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Kata and Connection By Amy Mervak

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We will be the

recognized leader

in compassionate

care for people in

our communities

coping with

illness, aging,

dying, and loss.

Our Vision

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Helps Us Practice Practicing the Kata Empathy

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Reflection on this Integration

Integrating Kata into our Rapid Improvement Event Format

Two Parts

Weekly Routines Event Routines Compassion

Org level goals Process level goals

Vision

Scientific Thinking

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Reflection on this Integration

Integrating Kata into our Rapid Improvement Event Format

Part 1

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Challenge (from level above)

Current Condition

Target Condition Experiments

Value Stream Level – Rapid Improvement Event

Organization Level

Best care in last 7 days

of life

Dynamic, supportive

scheduling process

Process analysis

steps

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Connecting the Levels

Mike Rother – Toyota Kata

Current Condition

“We didn’t think of that.”

“That’s not the case anymore!”

“Here’s what we need to do!” Action Items

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Visit needs

identified by

RN Manager

Staff availability identified

by RN Manager

Coverage plan

created by RN Manager

Plan shared with staff and visits

assigned by Scheduler

Target Condition Clinical

staff maintain accurate

schedules

Visit needs

identified by

Scheduler

Staff availability identified

by Scheduler

Coverage plan

created by Scheduler

Plan shared with staff and visits

assigned by Scheduler

Plan approved

by RN Manager

Clinical staff

maintain accurate

schedules

Sequence of Steps

Process Level

Challenge (from level above)

Current Condition

Target Condition

Value Stream Level – Rapid Improvement Event

Organization Level

Best care in last 7 days

of life

Accurate calendars

Dynamic, supportive

scheduling process

Timely coverage plans created by

Schedulers

Connecting the Levels

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Experiments

Mike Rother – Toyota Kata

Experiments • Work w/ individuals to test

frequent syncs • Addressed EMR obstacles.

Results • Individuals - 58% improvement • Group - 21% improvement

During the Event

In one week, 50% improvement of “Hours to Sync”

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a b c d e f g h i j k l m n o p q r s t u v w x

Hours to Sync Data

Down is better

Each letter represents one individual clinician

7/8/16 Snapshot

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a b c d e f g h i j k l m n o p q r s t u v w x

Down is better

Each letter represents one individual in the field

7/8/16 Snapshot

7/19/16 Snapshot

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Targeted individuals

Target Condition Met

Practicing Coaching Cycles

COACHING

FREQUENT PRACTICE MASTERY

STARTER KATA

"I'm getting better at this"

Structured routines.

Practice.

STARTER KATA

MASTERY

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Familiar Language

Mike Rother – Toyota Kata

Process Level

Challenge (from level above)

Current Condition

Target Condition

Value Stream Level – Rapid Improvement Event

Organization Level

Best care in last 7 days

of life

Accurate calendars

Timely coverage plans created by

Schedulers

Emergent visits covered

by 9am

Connecting the Levels

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Experiments

Dynamic, supportive

scheduling process

Mike Rother – Toyota Kata

Post-Event Transition

25 min 5-75 min

6 min 2-10 min

Avg Huddle Length

Pre

Post

Range

Emergent visits covered by 9am

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Seamless Confident learners Progress

Target Condition Met

Process Change

Process Level

Challenge (from level above)

Current Condition

Target Condition

Value Stream Level – Rapid Improvement Event

Organization Level

Best care in last 7 days

of life

Accurate calendars

Timely coverage plans created by

Schedulers

Connecting the Levels

Organizational Learning

Individual Development

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Emergent visits covered

by 9am

Experiments

Dynamic, supportive

scheduling process

Kata at Rapid Improvement Events = Strategy Deployment Mike Rother – Toyota Kata

Reflection on this Integration

Integrating Kata Practices into a Rapid Improvement

Event Format

Part 2

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Conduct Experiments to get there

Grasp the Current

Condition

Establish your Next

Target Condition

Get the Direction or Challenge

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Vision

Reflection

15 Mike Rother – Toyota Kata

We will be the

recognized leader

in compassionate

care for people in

our communities

coping with

illness, aging,

dying, and loss.

We will be the

recognized leader

in compassionate

care for people in

our communities

coping with

illness, aging,

dying, and loss.

Our Vision

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Three Kinds of Empathy http://www.danielgoleman.info/ three-kinds-of-empathy-cognitive-emotional-compassionate

Accessed 10/27/16

Cognitive empathy

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Abel

Clara

Three Kinds of Empathy

Emotional empathy

Cognitive empathy

19 “Care" by Bilwanath Chatterjee is licensed under CC BY 2.0 https://www.flickr.com/photos/39045500@N08/4908596012/in/photostream/

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Three Kinds of Empathy

Compassionate empathy

Emotional empathy

Cognitive empathy Cognitive empathy

Emotional empathy

Compassionate empathy

20 “An act of kindness in the blizzard" by Michael Krigsman is licensed under CC BY-ND 2.0 https://www.flickr.com/photos/mkrigsman/8456613229/

Helps Us Practice Practicing the Kata Empathy

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“Empathy is really important…

Only when our clever brain and

our human heart work together

in harmony can we achieve our

true potential.” - Dr. Jane Goodall

State Department Photo / Public Domain

Vision?

How does practicing the Kata help you and your organization connect with its

Mission?

Values?

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Thank You