Centre for Healthcare Redesign
Diploma Program
2015-03
Guidelines and Application Form
Key Dates:
Application open:16 December 2014
Applications close: 30 January 2015
Successful Applicants Announced: 16 February 2015
Author:
Centre for Healthcare Redesign
Owner:
Agency for Clinical Innovation
Postal address:
Agency for Clinical
Innovation
PO Box 699
Chatswood NSW 2057
T +61 2 9464 4666
F +61 2 9464 4728
info@aci.health.nsw.gov.au
www.aci.health.nsw.gov.au
February 2015
AGENCY FOR CLINICAL INNOVATION
Level 4, Sage Building
67 Albert Avenue
Chatswood NSW 2067
Agency for Clinical Innovation
PO Box 699 Chatswood NSW 2057
T +61 2 9464 4666 | F +61 2 9464 4728
E info@aci.nsw.gov.au | www.aci.health.nsw.gov.au
Produced by: Centre for Healthcare Redesign
Ph. +61 2 9464 4723
Email. chr@aci.health.nsw.gov.au
Further copies of this publication can be obtained from:
Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au
Disclaimer: Content within this publication was accurate at the time of publication. This work is copyright. It may be reproduced
in whole or part for study or training purposes subject to the inclusion of an acknowledgment of the source.
It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires
written permission from the Agency for Clinical Innovation.
© Agency for Clinical Innovation 2013
TABLE OF CONTENTS
SECTION A
1
1. Introduction to the Centre for Healthcare Redesign
1
2. CHR Diploma Program
2
3. Where does the CHR Diploma Program fit in the project lifecycle?
3
4. Course Structure
5
5. Pre requisite
6
6. 2015 Calendar
6
7. Cost
6
8. Key Program Roles and Responsibilities
7
SECTION B
10
1. Application Process
10
2. Application Form
11
Section A
1. Introduction to the Centre for Healthcare Redesign
The Centre for Healthcare Redesign (CHR) was established in 2007 as a key strategy to
support the growth of Redesign programs and therefore contribute to the Healthcare Triple
Aim1:
•
Improving the patient experience of care
•
Improving the health of populations
•
Reducing the per capita cost of health care.
The role of the CHR, as part of the Agency for Clinical Innovation (ACI), is to provide skills
and knowledge for staff across the healthcare system primarily in the areas of:
•
Innovation
•
Redesign
•
Project Management
•
Change Management.
CHR offers capability development programs & resources which include:
•
The CHR Diploma Program (aka
‘Redesign School’)
•
Change Management Training
(Accelerating Implementation
Methodology – AIM)
•
Redesign Awareness Programs
•
Redesign eLearning Portal (GEM)
•
Hub of the Redesign Leader’s Network
•
Coaching Panel.
The CHR values align with the core NSW Health values: Collaboration, Openness, Respect
and Empowerment.
1
1
: The Triple Aim is an ongoing initiative from the Institute for Healthcare Improvement (IHI) and has been adopted by the
Agency for Clinical Innovation (ACI)
1
2. CHR Diploma Program
The CHR has been delivering a state-wide redesign and project management diploma
program for health professionals since 2007. Through this program, the CHR supports the
goal to be the ‘go to’ place for clinician and consumer-led reform2 and aims to:
•
Enhance the health workforce’s capacity to undertake redesign projects within the
NSW Health system
•
Promote, develop and strengthen networks across functional and regional areas
•
Integrate patient-centred healthcare delivery.
The CHR Diploma Program is an intensive 20-week program conducted 3 times a year which
incorporates a mixed-method model of delivery to enable NSW Health staff to complete an
important workplace improvement project. It includes:
•
A comprehensive eLearning program
•
13 Face to Face educational sessions
•
Workplace coaching
•
A workplace redesign project
•
The award of a Diploma of Project Management for eligible participants.
Redesign Methodology
Using proven Redesign Methodology, frontline staff can identify issues impacting patient
experience then develop and implement sustainable change processes to improve the way
health care is delivered and experienced, benefitting patients, carers and staff.
