Questions

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Welcome to the MHQP HealthForce MN Quality
Brownbag Room Monthly Noon Brownbag Fourth
Thursday Every Month
May 28 Panel Its Overwhelming . . . Where
Do I Start ?
Questions? Contact Skip Valusek MHQP
Education Chair skipvalusek_at_comcast.net
Slides are posted at http//www.healthforceminn
esota.org/pages/Programs/courses.html
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Register your Attendance

• Hopefully you provided your name organization
  when you signed in.
• If so
• Just say Hi in the Chat Pod and well
  capture your name and organization in the log.
• If not
• identify yourself and organization in
  the Chat Pod to the
• left of your screen.
• If there are more than one attending on your
  sign-in, tell us how many by saying Hi (tell us
  the number of attendees)

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Poll Who is Attending this Session ?

• Rural / Outstate ?
• Metropolitan area ?
• Organization that has (or serves) both ?

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Poll Who is attending Organization Type ?

• Healthcare system
• Hospital
• Clinic or Clinic System
• Long term care
• Healthplan
• Homecare / Hospice
• A Quality Support Organization
• Other ? (Identify other in Chat Pod)

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Poll How many total participating in your room ?

• 1
• 2
• 3
• 4
• 5
• 6
• 7
• gt7

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Poll What do you hope to gain by participating?

• I am a healthcare quality professional and am
  interested in additional education.
• I am a healthcare professional interested in
  developing quality skills as a core competency.
• I am a healthcare professional interested in
  learning more about healthcare quality.

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Todays Panel

• Jeri Reinhardt Benedictine Health System
  
• Toni Lauer Albert Lea Medical
  Center
• Carol Barnhart Cigna
• Skip Valusek HealthEast

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(No Transcript)
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Its Overwhelming . . . Where Do I Start ?

• Benedictine Health System
• Jeri Reinhardt, RN, Director, Quality
• Jeri.reinhardt_at_bhshealth.com
• 612-845-2833

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Jeri Reinhardt Introduction

• Registered Nurse
• Quality Leader for Benedictine Health System
• BHS
• a two-time recipient of a Minnesota Council for
  Quality Award
• Facilities have received 4 of the 6 American
  Health Care Association highest level Quality
  Awards
• Examiner for MNCQ
• Master Examiner for the AHCA

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What to work on the first year?

• Get training on Baldrige Criteria
• Leadership Commitment and Integrity
• Consider hiring a coach
• Benchmark with organizations
• Mission/Vision and Values
• Strategic Plan
• Customer Requirements

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What to work on next?

• 2nd year Develop/align Measurement System
• 3rd year Understanding Process and Systems
• 4th year Get training on Baldrige Criteria

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Best Resources

• National Baldrige www.baldrige.nist.gov
• Minnesota Council for Quality
  www.councilforquality.org
• American Society for Quality (ASQ) www.asg.org
• Team Handbook Scholtes, Joiner Streibel
  www.orielinc.com
• Mind Tools www.mindtools.com

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Toni Lauer Introduction

• HealthCare and Quality Background
• 25 years with ALMC
• Human Resources Quality (and a very short stint
  as the assistant to the CEO at the beginning of
  my career in Healthcare).
• Why the audience should trust you
• Because like many of you I or someone close to me
  has been a patient who has trusted us to do our
  best
• I am a good listener and love working at the
  frontline to identify real-time solutions that
  lead to ideal patient care for every patient.

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What to work on the first year?

• Listen for the burning platform
• You have to lead people gently toward what they
  already know is rightyou have to help them find
  the reason to get started
• Find a leader, critical dept, where you can
  experiment
• Start using what you know in some way (you
  dont necessarily need to call it something)

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What to work on next?

• 2nd year Start spreading the news
• 3rd year Be visible about what you have
  learned and keep listening
• 4th year Press forward

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Best Resources

• ALMC Colleagues
• MHS Colleagues
• Minnesota Council for Quality
• Evaluator Training
• Site visit experience
• Do research Go to Gemba
• Brown Bag Series

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Carol Barnhart Introduction

• HealthCare and Quality Background
• Variety of positions in healthcare ambulatory
  care operations and medical education. Formally
  involved in quality for the last 10 years.
• Why the audience should trust you
• Ive been there fell into it and learned
  from the ground up. Obtained my CPHQ and Six
  Sigma Green Belt.

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What you should do in the first year

• Understand what leadership wants you to
  accomplish why do they need you to do quality.
  Get specifics.
• Understand who your customers are.
• Find out if you have top leadership support and
  resources to do the job.
• Create a plan for a few smaller projects that are
  urgently needed.
• Figure out where data comes from in your
  organization and who can help you get it.
  Understand metrics variation.

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What skills in years 2-5Learn skills as you need
them

• Root cause analysis
• Process flow diagram
• Cause Effect diagram
• Pareto, Histogram, Scattergram
• Using Excel (data functions including pivot
  tables)
• Using teams running a good meeting
• FMEA

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Best sources of education training to think
quality

• NAHQ online resources for members
• IHI website
• Regulators websites
• Colleges Universities evening classes
• Attend your annual professional society meetings
• Develop a peer network

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Beginning Basics

• Focus on the Voice of the Customer
• Focus on processes
• Demand data that is well defined
• Use metrics wisely (a few is better)
• Drive improvement to root causes
• Structure team meetings to rapidly move ahead
• Do a post mortem on your projects to learn

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Skip Valusek Introduction

• HealthCare and Quality Background
• Industrial/Systems Engineer
• PI and Quality Director
• Informatics Infrastructure
• Why the audience should trust my counsel
• 39 years in information planning, design
  and
• implementation supporting real time and
• analytical decision support

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What you should do in the first year

• Framework orientation/familiarization
• Baldrige
• Joint Commission Chapters
• Nursing Magnet
• your EHR
• Project Management Skills
• Basic Data Understanding
• Source systems and abstracting
• measure design
• presentation
• MS Office skills
• Word, Excel, Powerpoint

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What skills in years 2-5

• Year 2
• Framework Minnesota Council for Quality
  Baldrige Examiner
• Joint Commission
  Chapters
• Skills Measurement design Lean Project
  Management
• Year 3
• Framework Minnesota Council for Quality Baldrige
  Examiner
• Skills PI Tools Process/workflow modeling
  Project Management
• Year 4
• Framework Minnesota Council for Quality Baldrige
  Team co-Lead
• Skills Statistics Information systems/EHR
• Year 5
• Framework Minnesota Council for Quality Baldrige
  Team Lead
• Skills Excel in Fault Tree Analysis/FMEA Root
  Cause Analysis

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Best sources of education training to think
quality

• Frameworks
• MN Council for Quality Baldrige Training and PI
  Network
• NAHQ CPHQ
• Magnet (Nursing)
• Read IOM books
• To Err is Human
• Crossing the Quality Chasm
• Competing on Analytics
• Tools
• Institute of Healthcare Improvement (IHI) Don
  Berwick books
• Institute for Clinical Systems Improvement (ICSI
  members)
• NAHQ CPHQ
• Project Management Institute (PMI)

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June 25Data MeasurementHintsSally Irrgang
Welcome to the MHQP HealthForce MN Quality
Brownbag Room Monthly Noon Brownbag Fourth
Thursday Every Month

Questions? Contact Skip Valusek MHQP
Education Chair skipvalusek_at_comcast.net
Slides are posted at http//www.healthforceminn
esota.org/pages/Programs/courses.html