The Improvement Facilitator
Role
Improvement Facilitator Training
Session 1 Day 1
Objectives
• A really brief introduction to Facilitation
• Your roles and responsibilities as an ASaP
Improvement Facilitator
Facilitate - Definition
fa·cil·i·tate [fuh-sil-i-teyt] –verb
(used with object), -tat·ed, -tat·ing.
To make easier or less difficult;
help forward (an action, a
process, etc.): Careful planning
facilitates any kind of work.
Who is an Improvement Facilitator (IF)?
• A naturally positive, optimistic and intuitive person
• A skilled communicator; able to connect with all members of
clinic teams
• Results-oriented ;able to stay focused on “process” development
• Flexible while assisting each team to customize the process that
will work for them in the long-term
• Enthusiastic and able to foster the desire for change within teams
• Able to ensure that teams stay focused during meetings.
Core Practices of an Improvement Facilitator
Facilitators:
• Stay neutral on the content
• Listen actively
• Ask questions
• Paraphrase continuously
• Summarize discussions
• Manage the climate
Facilitation Tools & Techniques References
F2
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
The ASaP Intervention
Panel
Identification
A6
Document process to ID patient/provider
attachment
Generate patient lists for screening
30 days
Choose + document screening maneuvers
Baseline Chart Review & Current Screening Process Assessment
Choose + document screening methods:
opportunistic and/or outreach
Focused
Improvement
Define & document team roles &
responsibilities
Test small change (PDSA)
60 days
Standardize processes
Measure reliability of processes
4-Month Follow Up Chart Review & Screening Process Assessment
Build on
Success
Apply for CME credits
Identify other clinical improvement
opportunities
Ongoing
Sustainability Chart Review & Continued Follow-up Reviews
9
Sample Improvement Facilitator Journey
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
ASaP Training Plan
Improvement Facilitators & Chart Reviewers
H1
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
IHI Open School
H4
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
ASaP Webinars
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Monthly (end of month)
One hour format
CPAs and Guest presenters
Schedule in Community of Practice Guide & on
TOP website
H4
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
Weekly Teleconferences
Regional, cohort
IF directed
~9 weeks
Optional after 9 week
period
• Sharing, building IF
Community of Practice
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H4
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
Yammer – Online Community
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Build connections between IFs across the province
Increase IF competencies
Internal mentoring
Spread of screening process redesign
Spread of QI principles beyond ASaP
Continuous professional development of members
H4
Expectations of ASaP Improvement Facilitators
• Support clinics with ASaP interventions (as
assigned by your Primary Care Organization)
• Attend ASaP training sessions (4 days)
• Self-directed learning: IHI Open School (until
March 2014)
• Attend monthly webinars (July 2013 – March 2014)
• Attend weekly teleconferences (for ~9 weeks)
• Engage on Yammer ASaP discussion board
• Engage with your CPA (1:1 coaching)
IF Self Assessment
Handout
Summary
• Refer to Facilitation at a Glance book in your
toolkit for facilitation skills needs
• Participate in ASaP training
• Take advantage of the world-class IHI Open
School resource to enhance your QI theory base
• Participate in the range of ASaP Community of
Practice offerings