XIII. Great Learning Sessions (Part 2)

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BTS College AgendaDay 1:Collaborative OverviewTopic SelectionModel for ImprovementTechnical Content

Day 2:Technical ContentPreparing for the CollaborativeTeaching the Model for ImprovementLearning Sessions

Day 3:Learning Sessions/Action PeriodsScience of ImprovementGuiding and Closing/PlanningProblem Solving/Evaluation

Post Session Support:Monthly CallsExtranet ResourcesListserv

ObjectivesBy the end of this session, you should know how to:

Engage faculty to make learning sessions productiveDesign Learning Sessions 2 and 3 to bolster Collaborative Learning

AgendaResults from the Learning SessionsEngaging facultyLearning Sessions 2 and 3 - What’s New?

IHI Breakthrough Series(6 to 18 Months Time Frame)

Select Topic

(Develop Mission)

Planning Group

Develop Framework & Changes

Participants (10-100 Teams)

Prework

LS 1

P

S

A DP

S

A D

LS 3LS 2

SupportsEmail Phone Conferences

Extranet Visits Assessments

Sponsors Monthly Team Reports

DisseminationPublications,

Congress, etc.A DP

SExpert Meeting

AP1 AP2 AP3*

LS – Learning Session

AP – Action Period

*AP3 –continue reporting data as needed to document success

Holding the Gains

Learning Session ObjectivesObjectives:

1. Learn and “get” the Change Package2. Learn method for accelerating improvement3. Get connected to colleagues4. Make solid plans for taking action quickly

Our agenda sets this up, but to get there….

LS 1 Agenda at a GlanceDay 1 Find Ideas Day 2 Plan Changes

• Welcome, Introductions & Overview

• Shared Vision and Agenda

• Improving Care

• Elements of a Good System of Care (change package)

• Breakout Sessions A (changes)

• Lunch & Storyboards

• Breakout Sessions B (changes)

• Model for Improvement

• Organizational Team Meeting I

• Open Panel Discussion

• Skill Building Breakouts C

• Measurement Breakout

• Accelerating Improvement - PDSA

• Organizational Team Meeting II

• Lunch (at your leisure)

• Breakout Session D -Collaboration and Feedback

• Planning for Action Period I

• Closing

Learning Session OutputA viable plan for the first test of changeA written and feasible project plan that includes testing multiple changesThe motivation and confidence to get started immediately

Engaging FacultyPlan the meeting with themPlay to their strengthsOrient them well-phone calls and meetingsGive them a “play book”—faculty agendaBuddy system

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All of this Work Is To Get Ready for the Action Period

Organization Teams:Try changesMeasure resultsGet help from colleagues and collaborative leaders

Collaborative Leaders:• Support teams in their

improvement work• Build collaboration and

shared learning• Assess collaboration

and progress

Action periods are the times when change happens and processes improve

Subsequent Learning Sessions

Learning Session ObjectivesLearning Session 1

Get Ideas

Get Methods

Get Started Learning Session 3

Celebrate Successes

Get ready to Sustain and Spread

Learning Session 2

Get More Ideas

Get Better at Methods

Get a “Stride”

Test all changes on small scale

Action Period 1

Test & implement all

changes

Action Period 2

Learning Sessions 2 and 3What Is Different?

Each table is assigned to either Learning Session 2 or Learning Session 3At your table, read through the material and each person write down the answers to the following:– What is different about the Learning Session from

the participants’ perspectives?– What has to happen at the Learning Session to

assure success?

Learning Session 2: What Is New?

Assess progress of Collaborative as a wholeAssess team’s use of Change PackageClear up issues with measurement strategy Early adopter teams set the paceMore team involvement in teachingStoryboards have a storySenior Leaders may be thereTeams have to understand testing and implementation before they leave

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LS 2 Agenda at a GlanceDay 1 Assess Progress Day 2 Plan Changes

Welcome, Introductions & Overview

Collaborative Progress

Improving Care (updates on Change Package)

Breakout Sessions A (team progress with Change Package)

Lunch & Storyboards

Breakout Sessions B (Team presentations on changes) -repeated

Organizational Team Meeting I

Open Panel – Team Presentations

Plenary on Key Topic

Breakouts C – Deeper understanding of changes

Accelerating Improvement

Lunch

Organizational Team Meeting II

Report Out on Action Period Plans

Action Period Activities(No Model Talk)

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Learning Session 2: Success Factors

Teams harvest changes and understand the use of the Change PackageUse of Early Adopters as examplesUnderstanding testing and measurementCollaborationTeams leave with strong and detailed plans for the next Action Period

Learning Session 3: What Is New?CelebrationEven more team teaching and involvementStoryboards have results and tell the team’s storyTeams become focused on holding the gains and spread

LS 3 Agenda at a Glance

Day 1 Celebrate and Share Day 2 Plan for Spread

Welcome, Introductions & Overview

Collaborative Results and Accomplishments

Breakout Sessions A (Team presentations on changes and results)

Lunch & Storyboards

Breakout Sessions B (Team presentations on changes and results)

Advanced Issues

Open Panel – Team Presentations

Plenary on Key Topic

Breakouts C – Advanced Issues

Holding the Gains and Spread

Lunch

Planning for Holding the Gains and Spread (Org.Team Meeting)

Report Out on Plans

Closing

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Learning Session 3: Success Factors

The teams are the facultyCelebration - Everyone has something to be proud ofNew and innovative ideas, based on the team’s experience, come to the tableInitiation of spread is evident in at least a few organizations

From Learning to ActionLearning Sessions set up participants to take action-

• Will-Connection to colleagues, ambitious plans, confidence and competition

• Ideas-Begin with a great list and prepare to learn more from colleagues

• Execution-A method that, once learned, will carry them through many cycles of learning

To the Workbook…Please go to the Planning Guide section of the Workbook and complete the Worksheet for Great Learning Sessions (Part 2).

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