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11/25/2015
1
Putting the Fun into Health
Improvement LearningImprovement FUNdamentals
Mini-MOOC
The presenters have
nothing to disclose
M8
#27FORUM#27FORUM
#27FORUM
27th Annual National Forum on Quality Improvement
in Health Care
Dec 7, 2015
Objectives
Maggie Herbert
1. Assemble a toolkit of powerful approaches for
leading and supporting improvement
2. Develop confidence, knowledge, and skills to
operate as an effective improvement leader
11/25/2015
2
WelcomeWho are we
• Maggie Herbert, Programme Manager, NHS England
• Cheryl Guest, MOOC Content Lead and Learning
Facilitator, NHS England
• Kath Stevenson, Adjunct Lecturer, Academy for the
Improvement of Health and Welfare, Jönköping,
Sweden
• Rolf Bardon, Communication Manager, Qulturum,
Jönköping, Sweden
Maggie Herbert
The presenters declare they are the creators of the Free Improvement FUNdamentals MOOC
Welcome
• Improvement Improvement Improvement Improvement FUNdamentals is a FUNdamentals is a FUNdamentals is a FUNdamentals is a
MassiveMassiveMassiveMassive, Open, Online , Open, Online , Open, Online , Open, Online Course (MOOC)Course (MOOC)Course (MOOC)Course (MOOC)
• Free and Open to ANYONE involved in Health and
care
• Delivered online to study at your own time and pace
• 8 week course of videos, articles and exercises
• Builds a global community of Health improvers
through Tweet Chats and Live events
• Study at work or home - In small chunks or one go
Improvement FUNdamentals
Maggie Herbert
11/25/2015
3
Welcome
What you will get from today
• Tool 1: Drawing Together
• Tool 2: Fishbone Diagram
• Tool 3: Fresh Eyes for Creative Thinking
• Tool 4: Family of Measures
• Tool 5: PDSA
• Tool 6: Spread from the Start
• Tool 7: Tweet for Improvement
Maggie Herbert
Welcome
• 08:30 Start
• 09:00 Module 1: Introduction to Quality Improvement
• 10:00 Coffee break
• 10:30 Module 2a: Tools & Models
• 11:30 Module 3: Measurement
• 12:00 Lunch Break
• 13:00 Module 3: Measurement
• 13:30 Module 2b: Tools & Models continued
• 14:00 Module 4: Spread
• 14:30 Coffee Break
• 15:00 Form an International Community
• 16:00 Close
Timetable
Maggie Herbert
11/25/2015
4
WelcomeIce Breaker
Cheryl Guest & Rolf Bardon
Module 1: Intro to QIDr. Mike Evans
Katherine Stevenson & Maggie Herbert
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5
Drawing Togetherfrom Liberating Structures
Katherine Stevenson & Maggie Herbert
Liberating Structure developed by Henri Lipmanowicz and Keith McCandless.
Inspired by David Sibbet (The Grove) and Angeles Arrien (see Signs of Life).
Drawing TogetherStep 1
Katherine Stevenson & Maggie Herbert
Combine the symbols to create the first draft of a story,
working individually and without words
Story about “the journey” of working on improvement
or change
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Drawing TogetherStep 2
Katherine Stevenson & Maggie Herbert
2nd draft: Refine your story by dramatizing the size,
placement, and color of the symbols
Drawing TogetherStep 3
Katherine Stevenson & Maggie Herbert
Groups of 3-4: share the drawing – the viewers
interpret the drawing
NOTE: the artist does not speak!
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Drawing TogetherStep 4
Katherine Stevenson & Maggie Herbert
Together, what do the drawings reveal?
COFFEE BREAK
See you back at 10:30
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Module 2a: Tools and Models Model for Improvement
Cheryl Guest & Katherine Stevenson
What are we trying to accomplish?
How will we know a change is an improvement?
What changes can we make (test) that will lead to improvement?
Plan
DoStudy
Act
Model for Improvement
• What is an aim?
• Aims Tips
• Our aim for today is:-
“How can we improve access to Quality Improvement
Training for Health and Care Staff”
1st Fundamental Question: AIM statements
Cheryl Guest & Katherine Stevenson
11/25/2015
9
Exploring the ProblemFishbone Activity
Cheryl Guest & Katherine Stevenson
Exploring the Problem
In your groups try to create a fishbone diagram using
our aim as your problem.
Fishbone Activity
Cheryl Guest & Katherine Stevenson
11/25/2015
10
Model for Improvement3rd Fundamental Question: Where to Find Change Ideas
Rolf Bardon & Katherine Stevenson
Creative Thinkingfor Finding Change Ideas
Rolf Bardon & Katherine Stevenson
11/25/2015
11
Creative ThinkingMental Valleys
Rolf Bardon & Katherine Stevenson Edward de Bono’s Mental Valley Model for thinking
Streams of thinking
Creative Thinking3 mental processes to think creative
Rolf Bardon & Katherine Stevenson P Plsek
MovementAttention
Escape
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Creative ThinkingFresh Eyes
Rolf Bardon & Katherine Stevenson
How would a ___________________ handle this
problem?
Rolf Bardon & Katherine Stevenson
Creative ThinkingMoving to 2nd Order Change
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13
Module 3: MeasurementCreating a Family of Measures
Katherine Stevenson & Maggie Herbert
Model for Improvement
Considering our aim:
• What would our family of measures look like?
– Outcome: what is different for the customer
– Process: what is different about how we are delivering our
service
– Balancing: if we succeed, what unintended consequence
might we trigger
2nd Fundamental Question: Creating a Family of Measures
Katherine Stevenson & Maggie Herbert
11/25/2015
14
LUNCH BREAK
See you back at 13:00
Module 2b: Tools and Models
You have 18 minutes to complete the task in your table
groups
Using Small Tests of Learning to Speed Change: PDSA
Maggie Herbert & Cheryl Guest
11/25/2015
15
P D S A Cycles
In your groups, and using your knowledge of the PDSA
cycle, plan a PDSA cycle on paper for one of your
‘ideas’ for our improvement project aim.
PDSA Planning
Cheryl Guest & Rolf Bardon
Module 4: Spread
Helen Bevan, NHS England
Helen Bevan talks about spread
Katherine Stevenson & Cheryl Guest
11/25/2015
16
Planning for Spread from the StartDiscussion
Katherine Stevenson & Cheryl Guest
COFFEE BREAK
See you back at 15:00
11/25/2015
17
ConnectingTweet Chat
Rolf Bardon
Summary
• Tool 1: Drawing Together
• Tool 2: Fishbone Diagram
• Tool 3: Fresh Eyes for Creative Thinking
• Tool 4: Family of Measures
• Tool 5: PDSA
• Tool 6: Spread from the Start
• Tool 7: Tweet for Improvement
Your New Toolkit
Maggie Herbert