Creating Collaboration: Weaving community wisdom into your organization Scarborough Centre for Healthy Communities
Presenter Disclosure Presenter: Callum Tyrrell No Conflict of Interests To Declare
Theme • People and communities at the centre - What can we learn from the initiatives, tools and evidence that put involvement of individuals, families and communities at the centre of service planning, improvement and delivery?
The Elephant Story…
Don’t Blame People, Look at Structures
What are the ideals we look for in health care systems and teams?
Liberating Structures • When you feel included and engaged, do you do a better job? • Do you think teams in which people work well together produce much better results? • Have you noticed the best ideas often come from unexpected sources? • Do you want to work at to the best of your intelligence and give the same opportunity to others?
CREATING PROBLEMS
Instructions • 1. “Make a list of all you can do to design structures to make sure that you achieve the worst result imaginable for health outcomes and quality experience for your clients with respect to a CHC Diabetes clinic.” 1-2-all • 2. “Go down this list item by item and ask yourselves, ‘Is there anything that we are currently doing that in any way, shape, or form resembles this item?’ Be brutally honest to make a second list of all your counterproductive activities/programs/procedures.” 1-2-all • 3. “Go through the items on your second list and decide what first idea will help you stop what you know creates undesirable results?” Idea Cards
Idea Cards IMPROVEMENT OPPORTUNITY Name: What is the problem?
Recommended Solution:
Expected Benefits:
Date:
High Impact
PICK Chart
Implement Challenge
Low Impact
Possible Kibosh
Low difficulty
High difficulty
High Impact
PICK Chart IMPROVEMENT OPPORTUNITY Name: Date: What is the problem? IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?
IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?
IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?
Recommended Solution: Recommended Solution:
Recommended Solution: Expected Benefits:
Recommended Solution: Expected Benefits:
Expected Benefits:
Expected Benefits:
Implement Challenge Possible Kibosh
Low Impact
IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?
IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?
Recommended Solution:
Recommended Solution: Expected Benefits: Expected Benefits:
Low difficulty
High difficulty
Instructions • 1. “Make a list of all you can do to design structures to make sure that you achieve the worst result imaginable for health outcomes and quality experience for your clients with respect to your CHC clinic.” 1-2-all • 2. “Go down this list item by item and ask yourselves, ‘Is there anything that we are currently doing that in any way, shape, or form resembles this item?’ Be brutally honest to make a second list of all your counterproductive activities/programs/procedures.” 1-2-all • 3. “Go through the items on your second list and decide what first idea will help you stop what you know creates undesirable results?” Idea Cards • 4. “Using the PICK Charts, determine based on the following limitations, which ideas are “Possible, Implement, Challenge and Kibosh” be prepared to report out! Limitations: $100, 3 staff, 2 weeks
Accreditation Evidence
Structure
Process
Outcome
Visual Management Structure Continuous Improvement and Co-Design
Current Time-limited Active QI Project Connect to Impact: % of funder targets achieved
Community
Each Other
Partners
Impact
Measure:% of funder targets achieved for MOW.
Measure: % of MOW Routes Filled % of MOW Routes Filled
Visual Check list of a “WHO; WHAT: WHEN” What WhoQI When Tracking PDSA1: Demand visibility Joan 1/22/18 progress PDSA 2: Capacity visibility
Coordinators
1/26/18
PDSA 3: Develop Plan SW
All
2/2/18
PDSA 4: Vol profile comms
Abha/crdintrs
2/6/18
Co-Design Process Steering Group Setup CoCelebration Event
Info Sharing from Clients & Families
CoMonitoring
Info Sharing from Staff
Co-Design Teams Action Planning
Co-Design Event: CoDetermine Priorities
Four Pillars of Person and Family Centered Care • Patients and families’ perspectives and choices, knowledge, values, beliefs, and cultural backgrounds are listened to and incorporated in the care plan by the healthcare team.
• Patients and families collaborate with health-care leaders in policy, program design and evaluation
• The health-care team communicates and shares timely and complete information with patients and families
Respect and Dignity
Information Sharing
Collaboration
Participation
• Patients and families are encouraged and supported in participating in care and decisionmaking.
The Institute for Patient and Family-Centered Care
Provincial Engagement Framework
Weave Client’s & Staff Wisdom Into your Organization
Final Thought…