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OUR CONTINUOUS JOURNEY TO EXCEPTIONAL
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Mission Accomplished through CQIplus
CQIplus helps us fulfill our mission, “Through our Exceptional health care services, we reveal the healing presence of God.”
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Approach
CQI – 1990 PDSA Change Management Facilitation Skills
CQIplus - 2007 Six Sigma Lean
SAH Focus - CQIplus integration began to expand culturally – 2010
Additional Hospitals – Training offered – 2012
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Approach
5 CQIplus Principles
Patients and other customers are our first priority
Quality is achieved through people
All work is part of a process
Decision making by facts
Quality requires continuous improvement
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Deployment
Began with the “Chosen Few” Now includes formal and informal leaders who are
interested in challenging themselves and the status quo
Who are the participants? Administration – 5% Physicians – 5% Directors – 27% Managers/Supervisors – 35% Line Staff – 27% Contracted Services – 2%
YOU DON’T NEED A TITLE, JUST AN INTEREST
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Learning
Oklahoma Region Project Team Leader Training (PTL)
9 days (72 hours) of classroom training - Practical Lecture Breakouts Lessons Learned Application of Tools Peer Review Survey of Instructors
Test Modules – Knowledge Level Presentation to Administrative Council and Leadership –
Share/Reward Executive Champions/Mentors assigned to all students
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Learning
Oklahoma Region cont…
Advanced Project Team Leader Training (APTL)
Operational Team Leader Training (OTL)
Lean Principles for Process Improvement
Emerging Leaders
New Employee Orientation
Leadership Training Series
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Learning
SSMHC System
CQIplus for Administrative Council Members CQIplus Workgroups Steal Shamelessly Speaker Series Showcase for Sharing Leadership Retreats Collaboratives
Emergency Department Throughput/Satisfaction Palliative Care Readmissions
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LearningNationally
Collaboratives Quest/Partnership for Patients (P4P) Palliative Care Readmissions Inpatient Surgical Mortality Adverse Drug Events
Professional Organizations Oklahoma Quality Awards (OQA) American Society of Quality (ASQ) American College of Healthcare Executives (ACHE) Institute for Healthcare Improvement (IHI)
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Learning
PTL Certification Requirements
Executive Champions
Mentors
Project Team Members
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Learning
Project Team Members Survey Question – What was the best thing about participating in your workgroup?
That people were able to understand the process and how they affect my work when they do not do what I need them to do. Also, I liked getting results that made my job more effective.
It was an opportunity for everyone to be able to visualize the complexity of a seemingly simple task.
The group was a good mix of users across functional areas. The best things were being introduced to our CQI process, debating with others in the know and learning about the topic at hand.
Knowing about potential performance improvement efforts and CQI projects. Having a clearer perspective of how meaningful sources for projects is determined.
Great experience, especially for first timers on a team of this kind
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Integration
Patient Care – 38% Clinical Outcomes Patient Safety Patient Satisfaction
Commitment – 27% Employee Commitment Physician Commitment
Financial – 35% Financial Performance Growth
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Integration
Physician Continuing Medical Education (CME) UR Committees (SAH and HF) Performance Improvement/Patient Safety Council (PIPS) Patient Safety Quality Council (PSQC) Patient Centered Medical Homes (PCMH) Board Membership (representing transitional care
opportunities) Newsletters (staff, physicians, nursing) Quality Companion – Electronic database of projects (in
process and completed – available across system) Sharepoint Sites
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Continued Opportunities
Resource limitations
Ability to change faster
Competing priorities
Communication challenges
Transitional Care/Community Integration and Changing Responsibilities
We are in this together…We will succeed or fail as a community. The choice is ours.