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Adopt, Adapt, or Abandon: An education plan built on process improvement

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Adopt, Adapt, or Abandon: An education plan built on process improvement

  1. 1. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Adopt, Adapt, Abandon: An Educational Plan Built on Process Improvement R. Gino Chisari, RN, DNP Director of the Norman Knight Nursing Center & Clinical and Professional Development
  2. 2. The New Triple A INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Guiding Principles • This was more than the “usual” process improvement strategy of the moment • We would incorporate a known set of concepts and tools and apply them in a structured but flexible approach to designing a new reality • All employees are included and encouraged to be part of the process • Leadership support is mandatory • New ideas to improve the work and for the team to learn together
  3. 3. INSPIRATION | INNOVATION | TRANSFORMATION The Foundation – Plan, Do, Study, Act THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT The Three Questions 1. What are we trying to accomplish? 2. What change might we try that could result in an improvement? 3. How will we know that a change is an improvement? PDSA Cycle Source: Langley et. al., The Improvement Guide
  4. 4. Lean – One Approach INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT The relentless pursuit of the perfect process through elimination of waste & through respect for the worker Value/Waste in Process Before After VALUE WASTE Lean Targets Waste In a Process Key: The Focus Is On the Process Not the People Source: GE Healthcare
  5. 5. INSPIRATION | INNOVATION | TRANSFORMATION Lean Thinking – The Fundamentals THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT It’s About The Patient • Define value from the patient’s perspective • Identify the value stream – i.e. the patient’s experience from beginning to end • Standardize work processes in order to identify & reduce unnecessary variation • Establish and optimize flow • Stop and correct defects, do not pass them along • Continuously improve the process to perfection Source: GE Healthcare
  6. 6. INSPIRATION | INNOVATION | TRANSFORMATION Tips for Testing Changes THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT • Test with willing volunteers • Avoid the need for total consensus for testing • Pick relatively easy, non-controversial changes first • Collect useful data during the test and reflect on the results • Be prepared to end the small test of change • When the test is completed, select one of the following: Adopt, Adapt or Abandon Adapted from IHI
  7. 7. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT The primary goals of the educational plan was to provide each participant with a: • Strong base of support from which to successfully build upon, and actively engage on the Innovation Units • Consistent understanding and application of the principles, concepts and other transportable components of the project’s aim across each of the innovation units
  8. 8. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Approach • Self-study assignments and Proficiency Evaluation of Acquired Skills (PEAS) • Facilitated/Interprofessional Workshops • Unit-based modules • Attending Registered Nurse Weekly Meetings
  9. 9. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Tracks • General – foundational, introductory for all members of the community • Role – domain specific, including a leadership track • Unit – team building/training
  10. 10. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Content Areas • Quality & Safety • Satisfaction: patients, families and staff • Clinical Outcomes • Best Practices • Diversity • Care Continuity • Financial Outcomes • Compliance Outcomes
  11. 11. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Ongoing and Continuous Development • Support the paradigm shift • Each member of the team is entitled to professional development that raises the bar on excellence in patient and family centered care • Designed on adult learner theory that actively engages the learner, resulting in a demonstrable change in behavior and performance
  12. 12. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT The Challenge and Opportunity • The need to continue providing educational support to Phase I units, while simultaneously on-boarding Phase II and thinking about Phase III and beyond
  13. 13. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Resiliency Training Target Audience: All members of the Interdisciplinary Team Goal: To provide the opportunity for all members within the interdisciplinary team to develop skills necessary to successfully adapt to the quick pace of change
  14. 14. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Relationship Based Care Target Audience: All members of the Interdisciplinary Team Goal: To provide a consistent and uniform understanding of how each member of the interdisciplinary team has a unique opportunity to provide excellence through their personal contributions
  15. 15. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Conflict Engagement Target Audience: Leadership Goal: To provide the necessary skills to effectively engage with conflict and produce a positive and healthy outcome and environment
  16. 16. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Presentation Skills Target Audience: Attending RN Goal: To provide an opportunity for the Attending RN to develop skill and confidence with their new and emerging role
  17. 17. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Diversity Target Audience: All members of the Interdisciplinary Team Goal: To understand how the needs of our patients, families and ourselves impact on our relationships
  18. 18. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: HCAHPS Target Audience: All members of the Interdisciplinary Team Goal: To provide a understanding and meaning of patient satisfaction data and how every member of the team has a responsibility to “get the red out ”.
  19. 19. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Topic: Leadership Coaching Target Audience: Innovation Unit Leadership (nursing directors & CNSs) Goal: To provide a dedicated support to the unit-based leadership in managing the complex nature of change at the local level
  20. 20. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Evaluation • Restate the goal • Assess for communication & marketing • Assess for availability and scheduling • Assess the adequacy of the content • Assess for personal goal attainment • Assess for an example of how the information has been used • Comment section
  21. 21. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT Design • Electronic survey focusing on communication and marketing strategies, availability and scheduling of educational activities, content and attainment of the desired outcomes of each activity • Likert-type scale and free text responses that will be used to establish themes. The themes will drive further professional development and on-going educational interventions
  22. 22. INSPIRATION | INNOVATION | TRANSFORMATION THE NORMAN KNIGHT NURSING CENTER FOR CLINICAL & PROFESSIONAL DEVELOPMENT “People grow through experience if they meet life honestly and courageously. This is how character is built.” Eleanor Roosevelt

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