Alisha Fehrenbacher IHI Open School Chapter

IHI Open School

Interprofessional Educational Community that teaches healthcare professionals how to become change agents for health care improvement.

Why is it relevant?

• Medical errors are the third leading cause of death in the US

• Value –based reimbursement demands the optimization of clinical and administrative systems

• 70% of quality initiatives in hospitals fail

IHI Basic Certificate

The completion of the IHI Basic Certificate represents a dedication to the Triple Aim and provides a robust foundation for continuous improvement across the spectrum of healthcare delivery.

It is comprised of 16 Online Courses that consist of:

• 60 Individual Lessons

• 22 hours of instruction - Case Studies

- Video & Audio

- Practical Application

- Virtual Discussion Groups - Access to online resources and tools

SCHS Open School Chapter

Executive Sponsorship

Program Support

(Quality Department & IHI)

Administrative Co-Leader - Administrative Oversight

- Program Mgmt. & Instruction - Reporting & Communication

- SCHS Integration

Clinical Co-Leader

- Clinical Oversight

- Program Mgmt. & Instruction

- Coordinate with CME & Clinical Ed.

Current State

All Managers and Above

• Must complete certificate within 6 months of enrolling

• Enrollment is on-going

• All Basic Certificates complete by December 31st 2013

• Governing Board has started too!

Program Support

• Informational Road Show

• Monthly training sessions taught by leadership

• IHI Quarterly Chapter Event: Patient Centeredness Panel

• Yearly Quality Award and Recognition Program

• Published blog on www.ihi.org (coming soon)

• Viewable progress reports

• SharePoint site with QI tools, articles and legacy documents

• Published menu of IHI webinars (coming soon)

• IHI introduced to Nurses at Clinical Orientation

2013 Mini-Courses St. Charles IHI Open School Chapter: 2013 QI Courses

All classes will be held at St. Charles Bend unless otherwise noted

Date/Time & Location

Course & Purpose Instructor

0800-0900 12-Feb CR H

Quality 101: Defines Quality. Explains how it fits into St. Charles strategy. Defines Value and Waste in Healthcare.

Pam Steinke CNE/ VP Quality

0800-0900 12-Mar

Phys Dining Rm

Continuous Improvement: Introduces Model for Improvement and PDSA Cycle.

Dr. Mike Caravelli Orthopedic Surgeon

0800-0900 16-Apr

East Dining Room

Planning: Teaches how to create defined goals and objectives and how to plan for measurement Jay Henry

CEO St. Charles Bend

0800-0900 14-May CR G

Causal Analysis: Teaches basic causal analysis techniques i.e. 5Y & Fishbone Dr. Michel Boileau

Chief Clinical Officer

0800-0900 11-Jun

Cafe Conf. Rm Redmond

Systems Thinking 101: Introduces Process & Value Stream Mapping Gary Bruce

Director Legal & Risk Mgmt

0800-0900 16-Jul

Café Conf. Rm Redmond

Systems Thinking 102: Introduces Driver Diagrams and how to select metrics for QI projects. Jeanie Gentry

CEO St. Charles Madras

0800-0900 13-Aug

East Dining Room

Counter Measures: Introduces constraint theory and identifies strategies for managing stakeholders.

Bob Gomes CEO PMH/Redmond

0800-0900 19-Sep

Sage Rm Redmond

Measurement 101: Explains the use of Run Charts and Dashboards Jenn Welander

Director Financial Services

0800-0900 15-Oct CR F

Measurement 102: Teaches how to Create and Use Single Variable Control Charts

Steve Strang Director Performance

Analytics

0800-0900 12-Nov CR G

Continuous Improvement Culture: Explores characteristics of high performing healthcare organizations

Nancy Pennell VP & Chief Learning Officer

0800-0900 10-Dec CR G

Leading Improvement: Provides insights on creating sustainable change and spreading it throughout the organization.

Jim Diegel CEO & President SCHS

Courses will fill-up quickly, so please sign-up on Net Learning soon. If you have questions, please contact Kyle Johnson at x3795 or by email at kejohnson@stcharleshealthcare.org

Model for Improvement

What are we trying to accomplish?

How will we know that a change is an

improvement?

What changes can we make that will result

in improvement?

ACT PLAN

DO STUDY

PDSA Cycle

• Objective

• Question and predictions (why)

• Plan to carry out the cycle:

(who, what, where, when)

• Plan for data collection

• Complete the analysis of the data

•Compare data to predictions

• Summarize what was learned

• Carry out the plan

• Document problems and

unexpected observations

• Begin analysis of data

• What changes are to be made?

• Next cycle?

Current Progress Report (Executives)

NameCourses

Complete

Surveys not

Complete

Certificate

Complete

Y/N

Bill Winnenberg 8 0 N

Bob Gomes 7 1 N

Jeff Absalon, MD 7 0 N

Mike Boileau, MD 8 3 N

Jay Henry 6 0 N

Jeanie Gentry 7 1 N

Jim Diegel 17 0 Y

Karen Shepard 12 2 N

Kirk Schueler 8 1 N

Pam Steinke 17 1 Y

Rick Martin 17 1 Y

Nancy Pennell 11 4 N

6 or less Modules Complete

Color Key: On-track

Complete

250

159 64%

34 14%

IHI Basic Certificate Progress Through: 04/05/13

Accounts Purchased

Caregivers Enrolled

Certificates Completed

Accounts

0 5 10 15 20

Bill Winnenberg

Bob Gomes

Jeff Absalon, MD

Mike Boileau, MD

Jay Henry

Jeanie Gentry

Jim Diegel

Karen Shepard

Kirk Schueler

Pam Steinke

Rick Martin

Nancy Pennell

Bill Winnenberg

Bob Gomes

Jeff Absalon, MD

Mike Boileau, MD

Jay Henry

Jeanie Gentry

Jim Diegel

Karen Shepard

Kirk Schueler

Pam Steinke

Rick Martin

Nancy Pennell

Way Ahead

Program Expansion

• Physicians

• Nurses

• All caregivers

• Patients

• CCO & Community Partners

Ideas for the Future

• More mini-courses

• Formalized Program: System integration for QI projects and initiatives

• Part 4: Maintenance of Certification Requirements (Practicum)

• St. Charles QI training and certificate program(Lean, Six-Sigma, etc.)

• Spread of Statistical Process Control (SPC) software

• Grand Rounds

• Big Idea Breakfast: (Basic Certificate Holders Only)

Questions?

Contact Information

Kyle Johnson, MBA, PMP

Administrative Fellow

St. Charles Healthcare

Office: (541) 706-3795

Cell: (541) 510-4546

kejohnson@stcharleshealthcare.org

kejohnson@stcharlesthealthcare.org

<kejohnson@stcharleshealthcare.org>harleshealthcare.org

kejohnson@stcharleshealthcare.org