qi award program cycle 2 kick-off training december 5, 2012 charlotte, north carolina

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QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

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Page 1: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI Award ProgramCycle 2

Kick-Off TrainingDecember 5, 2012

Charlotte, North Carolina

Page 2: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Agenda• Introductions

– NNPHI and RWJF Staff Team– QI Coaches– QI Award Program Sites

• What it takes to be a successful awardee– QI Award Program Overview– Understanding QI Coaching

• Review our time for the rest of the day

Page 3: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

NNPHI and RWJF Team

Lee Thielen, CO

Jennifer McKeever, DC

Les Beitsch, FL

Nikki Lawhorne, AL

Whitney Magendie, LA

Sarah Gillen, LA

Liljana Johnson, LA

Emily Richardson, LA

Merilee Jones, LA

Pamela Russo, NJ

Katie Wehr, NJ

Page 4: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI Coaches

Marni Mason, WA

Bill Riley, MN

Joe Kyle, SC

Laurie Call, IL

Lea Ayers LaFave, NH

Grace Gorenflo, PA

Jack Moran, DC

Chris Bujak, PA

Jim Butler, MI

Page 5: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI Award Program Sites (Cycle 2)

LHDs (21)LMs (2)

SHD (4)

Tribe (2)

Territory (1)

Page 6: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina
Page 7: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI Projects Introductions

1. Introduce yourself and other team members

2. Share your aim statement

References:Aim statements document in training folder

Page 8: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI AWARD PROGRAM SITE Focus Program/function Strategy

Onondaga County Health Department NY Administrative law PH Enforcement PH law enforcement

Cerro Gordo County Board of Health IA Child health (pertussis) Surveillance Shorten time of onset and disease report

Warren County Health Services IA Child Safety Lead testing

Nebraska Department of Health and Human Services NE Chronic Disease Increase compleition of Living Well

Program

Harford County Health Department MD Cultural Competency Language Services Improving utilizing of LEP language

services

Red Cliff Community Health Center WI Family planning Post-partum contraception plan

American Samoa Department of Health

AS Food safety Food vendors Licensing of food vendors

Wicomico County Health Department MD Food Safety Restaurant inspections Reduce violations

QI Projects at A Glance

Page 9: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI AWARD PROGRAM SITE Focus Program/function Strategy

Bergen County Department of Health Services NJ Food safety Restaurant

inspectionsIncrease restaurant participation in

Goldstar Award Program

Washington State Departmen of Health WA HIV Services

Increase eligibility application processing time

Reduce staff time processing applications

Collier County Health Department FL Immunizations Pertussis vaccines for pregnant women

Green lake County WIImmunizations

(11-18 years old)

Decrease missed opportunities

Ware County Board of Health GA Immunizations (2 yr olds) Increase immunization rates

Utah Department of Health UT Lab Services Customer Service

Jefferson County Public Health Service NY Lyme Disease Disease reporting Decrease case reports and # who meet

definition for Lyme disease

QI Projects at A Glance

Page 10: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI AWARD PROGRAM SITE Focus Program/function Strategy

Mississippi State Department of Health MS MCH WIC/nutrition WIC participation

Maricopa County Department of Public Health AZ MCH WIC/nutrition Increase client encounters

DuPage County Health Department IL MCH Prenatal Care Access to care

Clark County Health Department KY MCH Home visiting Home Visiting

Mid-Michigan District Health Department MI MCH Care coordination

Reduce office time spent on paperwork, not in field with clients

Meeker-McLeod-Sibley Community Health Services MN MCH WIC/obesity fruit & veg vouchers utilization

Yellowstone City County Health Department d/b/a RiverStone Health MT MCH WIC/nutrition WIC enrollment

Sullivan County Public Health Services NY MCH Prental Care increase referrals to nurse home care

QI Projects at A Glance

Page 11: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI AWARD PROGRAM SITE Focus Program/function Strategy

City of Cudahy Health Department WI MCH Prental Care Coordination Increase enrollement in PNCC

County of Multnomah OR MCH/Cultural Competence Prenatal Care Prenatal care for foreign-born clients

Forest County Potawatomi Community WI

Motorvehicle injury

preventionCar seat safety Car seat safety/child care seats

Central District Health Department ID Smoking Cessation Enrollment in smoking cessation

programs for pregnant WIC clients

Seminole County Health DepartmentFL STD texting test resutls

Boston Public Health CommissionMA Substance

Abuse Expedite connection to SA services

Whatcom County Health Department WA TB Improve % w/ latent TB who start tx

QI Projects at A Glance

Page 12: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Being a Successful QI Awardee

Reference:QI Award Program Participant Manual

Page 13: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Program Overview

The QI Award Program provides health departments with a hands-on opportunity to learn and apply QI to make incremental improvements with the guidance of an experienced QI Coach and participate in the Community of Practice for Public Health Improvement (COPPHI)

The QI projects completed under the Award Program will be submitted to PHQIX.org, an online resource of QI projects we’ll learn more about over the next 2 days

Page 14: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Technical Assistance • Individual QI Coaching (15 hours per site)• Webinar Series (4 total webinars)

– Webinar dates TBD

• In Person Training (Today!)• QI Open Forum (Tomorrow and Friday)• QI Resources

– Embracing Quality in Public Health: A Practitioner’s Quality Improvement Guidebook (free resource)

– Quality Improvement for Public Health Certificate Program (free resource)– Public Health Memory Jogger ($14.95 per book)– Public Health QI Encyclopedia ($27.50 per book)

Page 15: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Technical Assistance• Shared Email List/Google Group• Periodic Emails with Announcements• Templates

– Press release to announce selection to participate in the QI Award Program

– Progress Report (will be sent out later in the project)– Final Reporting (will be sent out later in the project)– PHQIX.org submission template

• QI Award Program Participant Manual– An electronic copy will be provided and updated throughout

the project.

