BUILDING A CULTURE OF QI

NNPHI QI Award Program Webinar #3November 14, 2012 1-2:30 ET1-800-273-7043, code 8422006

Organizational Culture of QI

• Organizational Structure and Processes

• Individual Approaches

Organizational Structure and Processes

Performance Management SystemLeadership Commitment

QI CouncilAgency-wide QI Plan

Engage in QI effortsTrainings, professional affiliationsQI part of employee performance

evaluation

Individual Approaches

• Demystify QI• Ask yourself: “What, exactly, is the

problem, and how will we know if we have solved it?”

• Share what you learn

Demystify QI

• Clarify the true meaning of QI• Simplify the concepts and address

fears• Apply QI tools and methods

They Are Not the Same

Quality Assurance

• Reactive• Works on problems after

they occur• Regulatory usually by

State or Federal Law• Led by management• Periodic look-back• Responds to a mandate or

crisis or fixed schedule• Meets a standard

(Pass/Fail)

Quality Improvement

• Proactive • Works on processes • Seeks to improve (culture

shift)• Led by staff• Continuous• Proactively selects a

process to improve• Exceeds expectations

They Are Not the Same

Evaluation

• Assess a program at a moment in time

• Static• Does not include

identification of the source of a problem or potential solutions

• Does not measure improvements

• Program-focused• A step in the QI process

Quality Improvement

• Understand the process that is in place

• Ongoing• Entails finding the root

cause of a problem and interventions targeted to address it

• Focused on making measurable improvements

• Customer-focused• Includes evaluation

Demystify QI

• Clarify the true meaning of QI• Simplify the concepts and address

fears• Apply QI tools and methods

Applications of QI Tools

• Gathering and organizing ideas– Brainstorm– affinity diagrams

• Making tough choices– Prioritization matrix

• Understanding the nature of a problem– Force field diagrams– Fishbone diagram

• Planning– Flowcharts– Activity Network Diagrams

What, exactly, is the problem…

• Gather data• Construct a flow chart• Do a root cause analysis

– 5 whys– Fishbone diagram

…and how will we know if we have solved it?

• Measurable objective• Aim statement

Share what you learn

• Replicate solutions• Celebrate successes• Stimulate interest• Participate in COPPHI and PHQIX

• November 15th 1-2 ET Webinar

Webinar: Submitting Your Work to PHQIX with RTI

• December 6-7th Open Forum for QI *Registration fee waived• December 30th:

– PHQIX Submission Due– Final Report Due to NNPHI

Save the Dates

*Note, if you have not used all of your QI coaching hours, please think about how you may access your coaching expertise to assist with your PHQIX submission!

QUESTIONS?

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