2010 AHCA/NCAL National Quality Award Program

- Silver Overview -Session One

Lance ReynoldsKevin Warren

Tim Case

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Malcolm Baldrige National Quality Award (MBNQA) Program

Organizational Profile• What you do, how you operate, key challenges you face

Core Values and Concepts• Embedded beliefs and behaviors found in high performing

organizations

Criteria for Performance Excellence• Framework that any organization can use to improve overall

performance

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AHCA/NCAL Quality Award3 Steps to Baldrige

Malcolm Baldrige National Quality Award

Bronze – Organizational Profile• 5-page Limit

Silver – Core Values and Concepts• 18-page Limit

Gold – Health Care Criteria for Performance Excellence• 50-page Limit

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Bronze Requirements

Responses to 2.0 criteria in two areas: Organizational Description

– Organizational Environment– Organizational Relationships

Organizational Situations– Competitive Environment– Strategic Context– Performance Improvement System

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Bronze Award Recipients

Bronze Award recipients respond to each criterion in a way that demonstrates that:

They understand the core values and concepts of quality; and

They can see the relationship between their organization’s characteristics, key challenges, and performance measurements, and the ability to achieve performance improvement.

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Silver Requirements

Updated responses to Bronze criteria in section 2.0 (Organizational Profile).

Responses to Silver criteria 2.1-2.8 based on the 11 Baldrige core values and concepts.

Objective: To demonstrate that the organization’s leaders are able to learn the principles of performance improvement and apply them to their operating and service delivery systems using the context of the mission, characteristics, and challenges described in the Bronze (2.0) responses.

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Silver Key Requirements

• Due electronically March 26, 2010• 18-page limit + 1 page for

acronyms• 1” Margins • 12-pt Times New Roman font• $500 application fee

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Silver Review ProcessFacility access application materials via www.ahcancal.org

Facility prepares and electronically submits application

AHCA staff conducts eligibility review

Staff assigns application to an examiner team and posts to Sharepoint

Examiner team accesses application via Sharepoint

Examiner team members complete preliminary review and write feedback comments

Board of Examiners considers and votes on recommendation

Examiner team conducts consensus review and completes draft feedback report

RecommendedFor

Award?

AHCA staff conducts survey performance check

Final feedback report prepared by editors

RecommendedFor

Award?

AHCA staff email notification and final feedback report

Yes

No

No

Yes

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Baldrige Core Values & Concepts

Visionary Leadership Customer Focused

Excellence Organizational and Personal

Learning Valuing Workforce Members

and Partners Agility Focus on the Future

Managing for Innovation Management by Fact Societal Responsibility &

Community Health Focus on Results and

Creating Value Systems Perspective

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AHCA/NCAL Quality Award The Eight Silver Criteria

• Visionary Leadership / Social Responsibility and Community Health

• Focus on the Future

• Customer-Focused Excellence

• Management by Fact

• Workforce Engagement and Organizational/Personal Learning

• Valuing Staff and Partners

• Systems Perspective, Managing for Innovation & Agility

• Focus on Results and Creating Value

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Silver Applicant Profile

Comparatively Strong Survey Performance Comparatively High Customer Satisfaction Comparatively Good Clinical Outcomes Comparatively Low Turnover Comparatively High Occupancy All of them are previous Bronze Recipients

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The “Leap” to Silver Requires...

Commitment to learning and new way of thinking

Considerable time throughout the year

Greater staff involvement

Systems approach

Key performance results measured and improved over time

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The “Leap” to Silver Requires...

Alignment with diverse customer requirements, business goals, strategic goals, and its performance management system.

Customer needs that are reflected in the strategic plan, performance metrics and business outcomes.

Helpful Hint:

Benchmark!

Read Baldrige applications on line:www./www.quality.nist.gov/

Go to BNQP Community

Go to Award Recipients

Be Aware That: The applications you are looking at may or may not have used the same criteria as you are using.

Winners typically do not use the exact same application in the website. It is revised.

The Silver ApplicationGetting it Done, Getting it Right

The Silver ApplicationGetting it Done, Getting it Right

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The Project Team

Project leader to ensure that the outline and eventual application stays on target, both for timeline and content.

Management team and select floor staff to provide input.

Strong business writer to bring together the input of the staff.

Authorize the Project at the highest level and make sure everyone knows it!

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Project Management Suggestions

Develop a “War Room” 15 Sticky Flip Charts Flip Chart #1:

The Important Elements identified in 2.0 Flip Charts #2-6: Identify Needs and Measurement Systems for Each

Group Flip Charts #7-14: Brainstorm Initial Responses to the 8 Silver Criteria

Project Management Suggestions

Make sure everyone on the team has and understands the criteria and the scoring guidelines.

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Approach and Deployment

Approach (A): Approach (A): The methods you use to address the AHCA Criteria requirements. Show that they are appropriate and effective and repeatable (systematic)

Deployment (D):Deployment (D): The breadth, depth and consistency of application of the approach across departments and work units

Learning and Integration

Learning (L): Learning (L): Organizational learning is achieved by research and development, evaluation and improvement cycles, workforce and stakeholder input, best practice sharing and benchmarking.

Integration (I): Integration (I): The harmonization of plans, processes, information, resource decisions, actions, results, and analyses to support key organization wide goals.

Write From the ADLI Perspective

ADLI Example: 2.2: The organization uses a 12-step planning process led by senior leaders with inputs from all stakeholders including employees, customers, key partners and selected community leaders, as appropriate. This is accomplished through Focus Group sessions. (A&D) This process has evolved over the last five years as a result of Baldrige based feedback and benchmarking with other best practice organizations. One key lesson was the addition of an international environmental scan which helps us address the needs of our emerging international market. (L) All information learned from the strategic planning process is shared to our Key Process Improvement team for integration into customer and operational processes, as appropriate. (I)

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2.0 Organizational Profile

This was formerly referred to as, and remains largely based on, the Bronze criteria.

You are not bound by your previous Bronze application.

2.0 establishes the foundation for the entire application.

Make sure you update and use the 2010 criteria codes!

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2.1 Visionary Leadership & Social Responsibility and Community Health

How does your organization’s leadership system embody the core values and concepts of visionary leadership, and social and community health responsibility?

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2.2 Focus on the Future

How does the organization plan for a future of sustainable performance excellence as a long term commitment to its stakeholders?

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2.3 Customer-Focused Excellence

How does the organization focus on providing value and satisfaction to the resident in delivering services?

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2.4 Management by Fact

How does the organization select, manage, analyze, and use data and information to assess and improve performance?

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2.5 Workforce Engagement and Organizational/Personal Learning

How does the organization embed in its operations both organizational and personal learning to gain marketplace sustainability and workforce motivation to excel?

2.6 Valuing Staff and Partners

How does the organization build internal and external partnerships to create a basis for mutual investment and respect, and to better accomplish overall goals?

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Session Two Content

This session will cover sections 2.7 – 2.8 of the Silver criteria. Special attention will focus on techniques of appropriately selecting and reports results.  

Technical and ethical requirements for submission will also be addressed.

January 15th, 3:00Eastern