Presentation on theme: "Engaging Staff with Meaningful Data to Drive Quality Improvement"— Presentation transcript:
1 Engaging Staff with Meaningful Data to Drive Quality Improvement Getting data is an IT/staffing/logistics issueUsing data to drive quality improvement is an leadership issue “the hard part.”Lander Cooney, CEOCommunity Health Partners, Inc.
2 Community Health Partners, Inc. FQHC started in 1997, rural/frontier, ~120 employeesMedical, dental, behavioral health, pharmacy, and educational programmingServed 12,400 patients for over 43,000 visits in 2011Tell a little history. Serving two county area with a poulation close to 100,000 people. . . Larger than the state of Connecticut.2
3 Community Health Partners, Inc. Participated in DM, CVD, Depression, ARMC, Oral Health, Self-Management Support, Patient Safety CollaborativesLive on NextGen EHR since April 2009Received NCQA PCMH recognition January 2012
4 PCMH Change Concepts Empanelment Engaged Leadership Continuous and Team-Based Healing RelationshipsQuality ImprovementPatient-Centered InteractionsEnhanced AccessCare CoordinationOrganized Evidence-Based Care(Safety Net Medical Home Initiative –Don’t need to tell this group about these concepts. . . There are two obvious connections but really measurement helps us make progress in all areas. . .Panel size, new patients by site and provider, average # visits per year per patient by sitePCMH – A, staff engagement, baldrige response, presentations, community partnershipsContinuityEVERYTHING, we even measure how many PDSAs are going at once. .Goals set, panel management, did we ask langugage preference?3rd next, FOCShould track referrals, labs, missed opportunities for follow upSee QI – timely A1c or PHQ. . .
5 It starts with Mission, Vision, Values (MVV) Mission: To enhance community health and wellbeing.Strategic goal areas: Access, Quality Improvement, Finance, Engagement, Addressing Root Causes of Poor Health, and Partnerships.Vision: 100% access, zero disparityValues:Customer/Patient-centered, excellence, optimism, empathy, respect, efficiency, clear communication, collaboration, flexibility, equity, education, transparencyTell a little history. Serving two county area with a poulation close to 100,000 people. . . Larger than the state of Connecticut.
6 History of Measurement at CHP The Technical Story…….Balanced ScorecardStrategic PlanPECSEMR
7 History of Measurement at CHP The Engagement Story…….Asked what does engagement really mean?Link strategic plan to daily workIn response to Are We Making Progress? Baldrige Gap Survey ( ....and research
8 CHP’s approachAssume employees WANT to do great work, it’s my job to engage them in itAlign everyone with the mission and strategic objectivesShare data regularly and in a timely manner, transparently, specific to the team doing the workGive everyone the tools to do improvement workRecognize, spread, and sustain. . .
9 Assume employees WANT to do great work Patient centered = employee centeredHire well – values matchStart with a simple question:
10 Align everyone with the mission, vision, and strategic objectives
14 in highlighting positive deviants . . . Tracking patient plan printing. .Identified by Medical director in May of 2010 as a new measure we’d be tracking – meaningful use, PCMH, good practiceTook providers a while to figure out how to make it part of workflow.Explain elements of graph – site line, org line, medianONE provider in Livingston figured it out – I know this because I see all individual lines but also because MM went on vacation in sept of 2010Also see dip in march 2011 when EMR went down. . .
17 Some thoughts on timeliness and frequency. . . Good enough measuresFormal vs. informal measuresUse run charts to show change over time.Think about when and how oftenShare data when people have the context to digest and then DO something about it.
18 Give everyone the tools to improve Communication and teamworkFacilitative leadershipRun Charts 101Meetings & time to analyze data and create a planPDSALean
19 Recognize, spread, and sustain change Visual managementEmbed data everywhereWalk the walkIntranetPCMH steering committeeInter-site teamsSummits and Fed-Ex Days