Improving Health and Health Care Worldwide | IHI ...



from Barbara Balik to All Participants:Hello Everyone! Greetings from spring in New Mexico!from Susan Russell to All Participants:Good Evening from Scotlandfrom Helen Macfie to All Participants:Good morning from California :)from Jessica Perlo to All Participants:Hi everyone, thank you for joining!from Barbara Balik to All Participants:Hello Scotland colleagues - thanks for staying late to join us!from EMMA WATSON to All Participants:: )from Wendy Hunt to All Participants:Munson Medical Center from Traverse City, Michigan is attending-Thxfrom Barbara Balik to All Participants:Welcome Munson!from Barbara Balik to All Participants:What have you learned?from Julianne Garr to All Panelists:Leaders that are presentfrom Barbara Balik to All Participants:Talking with people about why they got into healthcare and why they stayed - always powerful sources of joyfrom Helen Macfie to All Participants:When staff report out that their ideas were heard, they participated in the change, and they are so happy to have made an improvementfrom Andrea Kabcenell to All Participants:A good day for me is when I see that what I have been working on does some good for someone.from Laura Fennimore to All Participants:A good day is when I feel like I made a significant contribution and someone recognized it.from Ashley Steinbruecker to All Participants:We had responses of teamwork and communicaion as things that matter to our employeesfrom Nicole Winbush to All Participants:A good day is marked by team work, communication and quality patient carefrom Julianne Garr to All Panelists:Leaders - listen to concerns and follow up from Lorra Browne to All Participants:When a manager or sponsor for an improvement team can clearly articulate the goals in a way that the team get excited about the needed changefrom Steve Swensen to All Participants:An empty email inbox!from Martina Tam to All Participants:We had responses that what makes a good day is when team members felt heard and understood by the managers. We are going to test having the managers shadow different members of the team to see if we increase the number of days that people feel heard and understood. from Bernadette Melvin to All Participants:Knowing that all tasks assigned will be and have been accomplished by the end of the shift.from Wendy Hunt to All Participants:A good day is talking with a group of energized people expressing ideas about good pt. care and working with other disciplines. from Barbara Balik to All Participants:Love the idea of shadowing team members - a huge source of learning for everyone!from Barbara Balik to All Participants:What did you plan to work on?from Wendy Hunt to All Participants:Short on safety companions so that other staff have to cover...shorting othersfrom Julianne Garr to All Panelists:inconsistency in following standardsfrom Barbara Balik to All Participants:Am always struck by the things that matter - nothing extraordinary; core respectful actionfrom Wendy Hunt to All Participants:Someone else crisis becoming your crisis in a well thought out organized day.from sue sloan to All Participants:plan to keep engaging with staff across the organisation and ask the questions. Stones in shoe - losing focus, firefighting, meetings for meetings sakefrom Lorra Browne to All Participants:scheduling conflicts - especially when causing delaysfrom Nicole Winbush to All Participants:It was challenging because the survey revealed that our small team has significant interpersonal issues with basic issues related to courtesy. We are still figuring out how to best go about addressing this.from sue sloan to All Participants:poor communication, not feeling heard, not feeling valuedfrom Barbara Balik to All Participants:firefighting is a big stone for everyone, isn't itfrom Barbara Balik to All Participants:Nichole - I hear that as a topic more often than you might guessfrom alex mcmahon to All Participants:Getting my corporate director colleagues to buy into the concept of joy at work and dealing with 'stones in shoes'. One issue is using patient feedback and stories and also using our staff surveys to identify stones and how we might address these..from Barbara Balik to All Participants:Steve and I have talked that civility, respectful behavior is the absolute foundation for all this workfrom Barbara Balik to All Participants:I like to ask 'what does that look like?' so you have specificsfrom EMMA WATSON to All Participants:well done!!!from Shea Sizemore to All Participants:Presbyterian uses PDSA, Lean, and 6 Sigmafrom Colin Walker to All Participants:Yes, we have a management methodolgy based on lean at Virginia Mason. from Ashley Steinbruecker to All Participants:We use LEANfrom Wendy Hunt to All Participants:Yes we do at Munson Medical Center in Traverse City Michfrom Stacey Roques to All Participants:We use LEANfrom EMMA WATSON to All Participants:we use lean, and have adapted the VM approach to develop the Highland quality Approachfrom Kari Goebel to All Participants:At Seattle Children's we have been on our lean journey for over 15 years!from Shelly Fagerlund to All Participants:Virginia Mason Medical Center uses our version of the Toyota PRoduction Systemfrom sue sloan to All Participants:yes NHS Lothian use LEAN methodologiesfrom Barbara Balik to All Participants:Kudos to those organizations who use some form of disicipline to improve every day whether Lean or Model for Improvement or combination - strong link to joy in workfrom alex mcmahon to All Participants: we did a whole piece in Lothian two years ago on 'our values' and the process was led by one of our senior LEAN personnel and it really did make a difference. we got 2000 staff engaged...from Barbara Balik to All Participants:Impressive work Alex - helping the values to come alive in daily work is very powerfulfrom sue sloan to All Participants:our challenge is everyone authentically living our values at all levels of the organisation, embedding and sustaining the values into action work. We are hoping that focusing on 'joy in work' and appreciative inquiry will support and enable this from alex mcmahon to All Participants:We are using a new staff survey tool (iMatters) and we hope to cover the 24,000 staff we have. We will then use the outputs to improve staff experience and how we can improve on day to day working and longer term improvements around culture and behaviour....from Barbara Balik to All Participants:So true, Sue - values in action is the key; having team members help to specify what that looks like in action then commiting to 'this is how we are together' is so essential; Helen & Lorra are giving great examples of living your values through disciplined systemsfrom Andrea Kabcenell to All Participants:You are touching on an age-old problem...getting everyone on the same page. Who can do that? Skilled managers at the point of service. They can role model the right behaviors, guide daily improvement, and keep the purpose and meaning of the work front and center. Listen for these examples from Helen and Lorra.from Barbara Balik to All Participants:"What gets in the way of a good day?" example from Lorra in birth center!from Barbara Balik to All Participants:Excellent examples of how hearing the voice of the patient/family reconnects team members to why they are in healthcarefrom Andrea Kabcenell to All Participants:These are great examples of ways to measure. from Barbara Balik to All Participants:Systems that don't work for patients usually don't work well for team members eitherfrom Shannon Mindt to All Participants:Did this work improve the employee/leader joy, satisfaction and burn out? If so, how did you measure that?from Dede McCreary to All Participants:For those of us who have not used LEAN, how do you suggest learning more about it.from Susan Silverthorne to All Participants:Can you provide suggestions for applying this mangement approach in a unionized environment (manager/staff ratio: 1:50)?from Shannon Mindt to All Participants:Did this work improve the employee/leader joy, satisfaction and burn out? If so, how did you measure that? ................
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