Project Initiation
& Start up
Diagnostics
Solution Design
Implementation
Implementation
Monitoring
Evaluation /
Sustainability
Participants, projects and achievements
365 participants have graduated from the CHR Program, implementing over 200 projects in
the past eight years. These projects address a wide range of issues, including high profile
and state-wide initiatives such as:
•
Emergency Department (ED) Models of Care
•
Chronic Pain Management for Frequent Attendees to the ED
•
Individual Patient Special for Patients with Delirium and Dementia
•
Hospital in the Home for Patients with Cellulitis
•
Emergency Surgery Guidelines
•
National Emergency Access Target (NEAT) Projects
Further information about CHR projects is available through the Innovation Register at:
http://www.archi.net.au/our-services/innovations.
2
The ACI Strategic Plan 2012 – 2015 can be accessed on: http://www.aci.health.nsw.gov.au/about-aci
2
2-3 months
PROJECT
INITIAL FORMULATION
IDEA
CHR APPLICATION
5 months
IMPLEMENTATION PLAN
3. Where does the CHR Diploma Program fit in the project lifecycle?
P
A
P
S
D
S
D
4 - 12 months
OBJECTIVES MET
CHR DIPLOMA PROGRAM
A
PROJECT IMPLEMENTATION
EVALUATION AND
GRADUATION
CONTINUOUS
IMPROVEMENT
Project Idea
Projects best suited to the Redesign Methodology are improvement projects, where staff
identify a high priority and measurable problem to solve in their organisation.
Initial Formulation
Once the issue / problem area is identified, staff should start defining the project. This
includes determining what the objective is, who will manage the project, and how the project
team will be organised. The application form offers a list of criteria to think about prior to
starting the project.
CHR Application – Who is eligible to apply?
Staff who regularly manage projects or wish to make significant workplace changes, but do
not have any formal training on project management or change management, will greatly
benefit from attending the program. Participants are nominated from each Local Health
District / Specialty Health Network (LHD/SHN) on the recommendation of the local Executive.
Staff can apply individually or in teams. We recommend that the project team comprises of at
least 2 participants, including at least one member of each area impacted by the change.
For example, if the project addresses issues for patients with a mental illness when
presenting to the Emergency Department, the team should include at least a staff member
from Mental Health and one from the Emergency Department.
The application form must be reviewed and approved by your Manager, your Project
Sponsor and your Redesign Leader prior to being submitted to the CHR.
If you are thinking about applying but
are unsure of the suitability of your project or
the commitment needed for the program,
it would be a good idea to talk to your
Redesign Leader or to a past participant.
3
CHR Diploma Program
The Diploma Program provides the learning component to set up a successful project. The
program takes participants through the different steps of redesign project management, from
initiation through to evaluation.
The program requires a considerable time commitment and we recommend that
participants are backfilled for 3 to 5 days a week during this phase (dependent on the scope
of the project – large projects require full time commitment to underpin success). Redesign
Leaders provide valuable support in coaching participants. The main outputs of the program
are a strong implementation plan and tools for successful change management.
Project Implementation
Succesful Project implementation is key in achieving project objectives. During this phase,
participants are accountable to their organisation for the successful implementation of their
projects.
This phase is also highly time-consuming and we recommend that participants are backfilled
until the changes are part of the “business as usual”. Redesign Leaders continue to provide
coaching. The Project Sponsor plays a key role in accelerating the implementation.
Objectives Met - Evaluation and Graduation
Objectives are usually met 4 to 12 months after the end of the CHR Diploma Program. This
can vary significantly depending on many factors such as the scope of the project, the
availability of resources (including participants’ time) and the involvement of the Project
Sponsor.
A Graduation Day is organised 4 to 6 months after the program, where successful
participants present their achievements and obtain a Diploma of Project Management.
