Sustaining a Culture of Change

Productive Series Conference10th May 2013

Fiona Burns and Suzanne RoundService Improvement Unit, BoPDHB

Background• Delivering the Productive Series since 2008• Ward: 625 staff, 13 wards, 335 beds• Community: 120 staff, 2 services• TPOT: 180 Staff, 8 Operating Theatres• Total 925 staff directly trained - 33% of the

Provider Arm• Does not include staff indirectly involved,

estimate much higher

9 elements of ‘sustain’sus·tain (s-stn) tr.v. sus·tained, sus·tain·ing, sus·tains 1.To keep in existence; maintain2.To supply with necessities or nourishment; provide for3.To support from below; keep from falling or sinking; prop4.To support the spirits, vitality, or resolution of; encourage5.To bear up under; withstand: can't sustain the blistering heat.6.To experience or suffer: sustained a fatal injury7.To affirm the validity of8.To prove or corroborate; confirm9.To keep up or keep going: to sustain a conversation

Source: http://www.dictionary.reference.com

Productive Series at BoPDHB

1. To keep in existence; maintain

• Governance enabled integration• Reporting leveraged profile

– Ministry of Health– BoPDHB Board– Provider Executive Team– Steering Committee

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2. To supply with necessities or nourishment; provide for

3. To support from below; keep from falling or shrinking prop

4. To support the spirits, vitality, or resolution of; encourage

5. To bear up under; withstand: can't sustain the blistering heat

6. To experience or suffer: sustained a fatal injury

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7. To affirm the validity of

8. To prove or corroborate; confirm

• Commonality and familiarity in change methodology

“Since the introduction of Building Teams for Safer Care things have improved in theatre. There is no doubt the programme works; the theatre staff must ensure they get the maximum

benefit from it by embracing all components of the programme” Troy Browne, Consultant Anaesthetist and Medical Leader

Surgery

9. To keep up or keep going, to sustain a conversation

Sustain….. Consumer rep….

• Sustainability will be dependent upon:– Efficient and effective leadership– Continued positive feedback for all staff– Consistent upskilling of all new staff– Ensuring that procedures set in place by the

programme are followed and are able to be sustained

– That programmes are not allowed to stagnate– The recording and data should have a purpose

and not be time consuming an unnecessary- The programme is called “Releasing Time to Care”!

Sustain….. staff…• Stand • United, • Stand • Tall, • Implement • New changes

Sustain….. You…

Lunch

Thank you. Any questions….

Fiona BurnsM: 021 283 1999Fiona.burns@bopdhb.govt.nz

Suzanne RoundM: 027 702 8087Suzanne.round@bopdhb.govt.nz