The Senior Leaders Role in Clinical Quality Improvement

1
The Senior Leaders Role in Clinical Quality
Improvement

• David R. Gifford, MD, MPH
• Judith A. Ryan, PhD, RN, FAAN

2
The Leaders NNHIC Role is Both Long and Short
Term

• Short Term - Assure the Success of Your Core Team
• Long Term -Build and Sustain a Quality Culture

3
Senior Leaders Role Short Term

• Establish the will for change
• Create vision for clinical quality
• Support team aim
• Provide ongoing review and guidance
• Celebrate successes and milestones
• Communicate change efforts
• Organize spread of the improvements

and II.
4
Senior Leaders Role Long-Term

• LISTEN
• LEAD
• LOCK IN IMPROVEMENT

5
Listen

• To residents, families, direct care staff, charge
  nurses, attending staff, ombudsmen -
• To your teams- (Dont tell them how to solve the
  problem - listen to them!)
• To cries for help
• For lessons learned
• For opportunities to tell the story

6
Lead

• Infuse Organizations Mission, Vision, Values and
  Strategy with your Vision for Clinical Quality
• Learn and Teach CQI Principles
• Lead/Participate on a Clinical Team
• Make sure Quality is First on every agenda
• Report and Celebrate Progress
• Tell the Stories

7
Lock-In Improvement
8
Lock- In Improvement

• Leadership
• Strategic Direction
• Customer Focus
• Staff Focus
• Process Management
• Outcomes Measurement
• Information and Analysis
• Learning
• Communication

9
Senior Leaders Role Long-Term

• LISTEN
• LEAD
• LOCK IN IMPROVEMENT

10
Leadership Play
11
Form Learning Circles

• Spend two quiet minutes writing your answers to
  the following
• How does resident choice fit with organizational
  mission?
• What could the Administrator done to move his
  idea forward?

• Share your responses with your learning circle.
  (Do not comment, just listen)
• Reconvene as the large group

12
Providing Essential Resources

• Discussion of items identified by NNHIC teams