Continuous Improvement
The redesign process is part of continuous improvement activities. Projects, goals and
objectives should be constantly revaluated to ensure the systems meets the demand and
progresses towards achieving the Triple Aim:
•
Improving the patient experience of care;
•
Improving the health of populations; and
•
Reducing the per capita cost of health care.
4
4. Course Structure
The content of the program is based on Project Management, Change and Redesign
Methodology. Participants who successfully complete all the course requirements and
manage their improvement project until completion are eligible to receive a Diploma of
Project Management.
The program consists of 5 phases held over a 20-week period, each of these including:
•
Online learning modules, providing participants with the knowledge to support their
practical learning sessions (4 to 8 hours of work for each session, to be completed
prior to attending the relevant Face to Face workshop);
•
Face to Face learning workshops, designed to give participants the opportunity to
develop the practical skills needed to undertake specific tasks related to each stage
of the project;
•
Project work where participants focus on developing their project and putting their
new skills and knowledge into practice;
•
Reports to submit to the CHR and project updates to present to the group (from
Diagnostics onwards).
Session 1 - 3 days
Project Initiation
& Start up
Session 2 - 3 days
Diagnostics
Session 3 - 3 days
Solution Design
Session 4 -2 days
Implementation
Session 5 - 2 days
Evaluation /
Sustainability
Implementation
check points
This session includes the first steps of setting up a project, from defining
objectives, to developing a communication plan. Participants will be able to
complete part of their Project Management Plan during the sessions.
These days cover a range of diagnostics tools such as theory of constraints,
process mapping and data analysis. Participants will use the most appropriate
tools in the workplace to identify the issues’ root causes to address.
During these workshops, participants will learn and try different techniques to
identify solutions and prioritise them. One of the 3 days is a site visit to Baxter
Healthcare, introducing Lean Thinking.
The implementation session develops the principles of Accelerating
Implementation Methodology (AIM). This methodology delivers strategies to
ensure successful change management and project implementation.
This session covers the closing steps of the project, including how to evaluate
project outcomes, sustain them and spread the success to other services or
organisations.
Participants attend 2 check points with ACI staff to monitor project
implementation and discuss successes and / or potential issues arising during
this phase.
A Graduation Day is organised 6 months after the end of the program. Team
Members, Sponsors and Redesign Leads are invited to support participants and
learn from their projects outcomes and experience of the program.
5
5. Pre requisite
1. Participants wishing to apply to the program need to have an improvement project
approved by their sponsor and backfilled time to manage it.
2. Participants are required to have attended an Accelerated Implementation
Methodology (AIM) course in the 2 years prior to starting the course. For participants
who didn’t have the opportunity to attend an AIM course, or wishing to review key
concepts, a one-day workshop has been scheduled before the course starts.
To learn more about the AIM 2-day courses you can:



Contact your Redesign Leader (details on page 9)
Contact your Learning & Development Unit
Find more information on:
http://www.aci.health.nsw.gov.au/centre-for-healthcare-redesign
6. 2015 Calendar
Please find below the dates of the face to face workshops. Workshops are held at the
Agency for Clinical innovation in Chatswood. Attendance is mandatory for participants
wishing to graduate.
Session
CHR 2015-01
CHR 2015-02
CHR 2015-03
15 Dec 2014
30 Jan
29 May
12 Feb
12 Mar
14 Jul
Project Initiation & Start Up Workshop
25 - 27 Feb
30 Mar - 1 Apr
27 - 29 Jul
Diagnostics Workshop
24 - 26 Mar
29 Apr - 1 May
2 - 4 Sep
Solution Design Workshop
13 - 15 May
17 - 19 Jun
14 - 16 Oct
Implementation Workshop
25 - 26 Jun
22 - 23 Jul
26 - 27 Nov
Evaluation Workshop
16 - 17 Jul
27 - 28 Aug
8 - 9 Dec
2 Implementation Check Points
Sep - Nov
Oct - Feb
Mar - May
3 Dec 2015
TBA April 2016
TBA Aug 2016
Enrolment Deadline
Pre-Course AIM Workshop
Graduation Day and Final Presentations
7. Cost
The NSW Agency for Clinical Innovation will cover all costs related to the delivery of the face
to face teaching and eLearning modules as well as the certification costs for the diploma for
each participant.
