Writing Your TNCPE Application Feb. 22, 2011 FieldsTA@msha.com jim.ford@TNCPE.org 1 Introductions • • • • Name Organization and job responsibilities Experience relative to TNCPE Expectations for today Concerns? – Requests? – • Something you are “famous” for MAKE THE MOST OF ALL YOUR MOVING PARTS 2 Time Management Matrix Not Important Important Urgent Not Urgent • Crises • Planning • Deadline-driven projects • Prevention • Recognizing new opportunities • Interruptions • Trivia • Some mail, meetings, reports • Busy work • Some mail and calls from The Seven Habits of Highly Effective People by Stephen R. Covey MAKE THE MOST OF ALL YOUR MOVING PARTS 3 An Effective Leadership System • Common sense • Aligns the entire system to achieve the mission and vision and live the values • Connects processes and results • Identifies gaps • Asks really good questions: – “How do we know?” – “How can we do it better?” • Works for any organization! MAKE THE MOST OF ALL YOUR MOVING PARTS 4 Decision to apply leads to… • How do I get started? • How do I gather the information I need? • How do I tell our story? • How do I organize all the work? Bonus: • TNCPE assessment process • Sharing best practices MAKE THE MOST OF ALL YOUR MOVING PARTS 5 Before you get started What is TNCPE? What is the TNCPE process/timeline? What is required for each application level? Tennessee Center for Performance Excellence • Founded in 1993 as Tennessee Quality Award • Vision: to drive organizational excellence in Tennessee • 501(c)3 nonprofit corporation • Staffed primarily by state-wide volunteers • Funded through corporate and individual dues and award participant fees • Encourages use of the Baldrige Criteria for Performance Excellence MAKE THE MOST OF ALL YOUR MOVING PARTS 7 2011 Application Schedule • Submit Intent to Apply July 1, 2011 – 15 Copies of Organizational Profile • Submit Application August 1, 2011 – 15 Copies of Response to Criteria (Levels 2, 3 and 4)* • • • • • Examiner Assessment Site Visit Judges Review Feedback Report Banquet and Conference August-September October early December December-January February 2012 * Level 1 Applications are accepted year-round MAKE THE MOST OF ALL YOUR MOVING PARTS 8 TNCPE Award Program Step 1 Conduct self-assessment Step 2 Submit application to TNCPE Step 3 Judging Examiner review & site visit Receive Feedback Report Strengths and OFIs MAKE THE MOST OF ALL YOUR MOVING PARTS 9 Examiners conduct Assessments • Experienced in business, education, service, or healthcare management processes and results • Knowledgeable in quality practices and improvement strategies • Trained in a 3-day extensive preparation course – – – – – Criteria for Performance Excellence Developing consensus Writing feedback comments Evaluation process Site Visit analysis MAKE THE MOST OF ALL YOUR MOVING PARTS 10 On site, the Examiner team will: • • • • Ask a lot of questions Take a lot of notes Review data and information Act in a professional and responsible manner • Respect the value of information shared on-site MAKE THE MOST OF ALL YOUR MOVING PARTS 11 After the Site Visit • Debrief with your team; gather input and observations, and document lessons learned ‒ identify the “critical” opportunities for improvement ‒ develop an action plan ‒ implement the changes and measure the results • Use your feedback report to improve • Celebrate this milestone! MAKE THE MOST OF ALL YOUR MOVING PARTS 12 Recognition Levels Commitment Level 2 Performance Excellence Principles Achievement Level 3 Excellence Level 4 Commitment and practice Outstanding examples of high-performance organizations Processes Put in place some key process improvements Demonstrate significant progress in building systematic processes Exhibit processes that serve as role models for others, with some at or near “best-in-class.” Results Process improvements are directly attributable to a fact-based improvement