OUR CONTINUOUS JOURNEY TO EXCEPTIONAL

Mission Accomplished through CQIplus

CQIplus helps us fulfill our mission, “Through our Exceptional health care services, we reveal the healing presence of God.”

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

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

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

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

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

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

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)

Learning

PTL Certification Requirements

Executive Champions

Mentors

Project Team Members

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

Integration

Patient Care – 38% Clinical Outcomes Patient Safety Patient Satisfaction

Commitment – 27% Employee Commitment Physician Commitment

Financial – 35% Financial Performance Growth

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

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.