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OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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Page 1: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

OneCF LLC2

May 4, 20153:30-5pm

Phone Number: (866) 537-0817

Page 2: OneCF LLC2 May 4, 2015 3:30-5pm 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

Page 3: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 4: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Diagnoses Advanced Care

Page 5: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 6: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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.

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Page 7: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 8: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

Page 9: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Relational Coordination Survey

Leaders: Create the conditions to ensure the RC surveys are completed

Team members: Please remind everyone about the survey

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Page 10: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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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?

Page 11: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 12: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Materials to Include

• Registry data

• 5Ps

• Value Stream Map and data

• Detailed “Hand off” flowchart and data

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Page 13: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Obeya Room

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Page 14: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Obeya Room “The Big Room”

Page 15: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Obeya Room

Page 16: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

Page 17: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

VSM focus on Transition to Adult

Nationwide Children’s

Page 18: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Measurement Homework

Brant has reviewed and posted comments to guide your work

Leaders and coaches will discuss in next session

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Page 19: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 20: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Minnesota Agendahttps://www.surveymonkey.com/s/DV62RFG

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Page 21: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

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

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Page 22: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Minnesota Taskbook

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 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

 

Page 23: OneCF LLC2 May 4, 2015 3:30-5pm Phone Number: (866) 537-0817

Thank YouSee you in Minnesota!

-23-www.clinicalmicrosystem.org

Please complete the Survey Monkey listed in the chat box.