presentation putting the fun into health improvement...

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Putting the Fun into Health

Improvement LearningImprovement FUNdamentals

Mini-MOOC

The presenters have

nothing to disclose

M8

#27FORUM#27FORUM

#27FORUM

27th Annual National Forum on Quality Improvement

in Health Care

Dec 7, 2015

Objectives

Maggie Herbert

1. Assemble a toolkit of powerful approaches for

leading and supporting improvement

2. Develop confidence, knowledge, and skills to

operate as an effective improvement leader

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WelcomeWho are we

• Maggie Herbert, Programme Manager, NHS England

• Cheryl Guest, MOOC Content Lead and Learning

Facilitator, NHS England

• Kath Stevenson, Adjunct Lecturer, Academy for the

Improvement of Health and Welfare, Jönköping,

Sweden

• Rolf Bardon, Communication Manager, Qulturum,

Jönköping, Sweden

Maggie Herbert

The presenters declare they are the creators of the Free Improvement FUNdamentals MOOC

Welcome

• Improvement Improvement Improvement Improvement FUNdamentals is a FUNdamentals is a FUNdamentals is a FUNdamentals is a

MassiveMassiveMassiveMassive, Open, Online , Open, Online , Open, Online , Open, Online Course (MOOC)Course (MOOC)Course (MOOC)Course (MOOC)

• Free and Open to ANYONE involved in Health and

care

• Delivered online to study at your own time and pace

• 8 week course of videos, articles and exercises

• Builds a global community of Health improvers

through Tweet Chats and Live events

• Study at work or home - In small chunks or one go

Improvement FUNdamentals

Maggie Herbert

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Welcome

What you will get from today

• Tool 1: Drawing Together

• Tool 2: Fishbone Diagram

• Tool 3: Fresh Eyes for Creative Thinking

• Tool 4: Family of Measures

• Tool 5: PDSA

• Tool 6: Spread from the Start

• Tool 7: Tweet for Improvement

Maggie Herbert

Welcome

• 08:30 Start

• 09:00 Module 1: Introduction to Quality Improvement

• 10:00 Coffee break

• 10:30 Module 2a: Tools & Models

• 11:30 Module 3: Measurement

• 12:00 Lunch Break

• 13:00 Module 3: Measurement

• 13:30 Module 2b: Tools & Models continued

• 14:00 Module 4: Spread

• 14:30 Coffee Break

• 15:00 Form an International Community

• 16:00 Close

Timetable

Maggie Herbert

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WelcomeIce Breaker

Cheryl Guest & Rolf Bardon

Module 1: Intro to QIDr. Mike Evans

Katherine Stevenson & Maggie Herbert

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Drawing Togetherfrom Liberating Structures


Liberating Structure developed by Henri Lipmanowicz and Keith McCandless.

Inspired by David Sibbet (The Grove) and Angeles Arrien (see Signs of Life).

Drawing TogetherStep 1


Combine the symbols to create the first draft of a story,

working individually and without words

Story about “the journey” of working on improvement

or change

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2nd draft: Refine your story by dramatizing the size,

placement, and color of the symbols



Groups of 3-4: share the drawing – the viewers

interpret the drawing

NOTE: the artist does not speak!

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Together, what do the drawings reveal?

COFFEE BREAK

See you back at 10:30

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Module 2a: Tools and Models Model for Improvement

Cheryl Guest & Katherine Stevenson

What are we trying to accomplish?

How will we know a change is an improvement?

What changes can we make (test) that will lead to improvement?

Plan

DoStudy

Act

Model for Improvement

• What is an aim?

• Aims Tips

• Our aim for today is:-

“How can we improve access to Quality Improvement

Training for Health and Care Staff”

1st Fundamental Question: AIM statements


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Exploring the ProblemFishbone Activity


Exploring the Problem

In your groups try to create a fishbone diagram using

our aim as your problem.

Fishbone Activity


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Model for Improvement3rd Fundamental Question: Where to Find Change Ideas

Rolf Bardon & Katherine Stevenson

Creative Thinkingfor Finding Change Ideas


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Creative ThinkingMental Valleys

Rolf Bardon & Katherine Stevenson Edward de Bono’s Mental Valley Model for thinking

Streams of thinking

Creative Thinking3 mental processes to think creative

Rolf Bardon & Katherine Stevenson P Plsek

MovementAttention

Escape

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Creative ThinkingFresh Eyes


How would a ___________________ handle this

problem?


Creative ThinkingMoving to 2nd Order Change

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Module 3: MeasurementCreating a Family of Measures


Model for Improvement

Considering our aim:

• What would our family of measures look like?

– Outcome: what is different for the customer

– Process: what is different about how we are delivering our

service

– Balancing: if we succeed, what unintended consequence

might we trigger

2nd Fundamental Question: Creating a Family of Measures


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LUNCH BREAK


Module 2b: Tools and Models

You have 18 minutes to complete the task in your table

groups

Using Small Tests of Learning to Speed Change: PDSA

Maggie Herbert & Cheryl Guest

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P D S A Cycles

In your groups, and using your knowledge of the PDSA

cycle, plan a PDSA cycle on paper for one of your

‘ideas’ for our improvement project aim.

PDSA Planning

Cheryl Guest & Rolf Bardon

Module 4: Spread

Helen Bevan, NHS England

Helen Bevan talks about spread

Katherine Stevenson & Cheryl Guest

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Planning for Spread from the StartDiscussion

Katherine Stevenson & Cheryl Guest

COFFEE BREAK


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ConnectingTweet Chat

Rolf Bardon

Summary

• Tool 1: Drawing Together

• Tool 2: Fishbone Diagram

• Tool 3: Fresh Eyes for Creative Thinking

• Tool 4: Family of Measures

• Tool 5: PDSA

• Tool 6: Spread from the Start

• Tool 7: Tweet for Improvement

Your New Toolkit

Maggie Herbert

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What Next

• Check www.nhsiq.nhs.uk/improvementfundamentals

for details of the next course

• Tweet with us using hashtag #QIHikers

• Put your new skills into action!

Maggie Herbert

presentation putting the fun into health improvement...

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