Local Health Districts will need to cover all costs associated with travel and accommodation
for nominees to attend the program.
6
8. Key Program Roles and Responsibilities
Program Participant
The project manager and team member/s for the local team is in charge of project activities
during the 20-week program and accountable for following the methodology for the life of the
project, including the implementation and evaluation of solutions.
Program participants are required to:
•
Attend all Face to Face sessions including the Graduation Day
•
Have backfilled project time. This is a fundamental aspect of the course as the project
worked on while completing the program will require significant commitment in their
workplace
•
Complete all pre-course requirements and deliverables in a timely manner
•
Share ideas and learning to create a mutual support network for change
•
Implement their project solutions.
The project team will have the support of their organisation, maintain open communication
and network at a senior level within the organisation.
If they are not in a project role, participants should be backfilled 3 to 5 days per
week (according to project scope) to undertake project tasks such as workshops,
data collection and development of deliverables.
Project Sponsor
The Project Sponsor has the authority to make the project happen. Their role is to legitimise
and demonstrate ownership for the change. As such, the Project Sponsor will work closely
with the project manager to ensure:
•
Appropriate scope and goal setting in line with organisational strategic goals
•
Allocation of resources and project budget
•
Regular scheduled monitoring of progress and approval for project milestones /
deliverables
•
Senior level commitment and sponsorship by senior executive teams
•
Facilitation and resolution of issues at senior levels
•
Reinforcement of expected new behaviours.
In support of their project team, sponsors are required to attend the following
sessions:
- 1st face to face day (project initiation)
- 1st sponsors’ webinar
- Final Graduation
More sessions will be scheduled through the course to enable Sponsors to
support their project teams.
7
Centre for Healthcare Redesign Course Facilitators
The CHR course facilitators create:
•
A challenging experience where you will learn and develop new capabilities in
redesign, change and project management
•
An opportunity to learn from, and be coached by, recognised experts in the redesign
field (coaching and mentoring will be provided by ACI program facilitators and
Redesign Leaders)
•
A learning culture supported by coaching and online educational resources and
templates
•
Opportunities for knowledge transfer.
Redesign Leaders
The Redesign & Innovation Network consists of 27 experts in Project and Change
Management across all Local Health Districts and Networks. The Redesign Leaders play an
active role in supporting the CHR Program, in particular by:
•
Identifying optimal projects and participants to attend the program
•
Coaching and mentoring the participants and projects from their LHD/SHN
•
Contributing directly to the CHR Diploma Program delivery by facilitating individual
sessions with participants and providing expert feedback after their presentations.
•
Facilitating networking within and across clinical and geographical boundaries.
