deeper dive into collaboratives understanding structures and roles colleen kennedy january 30 &...
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Deeper Dive Into CollaborativesUnderstanding Structures and Roles
Colleen Kennedy January 30 & 31, 2013
Collaboratives: What Are They?
• Magic!• Facilitate large scale change• Bring teams together• Shared learning sessions & webinars• Rapid tests of change• Foster lasting improvement
Source: Institute for Healthcare Improvement
Collaboratives: Defined
• “An improvement method that relies on spread and adaptation of existing knowledge to multiple settings to accomplish a common aim.”
Source: Institute for Healthcare Improvement
Structures
Dissemination
PublicationsCongress etc.
Holding the Gains
Action Period 3
LS 3LS 3
Action Period 2
LS 2LS 2
Action Period 1
LS 1LS 1
Prework
Participants (10-100 Teams)
Planning Group
Develop Framework & Changes
Expert Meeting
Select Topic(Develop Mission)
Structures: Expert Meeting to Prework
LS 1LS 1
Prework
Participants (10-100 Teams)
Planning Group
Develop Framework & Changes
Expert Meeting
Select Topic(Develop Mission)
Prework: Examples
• 2 examples – both good• At your tables, please take five minutes to:
• Review• Discuss key features of a pre-work package• Consider: if you were starting a new project, what would you
want to help you prepare if you were a participant?
• Group thoughts?
Prework: Content
• SLAB• What Does a Pre-Work Resource Include?
• Problem statement• Charter• Description of collaborative model• Improvement team member recommendations• Learning session and webinar dates• Overview of Improvement Model• Collaborative measures• Pre-work checklist***
Prework: Purpose
• Lays the foundation for work• Starts to build energy for improvement• Allows teams to “hit the ground running” starting
at the first learning session
Prework: Meeting
• Collaborative Director connects with each team• Purpose:
• Establish connection and outline expectations• Assess and assure readiness• Outline steps required in advance of learning session 1• Ensure senior leadership support• Answer questions/concerns
Structures: Continued
Dissemination
PublicationsCongress etc.
Holding the Gains
Action Period 3
LS 3LS 3
Action Period 2
LS 2LS 2
Action Period 1
LS 1LS 1
Prework
Participants (10-100 Teams)
Planning Group
Develop Framework & Changes
Expert Meeting
Select Topic(Develop Mission)
Roles & Responsibilities: Chaos• What happens when roles and responsibilities
aren’t clear?• Please take a few minutes with a partner at
your table to:• Discuss a project you were involved with in which
roles and responsibilities weren’t clear• What did that look like? What was the effect?
• Group thoughts?
Roles & Responsibilities• Defining roles a critical step• What are the different roles?• Planning Group (Chair)• Director• Improvement Advisor• Project Coordinator• Topic Experts (Faculty)
Structures: Roles and Responsibilities
Dissemination
PublicationsCongress etc.
Holding the Gains
Action Period 3
LS 3LS 3
Action Period 2
LS 2LS 2
Action Period 1
LS 1LS 1
Prework
Participants (10-100 Teams)
Planning Group
Develop Framework & Changes
Expert Meeting
Select Topic(Develop Mission)
Roles & Responsibilities: Planning
• Chair• Faculty members• Collaborative Leadership:– Director– Improvement Advisor– Coordinator
Roles & Responsibilities: Faculty(.1 FTE)
• Multi-disciplinary topic experts• Specify goals, high level changes for pre-work• Teaches and coaches• Advises
Source: Institute for Healthcare Improvement
Roles & Responsibilities: Director (.4 FTE)
• Managing collaborative process• Pre-work development & recruiting• Creates and facilitates meetings and conference call
agendas• Monthly reports• Coaches– Learning Sessions– Action Periods
Source: Institute for Healthcare Improvement
Roles & Responsibilities: Improvement Advisor (.2 FTE)
• Expert in improvement theory and methods• Coordinates aim, measures, changes• Packages changes• Designs a measurement system• Teaches and coaches• Assess collaborative progress
Source: Institute for Healthcare Improvement
Roles & Responsibilities: Coordinator(.4-.5 FTE)
• Collaborative administration (timelines, contracting, finances)
• Correspondence, meeting and marketing materials
• Oversees action period activities• Manages registration, payments and learning
session logistics
Roles & Responsibilities: Keys for Success
• Complementary skills• Clearly defined yet fluid roles• Knowledge and skills in technical (topic) area• Passion!!
Source: Institute for Healthcare Improvement
Roles & Responsibilities: Keys for Success
Dissemination
PublicationsCongress etc.
Holding the Gains
Action Period 3
LS 3LS 3
Action Period 2
LS 2LS 2
Action Period 1
LS 1LS 1
Prework
Participants (10-100 Teams)
Planning Group
Develop Framework & Changes
Expert Meeting
Select Topic(Develop Mission)
Roles & Responsibilities: Local Improvement Teams
• Dependent on collaborative topic• Senior leader sponsor• Touch the process• Passionate about improvement• QI Consultant