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OneCF LLC2
May 4, 20153:30-5pm
Phone Number: (866) 537-0817
OneCF LLC2 Teams, Coaches & LeadersTeam & Coach Leaders
Boston Children’s Hospital/Judy Kate, Leah, Greg, Ahmet
Columbia NYC/LaCrecia Emily ,Claire, Hossein, Shirley
Nationwide Columbus Ohio/Suzanne
John, Terri, Karen, Deanne, Judy
RushChicago Illinois/Staci
Robert, Jenifer, Girish, Kathryn
University of MissouriColumbia/Bob
Jim, Connie, Natalie, Joe
University of North Carolina/Randy
Sheree, Jennifer, Magee, James
AgendaMay 4, 2015
3:30PM Welcome and check-in
3:40PM RC Survey Review and Schedule
3:50PM Progress Reports (3-minute per site)
4:10PM Obeya Room and Measurement Homework
review
4:15 PM OneCF LLC2 Site Visit to Minnesota
4:55PM Summary, questions, adjourn
-3-
OneCF LLC2
Exacerbations? Hospitalization
Baby Care
Lung Transplant
Mental Health
ReproductionCFRDPedi-Adult Transition
Aim: Assess and develop a CF care center that provides seamless care from the time of diagnosis through advanced care. This includes a focus on integrated care, smooth transitions (pediatric to adult), warm handoffs and transfers, and improvement of mesosystem care such as referral to specialists (e.g. Endo, GI, ENT, Psych) and inpatient care.
1. Baseline assessments2. Improvement
fundamentals3. Everyone’s first focus:
Pedi to adult transition4. All teach, all learn
-4-
Diagnoses Advanced Care
Teams, Coaching and Leadership
LeadershipTeams & Coaches
Expectations
5Ps/performance
Anticipate & assist with data
Regular meetings-Provide time & space
PDSARapid Tests of change with measures
SustainInspire, Know & Tell Stories
-5-
OneCF Center LLC2Overall Aim: Assess and develop a CF care center that provides seamless care from the time of diagnosis through advanced care. This collaborative will focus on integrated care, smooth transitions (pediatric to adult), warm handoffs and transfers, and improvement of mesosystem care such as referral to specialists (e.g. Endo, GI, ENT, Psych) and inpatient care.
-6-
Leadership of Health Care Quality and Improvement
Development Program
Overall Aim: Assess and develop personal and team leadership skills and abilities to lead quality and improvement as part of CF Pediatric, Adult and OneCF leadership team.
Create conditions for successful improvement
-7-
Relational Coordination Calendar
Date Topic
Tuesday, May 5 RC survey will be sent out by Saleema Moore
Tuesday, May 19 Deadline to complete RC survey
Wednesday, June 10 RC reports distributed and discussed with leaders, coaches and team members at Minnesota Benchmarking Site meeting
Relational Coordination Survey
Leaders: Create the conditions to ensure the RC surveys are completed
Team members: Please remind everyone about the survey
-9-1 Poll
-10-
Progress Reports-3 minutes each
Any challenges?How are you engaging people with CF and families in “co-production” of care in your OneCF Center?
Obeya Room• Room with a view
• Aim: Effective solutions and actions that can be developed and implemented quickly. Increase coordination
• Multidisciplinary and person with CF and family members
• Dedicated time and space to coordinate and problem-solve
• Minimize organizational barriers
-11-
Materials to Include
• Registry data
• 5Ps
• Value Stream Map and data
• Detailed “Hand off” flowchart and data
-12-
Obeya Room
-13-
Obeya Room “The Big Room”
Obeya Room
Jack D. Gorvoy Obeya Room
Aim:We created a web-based gathering place to store and create tools that
would improve the transition process from the pediatric to adult CF center
VSM focus on Transition to Adult
Nationwide Children’s
Measurement Homework
Brant has reviewed and posted comments to guide your work
Leaders and coaches will discuss in next session
-18-
Calendar Change• The OneCF LLC2 team and leader
Adobe Connect June 1st will not be held.
– Minneapolis Minnesota June 8-10
• Monday, June 8th Coaches @ 3pm
– OneCF LLC2 Leaders @ 5pm
– OneCF LLC2 ALL @ 6:30pm (includes dinner)
– Please make your hotel reservat
-19-
Next Activities• Continue to meet weekly: Team and Coach
– Leader and Coach meet regularly
• Review Task book on OneCF LLC2 website (prepare for Minnesota–June 8 to 10, 2015) Available Wednesday May 5, 5pm ET.
– Reading, videos, resources
– Preview the Minnesota CF Center website, annual report, maps and other relevant materials
-21-
Minnesota Taskbook
-22-
To help you prepare for the Minneapolis Minnesota meeting, please review and complete the following Task Book. 1.Bring your value stream map including cycle time and information flows 2. Bring your Obeya Room example or pictures3. Prepare a 7 minute PowerPoint presentation updating the Value Stream map, detailed “hand off” flowchart and where you have found improvement opportunities in the process. 4. Please practice the 7 minute presentation to ensure you don’t exceed 10 minutes (5 minute Q&A)5. Review the OneCF LLC2 Minnesota agenda and pre-meeting materials: Observation worksheet and Fresh Eyes document6.Post Site visit check list and materials: Thank yous, debrief with CF Center, Executive summary for your organization leadership and CFF.7. Review these QuIRK modules on the website: #7 & #89. Review the following measurement modules on the website: #5, #6 & #710. Read Quality by Design chapters: 2311. Read Difficult Conversations: 4, 5, 6, 7, 8, 9
If you have not registered for the Minnesota meeting: https://www.surveymonkey.com/s/MY5DV6Q
Thank YouSee you in Minnesota!
-23-www.clinicalmicrosystem.org
Please complete the Survey Monkey listed in the chat box.