Integrating The MODEL for IMPROVEMENT into Your Operations

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Integrating The MODEL for IMPROVEMENT into Your
Operations

• Brenda Welsch
• Improvement Advisor

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All Improvement Requires Change

• Review the data.
• What needs improvement?
• Be willing to challenge the status quo.
• Let go of the pastImprovement requires a
  redesigned future.

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Improvement Frame of Mind
Be willing to stand in that humble place of a
learner, to be wide open, to say, I dont have a
clue how to make this better, and this is really
hard work, and I wonder who knows it better than
I do? Barbara Balik, Allina Health Systems
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Get Started Now

• The faster we move on implementing
• the Model for Improvement,
• the faster we are really going to
• transform our organ donation and
• transplantation outcomes.

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What Next?

• Review change package and/or brainstorm
  improvement ideas.
• Think BIG, test small.
• Involve the right people.
• Be courageous and open to change. This is just a
  test. If at first you dont succeed regroup and
  retest!

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Team Formation

• Improvement facilitator (consider Quality
  personnel)
• Day-to-day leaders
• Key players for specific process involved
• Empowered change agent/leader
• Change is disturbing when it is done to us.
  Change is exhilarating when it is done by us.
  Rosebeth
  Kantor

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One Teams System for Implementing the Model

• Discuss ideas for improvement at weekly Home Team
  Meetings
• Standing agenda item Planning tests (PLAN)
• Move from idea to creation of the plan and data
  tool
• Identify PDSA-specific lead to keep on pace
• Log onto PDSA Tracking Tool
• Communicate plan seek input from key players
• Be deliberate and specific
• When plan complete, upload to Team SharePoint
  Site.
• Implement test (DO)

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One Teams System for Implementing the Model
continued

• Collect data
• Real-time collection of data whenever possible
• Review outcome (STUDY)
• Review test/case study with team during weekly
  home team and/or monthly conference calls
• Compare test data to goals
• Is there improvement?
• Determine next steps modify plan and re-test?
  Implement change? Revisit idea and design new
  plan?

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One Teams System for Implementing the Model
continued

• Implement change (ACT)
• Policy/SOP required?
• Training and communication of involved parties
• Update PDSA Tracking Tool
• Share your stories (All Teach All Learn)
• What worked? What made it work?
• Spread and Celebrate!
• Roll out to DSA Listserve Senior Leader
  Reports Mini-Collaborative Incorporate MFI
  throughout organization

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Share Your Story

• New Jersey Organ Sharing Network -developing
  momentum for the MFI beyond the scope of the
  Collaborative.
• Team New England Revolution - great success using
  the MFI to improve the effectiveness of DMGs.

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Donor Management Dashboard
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DCD Dashboard
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Tools to Stay on Track

• Team dashboard w/ ODTBC Measures
• PDSA Worksheet (in manual)
• Data Collection Tools (develop as needed)
• PDSA Tracking Tool
• PDSA Online Library and Team Portal Site

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• PDSA Tracking Tool

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PDSA Online Library
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Team Portal Site
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Summary of Effective Strategies for
Implementation of the MFI

• Start Now
• Improvement Frame of Mind
• Right people involved
• Routine PLAN sessions at team meetings

• Think BIG Test small
• Use tools PDSA worksheet, PDSA tracking tool,
  Data Collection Tools, PDSA library, Team Portal
  Site
• Share your stories

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Insights and Commitment

• What insights about how to integrate the Model
  for Improvement have you gained?
• What actions will you take as a result of these
  insights when you return to your DSA?