part one: organizational leadership - hthu · the purpose of the cphq prep course: this series is...

Part One: Organizational LeadershipPresented by: Angie Charlet, DBA, MHA, RN

A portion of these materials were produced in partnership with the Iowa Department of Public Health for the Iowa Small

Hospital Improvement Program (SHIP) Grant FY 18Contract #5888SH01 and the Georgia State Office of Rural Health for

the Georgia Small Hospital Improvement Grant FY 18.

Virtual Book ClubCPHQ Prep Series

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Continuing EducationAs an IACET Authorized Provider, HomeTown Health, LLC offers CEUs for its programs that

qualify under the ANSI/IACET Standard. HomeTown Health, LLC is authorized by IACET to

offer 0.1 CEUs for this program. View a complete list of who accepts IACET at www.iacet.org

In order to obtain these units, you must:

• Attend webinar/view recording in its entirety within 30 days• Pass online quiz with 80% or better.• Complete webinar evaluation.

Following this webinar, all attendees who have viewed the recording in its entirety will receive an email with a link to the quiz and evaluation. Anyone that misses the webinar can view the recording online, posted on the program Dashboard, for CEUs.

Questions? Contact [email protected]

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Certified Professional in Healthcare Quality Prep

Welcome & Introductions Susannah Cowart,HomeTown Health, LLC

Discussion/Moderation and Practice Questions

Angie Charlet, ICAHN

Upcoming Events & Resources Susannah Cowart,HomeTown Health, LLC

Agenda

*Please allow for 60 – 90 minutes for each Virtual Book Club Session!

Program Goals & AudienceThe purpose of the CPHQ Prep Course: This series is to

provide ongoing training, support, and an opportunity for

collaboration and sharing of best practices while preparing

together for the CPHQ exam.

Who will benefit from participating in the program?

Designed for quality professionals at various stages of their

career. While the NAHQ recommends at least two years of

real-world experience for the exam, this series will provide

insight and knowledge for anyone at any level of their

professional quality career.



Program Dashboard: www.hthu.net/cphqbc

Questions? Contact: Susannah Cowart at [email protected] orAngie Charlet at [email protected].

Date Section to Read Focus Areas and Discussion

November 1st Roll out and overview of Healthcare Quality Concepts

IOMAHRQThree Aspects of QualityKey Dimensions of Quality Care/Performance

December 6th HQ Solutions 4th Ed.Section 1: Organizational LeadershipPages 1-66

Disruptive InnovationQuality InfrastructureSurvey ReadinessEducation and Training

January 3rd Section 2: Patient SafetyPages 72-123

Systems ThinkingRisk ManagementPatient Safety Tools

February 7th Section 3: Performance and Process ImprovementPages 134-163 (First half)

Leadership/Governing BodyPI ApproachesPeer Review

March 7th Section 3 Cont.: Performance and ProcessPages 164-193

PI Tools and UtilizationTeamwork/Structure/EngagementTraining needs assessment

April 4th Section 4: Health Data AnalyticsPages 200-239

Design and ManagementMethods and ToolsStatistical Techniques

May 2nd Review DayWatch CPHQ videosPractice Test

Review areas of need/requestsShare best practices from everyone

Prep Call Schedule

http://www.hthu.net/cphqbc

Program Resources


- Most of you received”- Book: “HQ Solutions: Resource for the Healthcare

Quality Professional,” - the online “HQ Principles: Build Your Quality Toolkit: an

interactive online certificate program” and - the online CPHQ Practice Exam.”

- Some of you only receive the online practice exam (if another at your hospital was participating)

- If you haven’t received or aren’t sure what you should have, contact HTH team!

Program Resources


- For online access, you should have received a Welcome Email from NAHQ.

Follow the steps provided to “reset your password” to login, and then to add the two items to your account.

- There will be no charge, but you have to “purchase” them to see them on your account.

