Discovering Changes That Are Improvements for Your Organization

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Discovering Changes That Are Improvements for
Your Organization
Sam Price, Ten Sixteen Recovery Network Rebecca
Emmenecker, Riverhaven Coordinating Agency Kim
Kern, List Psychological Services Deb Ronk, Arbor
Circle
Reduce Waiting  No-Shows ? Increase Admissions 
Continuation
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Five X Five

• Starring
• Sam price

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A SURPRISE FOR YOU!Small group exercise

• Your Row Your Team

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Structure of Exercise

• Minimum of Three Active Team Participants in a
  row
• One observer/timer/referee per team
• This is not a competition across teams/rowsits
  about each teams improvement against their
  baseline

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The R-Ducky Rules

• Everyone of Team must touch the duck with both
  the right hand and the left hand
• The duck must travel to each person.
• You get three attempts
• Your timekeeper will score BaselineChange
  1Change 2

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Duck Observations

• What did you learn?

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What did you learn?

• Better process vs. increased hand-eye
  coordination/speed?
• Practice, practice, practice!
• Optimal group size!
• Working as a team!

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With A Little Helf From My Friends
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Resources Abound at the Web Site

• The URL is www.NIATx.net
• Toolkits, Templates, Testimonials, Ideas,
  Promising Practices, Success Stories, Examples
• Bookmark Recommended

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NIATx was originally a partnership oftwo grant
programs

• The Center for Substance Abuse Treatment
• Strengthening Treatment Access and Retention
• and
• The Robert Wood Johnson Foundation
• Paths to Recovery

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Where Credit Belongs

• NIATx National Program Office is at the
  University of Wisconsin Madison
• The guru and director is David Gustafson, PhD
  a process engineer
• Integration of Engineering Department and
  Behavioral Health Researchers
• Many of the principles are adapted from the work
  of earlier/current quality gurus

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A Universal Approach to Improvement

• Applies to SA or MH or Integrated Treatmentand
  more
• Works across institutions, functions, subject
  matters, levels of care, settings
• Customized to your identified goals and needs
• Its a map and compass (not a full Turn by Turn
  GPS Navigation System)Recalculating is the
  teams job

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Statistics and a Conclusion

• 19 million Americans need treatment
• 25 are able to access treatment
• 50 of those in treatment do not complete
• The way services are delivered is a barrier to
  both access and retention

Substance Abuse and Mental Health Services
Administration, 2002
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The Frosty Freeze Case Study

• A Walkthrough of Frosty Freeze
• Small group activity
• The Perspective of The Customer?
• Who is your change team?
• Who is your change leader?
• Buy-in from staff?

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Deciding your first PDSA

• Where do you start? One small change!
• Nominal Group Technique Overview.

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One more exercise!

• Small Group Activity
• What is your starting place?

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Five Key PrinciplesEvidence-based predictors of
change

• Understand and involve the customer
• Focus on key problems
• Select the right change agent
• Seek ideas from outside the field and
  organization
• Do rapid-cycle testing

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NIATx Aims

• Reduce Waiting Times
• Reduce No-Shows
• Increase Admissions
• Increase Continuation Rates

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Come back after the break!

• This duck is a gift for you, sort of like a
  bribe. We will give this to you if you make a
  deal with us that you will return for the second
  half of our presentation.
• Dont you want to know more about how to
  implement the NIATx ideas in your agency?
• See you right after the break! Thank you!

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Discovering Changes That Are Improvements for
Your Organization
Sam Price, Ten Sixteen Recovery Network Rebecca
Emmenecker, Riverhaven Coordinating Agency Kim
Kern, List Psychological Deb Ronk, Arbor Circle
Reduce Waiting  No-Shows ? Increase Admissions 
Continuation
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5 X 5 presentation

• Starring
• Sam price

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Frosty Freeze

• Break into small groups.
• Read Frosty Freeze together.
• Identify concerns found in the FF walk through.

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Conducting a Change Exercise

• PDSA cycles
• Plan the change
• Do the plan
• Study the results
• Act on the new knowledge
• Rapid cycle changes
• Changes should be doable in 2 weeks

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PDSA

• Create a PDSA for your group using Frosty Freeze.
  Remember start with one small change.

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Skipping the P in PDSA
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Change CyclesPD-SA-Sustain
Changes That Result in Improvement
DATA
Rapid cycle changes should be do-able in 2
weeks !!!!! Maybe..
Hunches Theories Ideas
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How will you sustain change?

• Small Group Activity
• Ideas to sustain the change after the (rapid
  change cycle) PDSA is concluded.

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PDSA The Bigger Picture
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Going up????

• Elevator Speech what is it?
• Example of an elevator speech.

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Write an Elevator Speech

• Small Group Activity
• What would you say to describe NIATx?
• Benefits
• What do they want to hear?

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DUCK!!!!!

• Wow, that was a close one!
• Were giving you a gift.if you werent here for
  the first half ask someone that was here what
  it represents!

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Assistance From MDCHs Point Person for MI
Coaches

• Phil Chvojka (Shove-oak- ah)
• Chvojkap_at_michigan.gov

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Thank you!!!

• Kim Kern
• kkern_at_listpsych.com
• Sam Price
• sprice_at_1016.org
• Deb Ronk
• dronk_at_arborcircle.org
• Rebecca Emmenecker remmenecker_at_babha.org