process. Results may or may not be evident; however, a measurement system should be in place. Results for some key processes show improvement that is directly attributable to a systematic approach. Demonstrate management excellence with superior results over time, directly attributable to a systematic well-deployed approach. Many practices from which other organizations can learn and grow. Outstanding examples of high-performance organizations. Serve as role models for others. Practices Stair Steps to Excellence Level 4 Level 3 Level 2 Level 1 Interest Commitment Achievement Excellence Org Profile Yes Yes Yes Yes Application Focus Org Profile Basic Item requirements Overall Item requirements Multiple Item requirements Max Length 5 pages 5 + 15 pages 5 + 35 pages 5 + 50 pages Site Visit ½ Day 1 Day 2 Days 3 Days MAKE THE MOST OF ALL YOUR MOVING PARTS 14 Choosing the Right Level • Consider the Performance Levels • Consider the Stair Steps to Excellence • How mature is your performance management system? • What is the organization’s level of interest? • How much does it cost? MAKE THE MOST OF ALL YOUR MOVING PARTS 15 High Value, Low Cost $150 Intent to Apply Fee Application Fee = $150 + • Members: + $3 per FTE ($30 min.; $5,000 max.) • Non-Members: + $5 per FTE ($50 min.; $6,250 max.) Site Visit Fee: Small (1-99) Medium (100-500) Large (>500) Member Non Member Non Member Non Level 1 $150 $185 $300 $375 $450 $565 Level 2 $300 $375 $600 $750 $1,200 $1,500 Level 3 $600 $750 $1,200 $1,500 $2,400 $3,000 Level 4 $900 $1,125 $1,800 $2,250 $3,600 $4,500 MAKE THE MOST OF ALL YOUR MOVING PARTS 16 Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 17 How do I get started? Understand the Criteria Understand your organization 2011-2012 Criteria Book • • • • • • • • • Table of Contents, p. iii Criteria by category, p. 3 Guidelines for responding, p. 29 Category and Item Descriptions, p. 34 Core Values, p. 49 Glossary, p. 56 Information about applying, p. 71 Scoring Guidelines, pp. 68 & 69 TNCPE Recognition-level descriptions pp. vii & viii MAKE THE MOST OF ALL YOUR MOVING PARTS 19 20 Item Format – page 29 Begin w/ Organizational Profile • Describes the general nature of the organization – What is relevant and important – Key factors that influence how the organization operates • Required for all TNCPE application levels • May be used by itself for initial self-assessment MAKE THE MOST OF ALL YOUR MOVING PARTS 22 MAKE THE MOST OF ALL YOUR MOVING PARTS 24 Pal’s Sudden Service P.1a (1) Pal’s product line consists of a focused group of food and beverage items with a unique flavor profile designed to meet our customers’ taste requirements. Our core menu consists of • Big Pal – a 1/3 lb. all-beef hamburger; • Hot Dog – an all-meat wiener featuring our meaty chili; • Chipped Ham – a heated deli-styled sandwich made with 96% fatfree ham; • Big Chicken – a heated deli-styled sandwich made with 96% fat-free chicken breast; • Frenchie Fries – extra-long fancy shoestring fries sprinkled with a spicy seasoned salt; • Beverages – milkshakes, freshly brewed iced tea, (32-ounce portions) and soft drinks; and • Breakfast – biscuits with country ham, sausage, and gravy. 25 Pal’s Sudden Service Mission Statement Delight customers in a way that creates loyalty Vision Statement To be the preferred quick-service restaurant in our market by providing: • • • • • • The quickest, friendliest, most accurate service available; An experience that delights customers; Daily excellence in our products, services, and systems execution; Clean, organized and sanitary facilities; Exceptional value; and Training and motivation to engage all employees MAKE THE MOST OF ALL YOUR MOVING PARTS 26 Pal’s Sudden Service Key Business Drivers (Fig. P.1-5) • Quality • Hospitality • Speed • Accuracy • Cleanliness • Value • People P.2a (2) The principal competitive factors that determine Pal’s success in our market are: • Food quality • Service speed • Total customer experience • Food and labor cost • Pricing 27 • Staff turnover Pal’s Sudden Service P.2b The four key strategic challenges faced by Pal’s are shown below, along with our main objectives: • Compete directly with much larger national chains that have national reputations and much larger marketing budgets (Operational). • Operate with a tight labor market (People Resource Management). • Maintain and grow market share even as new competition comes into the market (Sustainability). • Increase net profit margins as core raw costs are increasing. MAKE THE MOST OF ALL YOUR MOVING PARTS Richland College links its priorities to its Strategic Challenges MAKE THE MOST OF ALL YOUR MOVING PARTS 29 Pal’s Sudden Service P.2c PERFORMANCE IMPROVEMENT SYSTEM Pal’s has created an environment that promotes continual improvement. Pal’s leadership supports this environment by being a role model for its systematic evaluation and improvement processes. Because of the management-led and organization-wide focus on continual improvement, major results are improving. Some key processes that support systematic evaluation and improvement are …. MAKE THE MOST OF ALL YOUR MOVING PARTS 30 Richland College Performance Improvement System MAKE THE MOST OF ALL YOUR MOVING PARTS 31 Exercise Objective: Become familiar with the Organizational Profile and one technique to gather information – Consider TNCPE as the organization – By “walking the wall,” brainstorm content for each of the Organizational Profile items listed – By participating in a facilitated discussion, summarize content for each item MAKE THE MOST OF ALL YOUR MOVING PARTS 32 TNCPE Culture Purpose To strengthen Tennessee’s economy Vision To drive organizational excellence in Tennessee Mission To lead organizations in the pursuit of performance excellence, improving results and contributing to the economic vitality of their region. Values Customer Focus; Leadership; Integrity; Collaboration; Excellence; Continuous Improvement; Respect Training volunteers; Core Competencies Operating an effective Awards program MAKE THE MOST OF ALL YOUR MOVING PARTS 33 Definition Purpose Why does your organization exist? Mission What are you trying to accomplish? Vision Where are you headed? Values What are your guiding principles? Your Organization Are they well deployed? Actionable? Measurable? Core Competencies What are your areas of greatest expertise? Tips for getting started • Read the Criteria booklet • Begin with the Organizational Profile – Use Organizational Profile as the anchor as you draft responses for each Category • Decide on a format early in the project – – – – – Two-column, 10 pt. text is typical MS Word, Excel, and PowerPoint work fine Baldrige applications are great examples Allocate pages to each category Choose first- or third-person voice MAKE THE MOST OF ALL YOUR MOVING PARTS 35 Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 36 Tools to Help along the Journey “If you always do what you’ve always did… you’ll always get what you always got.” Unknown Key Concepts • • • • • Keep it Simple (KISS) Start with your Vision and Mission Understand “Performance Excellence” Be honest – it’s okay where you are It’s about improving processes – not people • Benchmark for breakthrough improvement ideas MAKE THE MOST OF ALL YOUR MOVING PARTS 38 Performance Excellence The term “performance excellence” refers to an integrated approach to organizational performance management that results in 1) delivery of ever-improving value to customers and stakeholders, contributing to organizational sustainability; 2) improvement of overall organizational effectiveness and capabilities; and 3) organizational and personal learning. The Baldrige Criteria for Performance Excellence provides a framework and an assessment tool for understanding organizational strengths and opportunities for improvement