8
Redesign Leaders Contact List for CHR Diploma Program
LHD / SHN
First Name
Email address
Ambulance Services
Anna Rozario
arozario@ambulance.nsw.gov.au
Central Coast
Jamie Gills
jamie.gills@health.nsw.gov.au
Far West
Melissa Welsh
Melissa.Welsh@health.nsw.gov.au
Hunter New England
Judith Swan
Judith.Swan@hnehealth.nsw.gov.au
Illawarra Shoalhaven
Suzanne Payne
Suzanne.Payne@sesiahs.health.nsw.gov.au
Justice Health
Amy Laxton
Amy.Laxton@justicehealth.nsw.gov.au
Mid North Coast
Christoph Gröger
christoph.groger@ncahs.health.nsw.gov.au
Murrumbidgee
Annie Williams
Annie.Williams@gsahs.health.nsw.gov.au
Nepean Blue Mountains
Danielle Xerri
Danielle.Xerri@health.nsw.gov.au
Northern New South Wales
Lynn Hopkinson
lynn.hopkinson@ncahs.health.nsw.gov.au
Northern Sydney (East)
Deb Stewart
Deb.Stewart@health.nsw.gov.au
North Sydney (West)
Emily Bucknell
Emily.Bucknell@health.nsw.gov.au
South Eastern Sydney
Liz Mason
elizabeth.mason@sesiahs.health.nsw.gov.au
South Western Sydney
Margaret Chapman
Margaret.Chapman@sswahs.nsw.gov.au
Southern NSW
Judith Hallam
Judith.Hallam@gsahs.health.nsw.gov.au
St Vincent's Health
Susan O’Shea
soshea@stvincents.com.au
Sydney
Elizabeth Bryan
Elizabeth.Bryan@sswahs.nsw.gov.au
Tim Hoffmann
Tim.hoffmann@health.nsw.gov.au
Western NSW
Lorna Dicks
lorna.dicks@gwahs.health.nsw.gov.au
Western NSW
Margaret Mitchell
Margaret.Mitchell@gwahs.health.nsw.gov.au
Western Sydney
Emma Clarke
Emma.clarke1@health.nsw.gov.au
Sydney Children's Hospitals
9
Section B
1. Application Process
To apply to the CHR Diploma Program, candidates are requested to submit a project brief.
Candidates are required to contact their Redesign Leader in the first instance as there may
be a specific local application process applying to their organisation.
If you are unable to contact the Redesign Leader, enquiries can be made directly to the CHR
Course Manager, Estelle Marque on Estelle.Marque@aci.health.nsw.gov.au.
The enrolment dates for 2015 are set as following:
Phase
CHR 2015-01
CHR 2015-02
CHR 2015-03
Applications
Open
17th November 2014
16th December 2014
4th May 2015
Applications
Close
15th December 2014
30th January 2015
29th May 2015
Successful applicants
notified
16th January 2015
16th February 2015
16th June 2015
To ensure an optimal learning environment, each course will be limited to a maximum of 12
projects or 25 participants. Applications will be assessed against the criteria outlined in the
application form. These include the appropriate number of participants attending the program
(ideally 2 per team).
Team participation
Participants are encouraged to submit a group application with some of their team members.
To comply with the Diploma of Project Management requirements, there is a limit of 4
participants working on the same project attending the CHR Program.
Please note that to obtain the Diploma of Project Management, all the team members need
to attend the Face to Face days, complete their eLearning individually and play an active and
equal role in the project implementation.
By applying to the program, all participants agree to share their project
information with the rest of the participants. They also agree that all information
shared is to be used for learning purposes only.
10
2. Application Form
Section 1: Contact Details (Submit one per participant)
Participant 1 - Contact Details for Correspondence
Name
Position
Department / Facility
Email
Work Phone
Mobile
Time allocated to
the project
From:
(please specify weekly
backfilled hours if not in
a project role)
Accelerating
Implementation
Methodology
Attendance
Date and signature
/
/
To: /
/
 I have attended an AIM course in the past 2 years, on __/__/__
 I wish to attend the 1 day AIM prior to starting the program14/07/15
 I will attend all the Face to Face days. If no, please specify why /
when you won’t be attending: ______
 I will not take more than 2 consecutive weeks of leave during the
course
Date: __/__/__
Direct line manager’s approval
Name & Position
Email address
Date and Signature
Redesign Leader’s – Agreement to support the project and provide relevant coaching
Name, Date and
Signature
Services Collaborating in the Project
List names of
services involved in
the project
Please note that every service impacted should be included in the
project team.
…..
