leaders and clinicians: why learning boards should be your new best friend
DESCRIPTION
This presentation was delivered in session C6 of Quality Forum 2014 by: Felicia Laing Project Manager, Quality & Patient Safety Vancouver Coastal Health Meghan MacLeod Quality Improvement Specialist Providence Health CareTRANSCRIPT
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Learning Boards
Felicia Laing Vancouver Coastal Health
Meghan MacLeod Providence Health Care
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Boards Boards Boards Boards
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Our Hour
1. Introduction 2. Engaging Staff with Learning Boards at VCH 3. Learning to use Learning Boards at PHC 4. Tapping into audience experience 5. Questions and closing
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Improvement Board
Knowing How We’re Doing Board
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Boards are Powerful Tools
• Share information: goals, metrics, analyses • Share ideas for change • Show where we are at
• Support teamwork and communication • Drive action and improvement • Contribute to a positive culture
• There are many right ways
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Engaging Staff to Use Learning Boards at VCH
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VCH Strategic Goals
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Bringing in change
“I’m concerned about the impact on my staff. Can we do this in stages?” Manager
“It would be nice if we had a say on what it is we are working on.” Staff Nurse
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Setting up a culture for improvement Knowing what the priorities are
Involving staff in the what and why
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Huddles Daily touch base with
team
Brief! 5 to 10 min
Interdisciplinary
What’s happened, what’s new, what’s coming
Discovery and action dialogues
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Knowing how we’re doing
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Doing something about it
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Getting staff participation
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Dot vote
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Getting leadership support
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Getting leadership support
From NHS Releasing Time to Care
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Getting leadership support
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Celebrating successes
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Key learnings Align measures with strategic goals
Ensure staff awareness and involvement
Do daily huddles
Empower staff – training, tools, voice
Have many small wins
Do leadership checks
Commit to the long haul
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Learning to use Learning Boards
Surgical Program PHC
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PHC Quality Boards
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PHC Learning Boards
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Opportunity Card
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Aver
age
Perc
ent P
ositi
ve
PHC Perioperative Safety Culture
Goal Zone
Danger Zone
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PHC Perioperative Communication & Collaboration
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Learning Board Promises
• Harness ideas • Generate engagement • Spur action • Provide visibility • Capture all voices • Share the workload • Improve teamwork and
communication
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And Go!
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Tied to strategic operational plan Great concept & look Incomplete audience Wrong presentation? Wrong presenter? No follow-up
And No
“Sounds like a make work project…No.”
No Start
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Round 2
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Round 2
Great concept & look Developed a process Introduced by area leadership Cleared board in central area Positive response & uptake
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Round 2
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Round 2
Not built into routine No follow-up
False Start
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Round 3
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Round 3 Preparation
Refined process Added prioritization stop light Initial introduction by area leadership Cleared board in central area Beside Quality Board Trialed draft at weekly team huddle
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Round 3
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Round 3
Present & supportive local leadership Team ownership New Nurse Leader with idea board experience
Immediate action “I’ve been wanting this to change for three
years.”
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Round 3
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Next Up
• Introducing to other disciplines • Building into routine • Collectively working out
– Process – Expectations – Look – Writing ideas respectfully – Finding time for staff to do QI work
• Engaging other disciplines • Role of senior leadership
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Collective Wisdom
What is ONE thing that will contribute to the successful implementation, use, and sustained
use of learning boards?
Write your strategy, tip, trick, thought, etc
on your card.
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25 will get us 10
• Take your pen. Mill about • Trade cards • Read (don’t look at the back)
Rate importance from 1-5 (5 is highest) Write number on the back
• Repeat x 5
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Our Top 10
1. High visibility & centrally located
2. Staff buy-in to get engagement
3. Interprofessional sharing
4. Make it visually simple 5. Design to draw
attention
6. Involve patients at the learning boards
7. Keep boards up to date with recent info
8. Weekly check-in 9. Involve all
stakeholders in all stages
10. Creating capacity for staff to champion ideas
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Closing
• Strategies will be available on BCPSQC
• What are you curious about?