AMI Improvement Charter
Intervention
Team:
Improved Care
for AMI
Team Sponsor:
Identify senior leader in the unit, hospital or organization who has authority to take
status quo off the table, implement changes, support team with resources and
remove barriers. Usually VP level
Draft #1
Date
Team Leader(s):
May or may not be a manager, but should have a vested interest in the teams
success
Core Team Members: A group of 5-7 people representing a multidisciplinary direct care provider team
Ad Hoc: Quality Coach, IT, Physician Champion
WHAT ARE WE TRYING TO ACCOMPLISH?
Review your system: Who does the patient see? Who is needed to implement? Who needs to know
about the changes? Who supports the changes? Work with those who will work with you. Each
member is a champion in their area.
Purpose State your overall reason for initiating the strategy
Eg.To Improve AMI Care by reliably administering thrombolytic agents within 30 minutes of
hospital arrival by March 2010.
Scope & Boundaries Define the population, unit, or area where you will confine your changes. As a
team you may outline a spread strategy in this area (at least your intent to spread).
E.g. Will include all patients admitted through Emergency with diagnosis of with STEMI or new
LBBB confirmed by ECG.
Will exclude patients who received a lytic in ambulance; were transferred from another acute
care facility; or are under 18 years of age
Improvement Objectives How will you achieve your purpose?
1. 90 % STEMI or new LBBB will receive thrombolytic within 30 minutes of arrival at ED
2. 90 % STEMI or new LBBB will receive an ECG within 10 minutes of arrival at ED.
.
AMI Virtual Learning Collaborative 533576287
Page 1
HOW WILL WE KNOW A CHANGE IS AN
IMPROVEMENT?
Measures
4.0-A % STEMI or new
LBBB who received
thrombolytic within 30
minutes of arrival at ED.
Current Performance(baseline)
Goals
Measure your current
performance on each care
component and record it here.
4.0-A 90 % STEMI or new
LBBB who received
thrombolytic within 30 minutes
of arrival at ED
10.0 90 % STEMI or new LBBB
who received an ECG within 10
minutes of arrival at ED
10.0 % STEMI or new LBBB
who received an ECG within
10 minutes of arrival at ED.
AMI Virtual Learning Collaborative 533576287
Page 2
Change Concepts and Ideas to Test:
WHAT CHANGES CAN WE MAKE THAT WILL RESULT IN IMPROVEMENT?
Refer to Change Package
AMI Virtual Learning Collaborative 533576287
Page 3
HOW WILL WE MANAGE THE IMPROVEMENT PROJECT?
Roles & Responsibilities of team members:
Principles for working together
 Mutual respect
 Regular meetings : Needed, productive and available by video or tele conf as appropriate
 Communication plan: Minutes to reflect issues, discussion points, action steps,
responsibilities
 Sharing the workload
 Looking for the opportunities and the keys to success rather than focusing on the
limitations.
 Engaging KOC when barriers to implementation are beyond core team’s ability to address
on their own
 Sharing successes with each other, the organization, and the Communities of Practice
 Including other interested partners as identified
 Consult with Atlantic Node proactively and as needed (before team gets overwhelmed)
Roles and Responsibilities:
Team Sponsor






Clarifying the improvement mandate and aligning it within the organizations strategic and operational
objectives
Connecting and communicating with appropriate stakeholders
Initiating the team charter
Allowing time and other resources
Establishing an accountability mechanism
Facilitating the work of the team within the larger organization.
Engaging a team leader and a coach.

Team Leader




Completing and clarifying the team charter in a manner that ensures the support of team members and
team sponsor.
Organizing and running effective meetings and maintaining team records i.e. minutes, correspondence,
improvement data
Facilitating work within the team and ensuring participation at and between meetings
Communicate about the improvement work with the sponsor, team members, stakeholders and the
larger organization.
Team Coach





Facilitating the use of improvement tools and techniques
Monitoring and facilitating healthy team behaviors
Providing technical expertise and guidance focusing on team process
Supporting the team leader to plan effective team meetings
Assisting with measurement for improvement e.g. data collection, analyzers and display.
Team Members






Sharing context knowledge, still and experience
Communicating and developing a shared understanding within the team of the wash process to be
improved or changed.
Testing change ideas within the team and in the real work context
Leading and supporting coworkers to adapt the new process
Completing tasks or assignments within and between meetings
Establishing two-way communication with their colleagues and the team
AMI Virtual Learning Collaborative 533576287
Page 4
Meeting Schedule:
Review Schedule
 Regular huddles with Day to Day leaders and staff (daily/weekly prn)
 1 hour, bi –weekly scheduled meetings x 3 months, then monthly, reassess frequency after
6 months
Key Dates:
All components implemented by
Education Blitz….. May X, 20XX
Safer Healthcare Now website and national conference calls
Data submission ….baseline by…..monthly starting…………..
Date:
AMI Virtual Learning Collaborative 533576287
Revised:
Page 5