- To view them, once you are logged in and have “purchased” them, click on “My Events”

Online Program Resources


If you have trouble accessing

online materials, please

contact:

The NAHQ service team:

[email protected] 847.375.4720.

mailto:[email protected]

Proprietary InterestHomeTown Health, LLC and ICAHN do not have any proprietary interest in any product, instrument, device, service, or material discussed during this learning event.

CompensationThe education offered by the HomeTown Health and ICAHN in this program is being compensated in part by the HRSA Small Hospital Improvement Program (SHIP) Grant in various states and in partnership with the Iowa Department of Public Health, Georgia State Office of Rural Health, and Florida Department of Health.

RepresentationThe CPHQ is not sponsored by, nor are the book club moderators authorized representatives of, the National Association of Healthcare Quality (NAHQ)

Disclosures


Angie Charlet, DBA, MHA, RN

Director of Quality Services - Illinois Critical Access Hospital Network (ICAHN)Angie Charlet is a Registered Nurse with over 27 years in the healthcare industry. She has a

Bachelor’s in Nursing, a Master’s in Healthcare Management with a focus in performance

improvement and her Doctorate Degree in Business Administration with a focus on Healthcare

Management and Executive Leadership. She is certified in CPHQ, Certified in both Lean and Black

Belt Six Sigma. She is employed by the Illinois Critical Access Hospital Network (ICAHN) as the

Director of Quality and Education and functions as the Quality Director and Compliance Officer for

their new ACO; Illinois Rural Community Care Organization (IRCCO), which is currently

implementing the Patient Centered Medical Home and Care Coordination as the foundation within

the ACO. Angie provides training, education, mock surveys and resources to both critical access

hospitals and RHCs. Her focus is around regulations, quality initiatives, PCMH implementation,

care coordination and expanding the market share by creating a medical neighborhood. Her skill

sets include demonstrated team building, network engagement, evidence-based practice, PCMH,

Lean and Six Sigma along with Leadership Coaching to bring new initiatives/practice models.

Speaker Biography


Part One: Organizational LeadershipPresented by: Angie Charlet, DBA, MHA, RN

A portion of these materials were produced in partnership with the Iowa Department of Public Health for the Iowa Small

Hospital Improvement Program (SHIP) Grant FY 18Contract #5888SH01 and the Georgia State Office of Rural Health for

the Georgia Small Hospital Improvement Grant FY 18.

Rural and Critical Access HospitalVirtual Book Club

CPHQ Prep Series

Today’s Focus:Organizational Leadership

Section 1

Training from: HQ Solutions: Resource for the Healthcare Quality Professional

4th Ed

• Leadership Framework

• Disruptive Innovation

• Quality Infrastructure

• Survey Readiness

• Education and Training


Learning Outcomes


By the end of this session, you should be able to:

• Describe four leadership framework models

• Explain the six change model strategies

• Describe how to integrate results from quality and performance improvement into organization strategic plan

• Identify benefits to continuous survey readiness practices

• Discuss the six competency areas of healthcare quality professionals

Learning Outcomes


Last Time: Definitions of Quality

• Webster’s: “having a high degree of excellence” (adj.); “peculiar and essential character” (noun)

• Quality is doing the right things right the first time

• CMS: “The right care for every person every time”

• IOM: “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge”

• AHRQ: quality healthcare as healthcare that is…”accessible, effective, safe, accountable, and fair…”

Learning Outcomes


Three Aspects of Quality “The Map”

• Measurable quality

• Appreciative quality

• Perceptive quality

• Quality strategy is effective in tracking measurable quality while understanding the value and necessity of appreciative quality and actively fostering perceptive quality.

