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QHR Monthly Quality Management Call1
QHR Monthly Quality CallHow to Engage Staff in Quality
presented by King’s Daughters Medical CenterFriday, April 27, 2012
11:00 AM Central Standard TimeCall-in number 1-888-378-4350, passcode 7064020
1. Welcome and Opening Remarks...................................................Donna Wood, Practice Leader Clinical Operations, QHR
2. Foundation for Quality Culture ……………………………..………..……Merida Johnson, Director Quality Management & Patient Safety, King’s Daughters Medical Center
3. King’s Daughters Medical Center CEO Vision Theoretical Framework
3. Hardwiring Quality Structure Changes
4. Application: Lewin’s Theory of Change5. Unfreezing: Process Changes6. Changing: Management Tools7. Refreezing: Staff Engagement in Quality/PI Activities8. Questions and Answers
Next QHR Quality Call – Friday, May 25, 2012 at 11:00 AM CT: Topic: Engaging Physicians in a Shared Quality Agenda Presenter: Jamie Cox, Senior Consultant, Clinical Operations, QHR
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King’s Daughters Medical Center
Merida is a Registered Nurse with more then 30 years experience in Nursing Education and
Administration. She received her B.S.N. at Louisiana State University Medical Center at New Orleans
and her M.S.N. at the University of South Alabama. Prior to her affiliation with King’s Daughters
Medical Center, Merida was the Clinical Operations Officer for LifeCare Hospitals of New Orleans and
a Nursing Instructor at Holy Cross College in New Orleans.
Currently, Merida is a member of the National Association for Healthcare Quality and serves as a
Board Member of the Mississippi Association for Healthcare Quality (MsAHQ) where she is responsible
for Continuing Education. She is certified as a Healthcare Quality Professional and a Clinical
Preceptor for graduate Nursing students at the University of South Alabama.
Merida has presented a poster on “Quality Culture Transformation” at the 2011 National Association for
Healthcare Quality’s Educational Conference in Sacramento, California. She is a frequent contributor
of patient safety and quality topics to Brookhaven's local newspaper and MsAHQ’s newsletter.
Merida JohnsonDirector, Quality Management and Patient SafetyKing’s Daughters Medical CenterBrookhaven, Mississippi
Proprietary and Confidential
How to Engage Staff in QualityApril 27, 2012
King’s Daughters Medical CenterBrookhaven, Mississippi
Call-in number 1-888-378-4350, passcode 7064020
QHR Monthly Quality Management Call4
Foundation for Quality Culture
C.E.O. Vision
KDMC’s Mission
Theoretical Framework
Studer’s Pillars of Excellence
Lewin’s Theory of Change
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Hardwiring Quality
Structure Changes
“Quality is a Priority”
oAgenda item for all meetings
Hospital Strategic Plan
oQuality goals and objectives
Quality and Performance Improvement
oPerformance evaluation item
oAnnual Departmental PI Presentations
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Unfreeze Change Refreeze
Hardwiring Quality
Studer’s Pillars of Excellence
Pillars as Agenda Categories
High-Middle-Low Conversations
Lewin's Theory of Change
Unfreezing
Change
Refreezing
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Unfreezing: Quality Process Changes
Rapid Cycle Process Improvement Methodology
Short-term projects
Repeated PDSA Test Cycles
Attractive to Staff
Quality Rounding
Quality/PI conversations
Staff Training
QHR Monthly Quality Management Call8
Unfreezing: Change Management Tools
Force Field Analysis
Driving Forces
Restraining Forces
Ishikawa Diagram
Drill down causes of staff disconnect
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Changing: Management Strategies
Senior Leadership Support
Quality Director as Change Agent
Quality Champions
Staff-Driven PI Teams
Making Quality and PI “child’s play”
Timely Rewards and Recognition
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Refreezing: Staff Engagement in Quality ActivitiesPDSA Pep Rally – October 2010
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Refreezing: Staff Engagement in Quality ActivitiesPDSA Football Tournament – October 2010
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Refreezing: Staff Engagement in Quality ActivitiesThe Great PI Adventure – May 2011
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Refreezing: Staff Engagement in Quality Activities“Hooray for Hollywood” – October, 2011
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Refreezing: Staff Engagement in Quality Activities
“Washing In The Sink” – January 2012
A staff-created Hand Hygiene Video
View this video on YouTube at: www.youtube.com/watch?v=B8NQxrxQrOY
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Questions
Merida Johnson, Director Quality Management and Patient Safety, KDMC [email protected]
Please submit ideas or comments to: Donna Wood, Practice Leader, Clinical Operations, QHR
Next QHR Quality Call: Friday, May 25, 2012, at 11:00 am CT Topic: Engaging Physicians in a Shared Quality Agenda Presenter: Jamie Cox, Senior Consultant, Clinical Operations, QHR
Legal Disclaimer: Any sample quality program tool is intended to be reviewed and revised by a hospital to meet that hospital’s unique circumstances. Neither these tools nor any quality program tool should be used until it has been adopted by a hospital’s medical staff and governing board. Nothing herein is a substitute for the independent medical or clinical decision-making of any person.
