About TMF
TMF HealthQualityInstitute focuseson
improvinglivesbyimprovingthe quality
of healthcare throughcontractswithfederal,
state andlocal governments,aswell asprivate
organizations.Formore than40 years,TMFhas
helpedhealthcare providersandpractitioners
ina varietyof settingsimprovecare fortheir
patients.
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About theQIO Program
Leadingrapid,large-scale changeinhealth
quality:
Goalsare bolder.
The patientisatthe center.
All improversare welcome.
Everyone teachesandlearns.
Greatervalue isfostered.
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Contact
Melody Malone, PT, CPHQ, MHA
Quality Improvement Consultant
TMF HealthQualityInstitute
214-632-2238
Melody.malone@hcqis.org
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Patient Safety:Nursing Home Team
nhnetwork@tmf.org
1-866-439-5863
http://texasqio.tmf.org
This material was prepared by TMF Health Quality Institute, the Medicare Quality Improvement
Organization for Texas, under contract with the Centers for Medicare & Medicaid Services (CMS), an
agency of the U.S. Department ofHealth and Human Services. The contents do notnecessarily reflect
CMS policy. 10SOW-TX-C7-14-52