Learning Outcomes


Key Dimensions: 11 Keys

• Appropriateness

• Availability

• Competency

• Continuity

• Effectiveness

• Efficacy

• Efficiency

• Prevention/Early Detection

• Respect and Caring

• Safety

• Timeliness

Poll Question

• Monitoring the specific organization and content requirements of a medical record system is a review of which focus?

a) Outcome of care

b) Process of care

c) Structure of care

d) Administration of care

Leadership

Framework

• Donabedian

• Baldrige

• IHI

• High-Impact

• Leadership Styles

• Leadership Practices

Culture

• Elements

• Assessment

• Just Culture

• Focus to Patient Safety

• Strategic Planning

• Hoshin Planning


Poll Question

• The leadership style that is said to motivate employees, and that optimizes the introduction of change is:

a) Autocratic

b) Consultative

c) Participatory

d) Democratic

Poll Question

• Organizational “Culture” most often refers to:

a) the ethnicity of the organization’s employees and licensed independent practitioners

b) assumptions about people and how work gets done

c) The efforts to reach out to the diverse groups in the community

d) The scheduled social and cultural events within the organization

Poll Question

• Strategic leadership is linked to success in meeting

a) Budget requirements

b) Intended objectives

c) Governing body policy

d) Contract requirements

Poll Question

• In the language of strategic planning, the ‘strategies’ of the organization can also be called

a) Objectives

b) Critical success factors

c) Goals

d) Dashboard

Learning Outcomes


Change Management

Six Models

• Lewin’s Change Model

• Palmer's Change Model

• DeWeaver and Gillespie’s Change Model

• Galpin’s Human Side of Change Model

• Kotter’s Heart of Change Model

• Prochaska’s Transtheoretical Change Model

Poll Question

• When reflecting on each of the six models of change management, which one most reflects your organization style?

• Lewin’s Change Model

• Palmer's Change Model

• DeWeaver and Gillespie’s Change Model

• Galpin’s Human Side of Change Model

• Kotter’s Heart of Change Model

• Prochaska’s Transtheoretical Change Model

Learning Outcomes


Disruptive Innovation

Four W’s: Who, What, When and Where

Roger’s Diffusion of Innovation Model: 5 Stages

1. Knowledge

2. Persuasion

3. Decision

4. Implementation

5. Confirmation

Learning Outcomes


Regulation and Leadership

Federal Regulations

EMTALA

HIPAA

PPACA

MACRA/QPP

Agencies

OSHA

HHS

CMS

CDC

FDA

AHRQ

Poll Question

• When reviewing the Federal Regulations, which area would you like more education on:

a) EMTALA

b) HIPAA

c) PPACA

d) MACRA/QPP

e) Other

Continuous Survey Readiness

• Just-in-Time Readiness

• Continuous Readiness

• Accountability

• Leadership

• Management

• Oversight

• Survey Process


Education and Training

• Six Essential Competency Areas

• Health Data Analytics

• Population Health and Care Transitions

• Performance and Process Improvement

• Regulatory and Accreditation

• Quality Review and Accountability

• Patient Safety


QuestionsFor more information, or for questions please

contact:

Angie Charlet: [email protected]

or [email protected].


Upcoming Events

in the CPHQ Prep Program

Program Schedule


Date Prep Call / Training Topic Section / Discussion Material

November 1, 2018 Kickoff Session Healthcare Quality Concepts Program Introduction

December 6, 2018 Prep Call One Organizational Leadership Section 1: Pages 1-66

January 3, 2019 Prep Call Two Patient Safety Section 2: Pages 72-123

February 7, 2019 Prep Call Three Performance and Process

Improvement, Part One

Section 3: Pages 134-163

March 7, 2019 Prep Call Four Performance and Process

Improvement, Part Two

Section 3: Pages 164-193

March 13, 2019 Live Training – Des

Moines, Iowa

“Cram Session” Live Training

April 4, 2019 Prep Call Five Health Data Analytics Section 4: Pages 200-239

April 24, 2019 Live Training –

Savannah, Georgia

“Cram Session” Live Training

May 2, 2019 Prep Call Six Review Watch CPHQ Videos ; Review

Practice Test

Text:HQ Solutions: Resource for the Healthcare Quality Professional 4th Ed

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part one: organizational leadership - hthu · the purpose of the cphq prep course: this series is...

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