Collaboratives:
Purpose and Structure
John Bingham
Vice-President, Performance Improvement
Chief Quality Officer
I keep six honest serving-men
(They taught me all I knew);
Their names are What and Why
and When
And How and Where and Who.
“Just So Stories” Rudyard Kipling,
1902
What?
Collaboration : A recursive process where
two or more people or organizations work
together in an intersection of common goals
— for example, an intellectual endeavor[1] [2]
that is creative in nature[3]by sharing
knowledge, learning and building consensus.
From Wikipedia, the free encyclopedia
IHI Definition of Collaborative:
“A Breakthrough Series Collaborative is a shortterm (6- to 15-month) learning system that
brings together a large number of teams from
hospitals or clinics to seek improvement in a
focused topic area.”
The Breakthrough Series Whitepaper © 2003
IHI’s Collaborative Model for Achieving Breakthrough
Improvement
Key Elements of IHI Collaboratives:
1.
2.
3.
4.
5.
6.
7.
8.
Topic Selection
Faculty Recruitment
Enrollment of Organizations/Teams
Learning Sessions
Action Periods
The Model for Improvement
Measurement and Evaluation
Summative Congresses and Publications
How? IHI Breakthrough Series
Participants
Select
Topic
(Develop
Mission)
Expert
Meeting
(10-100 Teams)
LS – Learning Session
Prework
Develop
Framework
& Changes
Planning
Group
AP – Action Period
P
A
P
D
A
S
D
A
S
LS 1
LS 2
AP1
Visits
© 2003 Institute for
Healthcare Improvement
Sponsors
Publications,
Congress, etc.
D
S
LS 3
AP2
Supports:
Email (listserv)
Dissemination
P
Phone Conferences
Assessments
Monthly Team Reports
AP3*
Holding
the Gains
*AP3 –continue
reporting data as needed
to document success
Who?
UT Health System:
6
Number of Institutions
8,081
Number of Physicians
41,579
Number of Employees
Source: The University of Texas System Fast Facts 2009
The University of Texas
Health Science Center at Tyler
Where?
Why?
86,030
Number of UT Admissions
5,348,270
Number of UT Outpatient Visits
1,402,284
Number of UT Hospital Days
?%
Percentage of UT System
Patients Receiving all of the
Evidence-Based Care That
They Were Eligible to Receive
Source: The University of Texas System Fast Facts 2009
Why?
“Please…
Don’t Make Me Wait…
As I Have So Little Time Left!”
So… What Should/Could We Do?
1. Continue with Current UT Model
2. Develop More “Robust” UT Model
3. Join One or More of IHI’s Collaboratives
4. Partner With IHI to Develop IHI/UT
System Collaborative Model
IHI Improvement Map Focus Areas:
70 Evidence-Based Processes
New IHI Collaboratives Beginning Fall 2009:
• IMPACT Leadership Community
• Transforming Care at the Bedside
• Improving Perinatal Care
• Reducing Readmissions
• Reducing Sepsis Mortality
When?
Now
Thank You!
Save the Date!
David Eddy, M.D., Ph.D.
on Nov. 17
Special event for CS&E Alumni
• Physician-mathematician makes return
to M. D. Anderson
• Half-day event on use of evidencebased guidelines
Plan to Attend!
Nov. 17, 2009 7:30-11:30 a.m.
FCT 3.4165, Room 7 (Pickens Tower)