11
Participant 2 - Contact Details for Correspondence
Name
Position
Department / Facility
Email
Work Phone
Mobile
Time allocated to
the project
From:
(please specify weekly
backfilled hours if not in
a project role)
Accelerating
Implementation
Methodology
Attendance
Date and signature
/
/
To: /
/
 I have attended an AIM course in the past 2 years, on __/__/__
 I wish to attend the 1 day AIM prior to starting the program14/07/15
 I will attend all the Face to Face days. If no, please specify why /
when you won’t be attending: ______
 I will not take more than 2 consecutive weeks of leave during the
course
Date: __/__/__
Direct line manager’s approval
Name & Position
Email address
Date and Signature
Redesign Leader’s – Agreement to support the project and provide relevant coaching
Name, Date and
Signature
Please copy and complete the above table for EACH participant applying to the CHR
Program.
12
Section 2: Project Description (submit one per team)
Project Title
Facility
Background /
Case for Change
What has triggered this project
proposal?
Why should this be prioritised as an
area of work?
What benefits will it bring?
100 - 300 words
Issue
What is the problem you would like
to fix?
Link to Organisational
Strategy
What organisational priority does it
align with? Please quote the
relevant source (e.g. strategic plan)
Project Goal
Please provide a statement about
the long-term change your project
is working towards (3 to 4 yrs.)
Project Objective
If already knowm please state any
specific objective. Your objective
should be an outcome aligning with
the Triple Aim3.
Project Considerations
Timeline
When do you plan to achieve your
objective? Why is it realistic?
Scope
What is the scope of work included
in the project?
Is it manageable with the resources
allocated to the project?
Risks
What are the major potential risks
and barriers to implementation?
Is there a plan to reduce the risks?
3
Institute for Healthcare Improvement Triple Aim:
• Improving the patient experience of care
• Improving the health of populations
• Reducing the per capita cost of health care.
13
Resources
Budget
Will funds be required for the
project, how much and is a funding
source identified? Is there specific
funding attached to this project?
Human resources
Further resources not participating
in the Program
Clinical lead
Which service managers and key
clinical staff will be involved in the
project / accountable for achieving
the outcomes?
Implementation, Evaluation and Sustainability
Implementation
Who will be implementing the
project*? What are the ongoing
resource implications to sustain
your project and embed the
changes (i.e. staff availability after
the completion of the formal CHR
education days)?
*Mandatory requirement for the diploma
Evaluation
Include key evaluation questions
and a brief plan for collecting data
(qualitative and quantitative) to
answer these questions.
Remember to address the
objective.
Sustainability
Please describe how you will
sustain your project after the CHR
course to embed the changes.
Do you agree to:
Knowledge Sharing
Write up your project for a quality award?
Yes / No
Please indicate the potential for the
initiative to be adopted across the
wider healthcare system and
whether you agree to share the
knowledge.
Share your project outcomes on our
Innovation Exchange website?
Yes / No
Have your project description and contact
details distributed to ACI networks members? Yes / No
14
Section 3: Sponsorship (submit one per sponsor)
Project Sponsor
Name
Position
Email address
As project sponsor, I acknowledge my attendance to support my team is expected
and confirm I am planning to attend: (please tick yes or no for each session)
Attendance
Attendance
Session
Venue
Date
 Yes  No
1st face to face day with CHR
participants – Project Initiation
ACI
Chatswood
27/07/15
 Yes  No
Sponsors’ webinar to review the
sponsor’s role
Teleconference
+ WebEx
24/07/15
(11 to 11.30)
 Yes  No
Final Graduation
Sydney
(venue TBA)
TBA April
2016
Further sessions will be planned to involve sponsors in the program.
Invitations will be sent in due date.
Statement of
Importance
(Submitted
by Sponsor)
Health service managers and clinical leaders who agree to sponsor the project are to
provide a statement describing why the project is important in the relevant service and what
actions they will take to provide support including the provision of time to attend face to face
sessions, undertake project tasks, etc.
Applications without statement of importance will be returned.
Signature
Please copy and complete the above table for EACH sponsor if applicable.
Please return completed application form to:
Radhika Rao
Centre for Healthcare Redesign Support Officer
Tel +61 2 9464 4723
Radhika.Rao@aci.health.nsw.gov.au
15