Page 16: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Technical Assistance• NNPHI Online Resources

– QI Award Program Participant’s Corner– Public Health Performance Improvement Toolkit

• www.nnphi.org/phpit

Page 17: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina
Page 18: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina
Page 19: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina
Page 20: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina
Page 21: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Technical Assistance• Recommended QI Project Timeline

– Organized by the PDCA/PDSA cycle– Page 9 of QI Award Program Participant

Manual

Page 22: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI Project Implementation Steps

Date

QI Award Program Kick-Off Training

December 5, 2012

PLAN Begin this phase around December 15, 2013 based on your work with your QI Coach

1. Identify the Problem to be Addressed with QI Completed upon proposal submission

1. Describe the Current Process 1. Collect Data on Current Process 1. Identify Possible Causes 1. Identify Potential Improvements 1. Develop Improvement Theory 1. Develop Action Plan

SHARING WEBINAR #1

January 2013(Specific date TBD)

SHARING WEBINAR #2

March 2013(Specific date TBD)

Page 23: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

DO Begin this phase around March 1,

2013 based on your work with your QI Coach

1. Implement the Improvement 1. Collect and Document the Data 1. Document Problems, Observations, and Lessons MID-PROJECT PROGRESS REPORT DUEUtilize electronic template/survey that will be provided by NNPHI to submit your report.

April 4, 2013

SHARING WEBINAR #3: May 2013(Specific date TBD)

QI Training and OPEN FORUM MEETING (Madison, Wisconsin)Attendance is optional. Please note that attendance at this second Open Forum Meeting is not sponsored by NNPHI.

June 11-13, 2013

Page 24: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

CHECK Begin this phase around June15, 2013 based on your work with your QI Coach

1. Reflect on the Analysis 1. Document Problems, Observations, and Lessons

Learned

ACT Begin this phase around August 1, 2013, based on your work with your QI Coach

1. Determine whether to: Adopt (Standardize Process), Adapt (return to “do” stage), or Abandon (return to “plan” stage)

2. Articulate Next steps to monitor and hold the gains SHARING WEBINAR #4

Late July 2013(Specific date TBD)

Page 25: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

PROJECT WRAP-UP QI Projects should be wrapped up by July 31, 2013

FINAL PROJECT REPORT DUEUtilize electronic template/survey that will be provided by NNPHI.

August 30, 2013

PHQIX.org SUBMISSION DUESubmit project to PHQIX with assistance from QI Coach.

August 30, 2013

FINAL PROJECT INVOICESubmit a final invoice to NNPHI via email attachment to Merilee Jones ([email protected]) to receive second payment on contract.

August 30, 2013

Page 26: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Summary of Key DatesItem Date

Project Start Date December 1, 2012

QI Award Program Kick-Off Training December 5, 2012

Open Forum for QI December 6-7, 2012

Sharing Webinar #1 January, 2013 TBD

Sharing Webinar #2 March, 2013 TBD

Progress Report and QI Coaching Survey April 4, 2013

Sharing Webinar #3 May 2013 TBD

Open Forum for QI*Note: attendance optional, not sponsored .

June 11-13, 2013

Sharing Webinar #4 Late July, 2013 TBD

Project Wrap-Up July 30, 2013

Final Progress Report and Invoice August 30, 2013

QI Coaching Survey August 30, 2013

Submit project to PHQIX.org August 30, 2012

Page 27: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

QI CoachingWhat should I expect from my QI coach?• Technical expertise: The provision of incremental

education/training• Objective input: The provision of objective input that

will help provoke critical thinking and a deeper understanding of the QI process

• Real experience: The provision of information and guidance as you go through the improvement process

• Clear expectations: The provision of information to help you be clear about what comes next (e.g., when is the next call/communication, etc., what is my homework, etc?)

• Regular Check-ins scheduled in advance.

Page 28: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

What is expected of Me/My Site?

• Take guidance of coaches and be open to coach feedback

• Use the full 15 hours/be available to coaching• Ask your coach if you do not understand something• Participate in the process (participate in the calls)• Share your work with the QI coach (even if it’s not

where you think it should be) – the coach is here to help you

QI Coaching

Page 29: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Questions?

Page 30: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

What’s Next?• Building Healthy QI Teams• The ABCs of PDCA• Lunch with your QI coach and fellow teams• By agenda color…

– Individual time with your QI Coach– Conversation with Cycle 1 Awardees– Training on QI Tools

• Final Wrap-Up and Questions– Do you have any final questions for us?– How can NNPHI and your QI Coach help you be

successful?

Page 31: QI Award Program Cycle 2 Kick-Off Training December 5, 2012 Charlotte, North Carolina

Thank you!Primary Contact

Whitney [email protected]