SEIU Healthcare PASEIU Healthcare PAModel for Labor-Management Quality Model for Labor-Management Quality

Partnership ProcessPartnership Process

Making Quality Care Partnership Succeed

2011 Quality Care Summit

4 Pieces of the Model4 Pieces of the Model

1. Foundational Principles2. Structures (of meetings/committees)

3. Problem Solving Process4. Training and Support

1. Foundational Principles1. Foundational Principles

• Front-line Nurses are experts – Focus on changes at the point of care and patient

experience

• Evidenced Based approach• Working together we can achieve better

results on improving patient care than not.• Engaging employees on quality improvement

benefits union and management

Foundational Principles

Strategic Formal Partnership

Contractual Agreement with Goals and Process

Informal Commitment between Union and Management

2. Structures

Formal Structure on Quality Improvement Process

Labor-ManagementCommittee

Ad-hoc Committee

2. Structures

Work Area Committee(s)

Interdisciplinary Project team formed from broader committee

Facility Based

Committee

Nursing or Multi-disciplinary

2. Structures2. Structures

• Agreed upon structure for meetings– Should include work at the unit level

• Agreed upon Purpose• Decision Makers Participation

3. Problem Solving Process

• Data driven and experimental• Have an agreed upon model• Not overly complicated• Engage and build consensus

Problem Solving Process: Examples

• LEAN (Toyota) Methodology• PDCA• Six Step Process

Problem Solving Process

6-STEP PROBLEM SOLVING

Define Problem Clear Quantifiable

Goal

Gather and Evaluate

Information

Brainstorm Ideas for Solving Problem

Reach Consensus on a Solution and

Implementation Plan

Obtain Commitments for Implementation

Plan

Track Outcomes

and Measure Results

4

Select & Plan Solution

5

Implement Solution

6

Monitor

& Evaluate Solution

1

Identify &

Select Problem

2

Analyze Problem

3

Generate Potential Solutions

Problem Solving Process

(c) Workplace Systems, Inc. 1996

4. Training and Support4. Training and Support• Technical Skill

– Data collection,– Problem Analysis – Measurement and Goal Setting

• Process Skills– Communication, Leadership, Team Work, Conflict Res.

• On-Going Support– Help and Coaching– Sharing Successes

Best Practices/Tips

• Get started and adjust course as needed

• Start small and use results to make the case for more resources

• Find other “allies”/champions• Stay persistent and positive

How can you start to put the How can you start to put the puzzle together at your facility?puzzle together at your facility?

Worksheet

• What are areas of strength and weakness at our facility based on 4 elements of the model?

• What are key skill training priorities?• What areas would we like to focus on? • What are simple next steps we could take?