and for guiding planning efforts. MAKE THE MOST OF ALL YOUR MOVING PARTS 39 Exercise Objective: Given your organization’s Vision, what is your approach to Performance Excellence? MAKE THE MOST OF ALL YOUR MOVING PARTS 40 A Case Study MRMC Baldrige Timeline 2005 – new CEO – TNCPE Application: Interest Level 2006 – TNCPE Level 2 2007 – TNCPE Level 3 2008 – TNCPE Level 3 2009 – TNCPE Level 4 2010 – National Baldrige Application MRMC Mission: To serve our region with clinical excellence and compassionate care. MRMC Vision: Extraordinary People. Extraordinary Care. Maury Regional Medical Center strives to deliver, for every patient every day, a premier and innovative health care service by combining world class outcomes within a personalized, caring environment. MRMC Values Patient-focused Provide care with love and compassion Respect Treat everyone as we wish to be treated Integrity Do the right thing for the right reason Dedicated Be committed to achieving excellence Enthusiastic Be positive and friendly STRATEGIC OBJECTIVES QUALITY: Achieve best practice clinical outcomes SERVICE: Achieve excellence in patient satisfaction PEOPLE: Attract, develop and retain a highly qualified healthcare team FINANCIAL: Produce the financial resources to achieve the mission and vision GROWTH: Increase market share by providing excellent care Description of Measure Q1 06 Q2 06 Q3 06 Q4 06 Q1 07 Q2 07 Q3 07 Q4 07 Q1 08 Q2 08 Q3 08 Q4 08 HF- Adeq Discharge Instructions HF - LVF Assessment HF – /ARB for LVSD HF – Adult Smoking Cessation HF – Evidence Based Care Score PNEU – Pneumococcal Vaccine PNEU - Bld Cult w/i 24 hrs of CC admit PNEU – Bld Cult Prior to Antibiotic 93 83 79 87 76 81 83 78 78 86 88 87 92 97 91 90 92 99 91 97 96 99 95 97 Q1 09 Q2 09 Q3 09 Q4 09 Jan 10 pre Feb 10 pre 90 93 93 97 96 95 100 100 99 100 100 100 92 69 83 87.5 84 97 100 87.5 96 96 100 89 91 95 97 94 100 93 96 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 -- 77 71 75 74 83 80 77 78 87 89 82 90 93 93 94 97 95 87.5 80 71 93 94 91 77 89 94 100 90 95 100 95 89 93 92 100 -- -- -- -- -- 75 80 80 100 100 100 100 100 100 100 100 100 100 97 96 96 100 95 94 86 100 83 96 95 88 94 95 95 96 85 100 PNEU – Adult Smoking Cessation PNEU – Antibiotic Within 6 Hours PNEU – Antibiotic Select – ICU Pts 83 100 92 100 100 100 100 100 100 94 100 100 100 100 100 100 100 100 -- -- -- -- -- 97 88 95 95 100 92 97 98 97 96 93 87 100 0 100 -- 100 100 100 100 100 -- 50 -- 75 100 100 33 100 0 33 PNEU – Anti Select – non-ICU Pts PNEU – Influenza Vaccine PNEU – Evidence Based Care Score 95 85 100 92 100 95 100 89 85 92 91 95 95 89 100 87 100 80 86 -- -- 78 100 -- -- 85 93 -- -- 90 96 -- -- 91 100 100 -- 71 74 68 93 82 66 80 80 93 85 82 92 89 84 83 74 86 STK – VTE Prophylaxis STK – Antithrombotic Therapy at DC -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 74 87.5 85 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 100 100 87.5 STK – Anticoag Therapy for A-fib STK – Thrombolytic Therapy STK – Antithrombotic by Hosp Day 2 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 75 100 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 100 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 96 100 100 STK – Statin at DC STK – Stroke Education STK – Assessed for Rehab STK – Evidence Based Care Score AMI – Aspirin At Arrival AMI – Aspirin At Discharge AMI – /ARB for LVSD AMI – Beta Blocker At Arrival AMI – Beta Blocker At Discharge AMI – Adult Smoking Cessation AMI – PCI Within 90 Minutes AMI – Median Time to PCI (minutes) -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 78 86 92 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 71 86 80 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 92 87 87.5 AMI – Mean Time to PCI (minutes) (0/1) -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 51 71 67 97 100 100 95 95 98 100 97 100 98 100 94 100 98 97 98 100 100 98 94 100 100 100 98 100 100 100 100 100 100 96 98 96 99 100 100 91 91 91 100 96 100 100 95 100 100 100 100 100 100 100 90 100 100 100 92 96 100 97 100 91 95 100 100 100 100 93 -- -- -- -- -- 94 100 100 96 100 100 100 100 100 98 97 100 100 98 98 100 96 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 60 56 60 50 73 65 75 87 100 100 93 90 92 100 100 89 100 100 80 86 72.5 101 71 82.5 72 72 63 61.5 59 65 64.5 67.5 54 57 50 81.5 134.5 160.4 79.2 107.5 73.7 95.0 91.5 69.7 59.1 61.2 55.9 65.5 69.0 65 57.8 66.7 51 81.5 AMI – Inpatient Mortality AMI – Evidence Based Care Score HOP /CP-Aspirin at Arrival HOP /CP-Mean Time to ECG (min) HOP Surg – Antib 1 Hr Prior to Incision HOP Surg – Antibiotic Selection SCIP – Ax One Hr Prior to Incision 6.5 9 4 1.8 4.3 3 3.4 2.5 0 0 5.7 0 7.7 2.2 0 0 0 0 -- 85 87 89 91 87 90 92 100 97 97 95 94 97 93 94 97 100 -- -- -- -- -- -- -- -- -- 80 87 93 92 90 89 92 100 90 -- -- -- -- -- -- -- -- -- 7.13 6.19 19.1 8.29 41.1 10.2 11 3.5 10.6 -- -- -- -- -- -- -- -- -- 95 94 93 83 92 95 89 96 92 -- -- -- -- -- -- -- -- -- 81 89 78 83 89 95 94 100 96 90 96 95 95 93 97 80 67 83 94 97 99 98 97 97 99 95 100 SCIP – Ax Selection SCIP – ’d within 24 hrs SCIP – Cardiac Post op 6am Glucose 96 92 95 97 94 98 94 83 93 98 93 85 96 97 95 97 90 97 78 85 81 83 83 92 88 83 87 91 94 97 91 94 94 94 92 97 -- -- 80 76 85 100 100 96 100 100 88 100 100 100 100 100 100 100 SCIP – Appropriate Hair Removal SCIP – Colorectal post op normothermia SCIP – Perioperative Temp Mgt SCIP – Urin Cath Removal POD1/2 -- -- 95 98 100 99 99 99 99 99 100 100 100 100 100 100 100 100 -- -- 100 100 89 100 100 93 91 100 83 85 100 92 100 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 99 100 100 -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 76 88 88 SCIP – Perioperative Beta Blocker SCIP – VTE Prophylaxis -- -- -- 75 78 82 71 94 96 95 94 94 87 91 93 93 92 100 -- -- -- 90 90 87 85 82 91 95 91 89 100 93 83 88 67 100 -- -- -- 89 87 85 82 80 85 93 90 94 97 93 74 88 53 94 Current as of: 4/19/2010 @ 11:22 AM MAURY REGIONAL MEDICAL CENTER Administration Keys to Success Factors Annual INDICATOR Annual 1st Annual Baseline Benchmark Target Jul 2nd 3rd 4th Aug Sep Qtr Oct Nov Dec Qtr Jan Feb Mar Qtr Apr May Jun Qtr YTD QUALITY Evidence Based Score (%) 85 99 92 90 88 90 90 87 88 92 89 83 85 84 88 MAURY REGIONAL MEDICAL CENTER - Oncology/Medicine Service Line Keys to Success Factors Annual INDICATOR Baseline Annual Annual 1st 2nd 3rd 4th Benchmark Target Jul Aug Sep Qtr Oct Nov Dec Qtr Jan Feb Mar Qtr Apr May Jun Qtr YTD QUALITY AMSL Evidence Based Score (%) 80 100 90 95 90 94 93 85 83 92 87 72 83 79 87 MAURY REGIONAL MEDICAL CENTER - 3W Keys to Success Factors Annual INDICATOR QUALITY Overall Evidence Based Care Score (%) Pneumonia Evidence Based Care Score (%) CHF Evidence Based Care Score (%) Annual Annual 1st 2nd 3rd 4th Bench Baseline mark Target Jul Aug Sep Qtr Oct Nov Dec Qtr Jan Feb Mar Qtr Apr May Jun Qtr 88 100 90 94 85 91 90 94 100 97 100 88 100 96 100 100 80 80 100 90 90 80 83 86 93 78 89 88 YTD 80 89 85 88 95 100 75 89 94 95 87.3 80 50 100 77 86 100 Complete discharge instructions for 100% of HF patients ACTION MATRIX TEMPLATE Action Item Responsibility Performance Metric Target Date to Complete Initiated Status Date Completed How Organizations Use the Criteria • Internal management self-improvement system Focused on internal self-improvement efforts • State performance recognition program Ease of entry into process 5, 15, 35, or 50-page application • National Baldrige application 50-page application MAKE THE MOST OF ALL YOUR MOVING PARTS 56 Who are your key customers? Key Customers or Stakeholders Key Requirements Customers = actual and potential users of your organization’s products, programs or services. What customers or stakeholders want or need from your products/services; the factors your customers use to decide Stakeholders = all groups that are or might whether to “buy” from you or your be affected by an organization’s actions and competitors success. Key = those that are critical to achieving your intended outcome MAKE THE MOST OF ALL YOUR MOVING PARTS 57 Gap Analysis Process As Is Should be Vital Few Linked activities; Generally processes involve combinations of people, machines, tools, techniques, materials, and improvements in a defined series of steps or actions. How do we do it now? What is the most effective way to do it? What are a few easy changes we could make right now? How do you obtain information from your customers? MAKE THE MOST OF ALL YOUR MOVING PARTS 58 Exercise Objective: Using the Gap Analysis tool, describe how your organization listens to its customers. Is it a systematic approach? If not why not? It is okay where you are! MAKE THE MOST OF ALL YOUR MOVING PARTS 59 Action Plan Development Objectives Strategies When Process Owner Measures Desired Outcomes MAKE THE MOST OF ALL YOUR MOVING PARTS 60 Easy way in Category 3 Customers Category 1 Leadership Category 2 Strategic Planning Category 5 Workforce Improvement Category 6 Operations Category 4 Measurement, Analysis, & Knowledge Management Category 7 Results MAKE THE MOST OF ALL YOUR MOVING PARTS 61 Exercise Objective: Take an organizational success story and share it with your partner using the “easy way in” Criteria model. MAKE THE MOST OF ALL YOUR MOVING PARTS 62 Process Questions (Categories 1 - 6) • Mostly “How” Questions • Processes are linked activities that produce a product or service • Systematic processes are well-ordered, repeatable, and use data and information so learning is possible • Align to “what” questions, mostly from Organizational Profile MAKE THE MOST OF ALL YOUR MOVING PARTS 63 PDCA identify an opportunity and plan for change If successful, implement it on a wider scale and continuously assess your results; if unsuccessful, begin the cycle again. implement the change on a small scale use data to analyze the results of the change and determine whether it made a difference MAKE THE MOST OF ALL YOUR MOVING PARTS 64 Alignment: “What” & “How” • Organizational Profile P.1b(2) What are your KEY market SEGMENTS, CUSTOMER groups, and STAKEHOLDER groups, as appropriate? What are their KEY requirements and expectations for your products, CUSTOMER support services, and operations? What are the differences in these requirements and expectations among market SEGMENTS, CUSTOMER groups, and STAKEHOLDER groups? • Process Item – Customer Satisfaction and ENGAGEMENT 3.1b(1) HOW do you determine CUSTOMER satisfaction and ENGAGEMENT? How do these determination methods differ among CUSTOMER groups and market SEGMENTS, as appropriate? MAKE THE MOST OF ALL YOUR MOVING PARTS 65 Guidelines for Process Responses • Understand the meaning of “what” vs. “how” • Process responses should: ‒ describe the key steps in the process ‒ give a clear sense of how it is done ‒ show the process is systematic ‒ show how the process is deployed ‒ demonstrate cycles of improvement ‒ display focus, consistency, and alignment/ integration • Be concise • Refer to Scoring Guidelines MAKE THE MOST OF ALL YOUR MOVING PARTS 66 Exercise Objective: Practice answering a process question: How do you obtain information from customers? • Describe the steps in the process. • Who does it? • Where do they do it? • When/how often do they do it? MAKE THE MOST OF ALL YOUR MOVING PARTS Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 68 How Do I Gather the Information I Need? “A ship is safe in the harbor, but that is not what it was built for.” Unknown Key Concepts • Get senior leaders involved • Use simple tools to capture your organization’s story • Use a non-threatening approach • Don’t try to gather everything – Focus on key information that will help tell your story MAKE THE MOST OF ALL YOUR MOVING PARTS 70 Methods of Gathering Information • First step: Organizational Profile • Create Category teams – