Survey 4 Results

Spread & Sustainability Learning Series

Reporting by Province

Survey 1 – n= 51

Survey 2 – n = 41

Survey 3 – n = 37

Survey 4 – n = 24

Survey 1 Survey 2 Survey 3 Survey 40

5

10

15

20

25

30

1311

810

24

15

18

5

9 9

67

56

5

2

Reporting By Province

New Brunswick Newfoundland Labrador Nova Scotia Prince Edward Island

Culture of Safety

Leadership and Champions

Leadership and Champions (% agreement of those who know) Baseline #2 #3 #4

a. Our team has the appropriate support of physician champions. 34% 28% 24% 46%

b. Our team has the appropriate support of inter-professional clinical champions/colleagues. 80% 71% 78% 75%

c. Our team has the appropriate support of managers (frontline/middle & inclusive of directors). 73% 71% 68% 67%

d. Our team has an active Executive Sponsor supported by, and accountable to the Senior Leadership Team & Board. 91% 87% 83% 79%

Clinical Involvement

Clinical Involvement (% agreement of those who know) Baseline #2 #3 #4

a. Staff are generating and testing improvement ideas. 67% 68% 54% 50% b. Staff has the necessary knowledge, skills and attitude to consistently implement and spread the required changes. 64% x X

c. Staff has the necessary knowledge to consistently implement and spread the required changes. x 49% 46% 71%

d. Staff has the necessary skill to consistently implement and spread the required changes. x 70% 69% 63%

e. Staff has the necessary attitude to consistently implement and spread the required changes. x 49% 41% 33%

Communications

Communication(% agreement of those who know) Baseline #2 #3 #4

a.      All people involved or affected by the change understand the role they play.

46% 49%

42%

42%

b.      Our communications methods are effective in accelerating our improvements.

55% 54%

35%

50%

c.      The rationale/reasons behind improvement changes are understood and accepted.

62% 58%

48%

54%

Monitoring Measuring and Feedback

Monitoring, Measuring, and Feedback (% agreement of those who know) Baseline #2 #3 #4

a. Our organization learns from system failures and shares insights (our own & from others). 90% 85% 89% 75%

b. Our measurement is done in real time and provides useful team performance feedback. 36% 45% 39% 50%

c. We have an adequate measurement and feedback system in place that helps to identify clinical practice gaps & improvement opportunities.

42% 62% 49% 58%

d. Our improvement measures are regularly reviewed by our team, staff, executive sponsor, and other stakeholders. 49% 84% 64% 71%

Resource Utilization

Resource Utilization (% agreement of those who know) Baseline #2 #3 #4

a. Our team makes efficient use of resources by engaging in opportunities to share and work with others within the walls of our Facility.

85% 85% 92% 79%

b. Our team makes efficient use of resources by engaging in opportunities to share and work with others within our Health Authority/Region.

83% 83% 89% 83%

c. Our team makes efficient use of resources by engaging in opportunities to share and work with others within our province.

68% 72% 77% 67%

d. Our changes are purposefully designed to minimize waste and maximize value for the patient. 80% 82% 91% 79%

Patient Safety Alone is Not Enough

Patient Safety alone is not a strong enough incentive (% agreement of those who know) Baseline #2 #3 #4

a. Staff believe the change makes their work more efficient. 35% 33% 29% 25% b. Staff sees the strength of the evidence as a change driver. 60% 68% 67% 46% c. Staff appreciates that quality improvement and associated change is an important component of their professional practice.

62% 63% 73% 58%

d. Staff appreciates the importance of standardizing critical activities. 78% 83% 82% 63%

e. Our Team passionately expects to achieve the quality improvements results we have set out. 79% 82% 85% 79%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Date

Sustainability and Spread Score

Jan-12 2 2 2 2 3 2 2 1 1 2 2 2 2 1 1 1

35%

Mar-12 3 3 4 3 4 3 3 1 3 3 4 3 3 1 2 1

55%

May-12 3 3 4 3 4 4 4 1 3 3 4 3 3 2 3 2

61%

Jul-12 3 3 4 3 4 4 4 3 3 3 4 3 3 3 3 3

66%

Sep-12 3 3 4 3 4 4 4 4 4 3 4 4 3 3 3 3

70%

Nov-12 3 3 4 3 4 4 4 4 4 4 4 4 3 3 3 3

71%

Jan-13 4 4 4 3 4 4 4 4 4 4 4 4 3 3 3 3

74%

Mar-13 4 4 4 3 4 4 4 4 4 4 4 4 3 3 3 3

74%

5 100% District-wide implementation; ongoing measurement in place, reached or exceeded target at least once in the last 6 months at all sites/Implantation à l’échelle régionale; évaluation continue en place, objectif ciblé atteint ou dépassé au moins une fois dans les 6 derniers mois à tous les sites.

4 76-99%

Partial or selective implementation; measures in place, variation within and between sites/Mise en œuvre partielle ou sélective; mesures mises en place, disparités au sein des sites et entre les sites.

3 61-75%

Partial or selective Implementation; no measures in place/Mise en œuvre partielle ou sélective; aucune mesure mise en place.

2 51-60% Team formed, charter developed/Équipe formée, charte élaborée.

1 0-

50% No activity or discussion only/Aucune activité ou discussion seulement.

n No information available/Pas d'information.

Dashboard

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Current Conclusions

Challenges – Communication, time for Physician participation, tolerance for unexplained practice variations & measurement / use of measures

Must Remember– Takes time to hard wire change

• Impacts of leadership turnover• Identification & celebration of good strategies & results• Interconnections between knowledge, capability, patient safety

attitudes and belief in spread & sustainability possibilities (safety culture)

Questions