1. Wisconsin Mental Health Collaborative AGENDA Welcome & Introductions – Tom Mosgaller Review Agenda – Tom Mosgaller Discussion Topic – NIATx Tools Refresher (Fishbone diagram, Flowcharting, Nominal Group Technique) Site Updates – – Door – Iowa/Grant – Jefferson – La Crosse – Lincoln/Marathon/Langlade – Milwaukee – Rock – Wood Barriers & Challenges – Anything keeping you up at night? Future Topics – Leading Effective Change Teams Next Calls – second Thursday of the month – 12:00 – 1:00 p.m. CST – June 9 – July 21 (moved to third Thursday) – August 11 – September 8 – October 13 (if needed) Evaluation

2. This is NOT Rapid Cycle Improvement!

3. PDSA Cycle for Improvement ActPlan StudyDo What changes are to be made in next cycle? Abandon Adapt Adopt Objective Questions and predictions (why) Plan to carry out the cycle (who, what, where, when) 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 the data

4. Model for Improvement 3. What changes can we make that will result in an improvement? 1. What are we trying to accomplish? 2. How will we know that a change is an improvement? Reference: Langley, Nolan, Nolan, Norman, & Provost. The Improvement Guide P D S A

5. CORE PRACTICES:  Simple model of improvement  Use of aims  Collaborative approach  Empower those closest to the work  Develop the business case The NIATx Approach to Quality

6. Walk ThruFish-Bone Nominal GroupFlow Charting