Orientation to the MedSurg Innovation Community

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Orientation to the Med/Surg Innovation Community

• Ann Greiner
• IHI Director

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Our Work Together

• High leverage changes
• How will we know if we arrive?
• Overview of curricula
• IC faculty and IHI design team
• Your questions and comments

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Nine High Leverage Changes

• 4 overlapping and interacting design themes
• Changes largely identified through TCAB work
• Creativity comes with adapting ideas to your
  setting and identifying new, promising changes

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Safe and Reliable Care

• Care for hospitalized, moderately sick
  patients is safe, reliable, effective and
  equitable
• High leverage changes measures
• Early detection/response (RRT) -- of deaths
• Reducing ADEs ADEs per global trigger tool
• Falls prevention -- falls prevalence

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Vitality Teamwork

• A joyful supportive environment that nurtures
  professional formation career development
  where effective teams continually strive for
  excellence
• High leverage changes
• Engage front line staff
• Optimize communications
• Measures 11 question survey

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CONCIERGE SERVICES
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Patient/family Centered Care

• Honors the whole person family, respects
  individual values choices, and ensures
  continuity of care
• High leverage changes
• Support involve patients families
• Create healing environment
• Measurement 4 item patient survey

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OPEN ACCESS TO CHART
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Value Added Care

• All care processes are free of waste and promote
  continuous flow
• High leverage changes
• Eliminate waste and improve work flow
• Improve work environment through space redesign
• Measures work sampling via PDA or device/paper
  approach

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SUPPLY CART IN PATIENTS ROOM
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Nursing Pods
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How We Learn (and Share)

• Two Face-to-Face Learning Sessions (11/1-11/2 and
  5/4-5/5)
• Web-ex Sessions, e.g., physical design
• Content Calls, e.g., reducing documentation
• Office Hours, e.g., measurement
• Extranet List serv, work groups, resources, team
  home pages
• Optional IHI Web-in-Actions linked to the
  campaign (additional cost)

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Short Term Curricula

• October pre-assessment, prework
• November Learning Session Optional
  Web-in-Actions ADEs (11/8) RRT (11/29)
• December Patients on design teams, w/ Bev
  Johnson (www. familycenteredcare. org)
• December Office hours TBD, potentially
  measurement

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IHI Faculty for IC

• Bev Johnson, Institute for Family Centered Care
• Mike Leonard, Kaiser
• Tami Merryman, UPMC Shadyside
• Mary Viney, Seton Northwest
• Other faculty from TCAB sites as needed

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IHI Design Team

• Ann Greiner, Director greinerhealth_at_comcast.net
• Diane Miller, Director dmiller_at_ihi.org
• Pat Rutherford, VP prutherford_at_ihi.org
• Lindsay Swain, Project Manager lswain_at_ihi.org
• Jane Taylor, Improvement Advisor
  jane1taylor_at_mac.com
• Others Barb Boushon, Betsy Lee, Gail Nielsen

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Innovation Community

• Innovation n 1 a creation resulting from study
  and experimentation 2 the act of starting
  something for the first time.
• Community n 1. a group of people having common
  interests the scientific community 2. Sharing,
  participation, and fellowship.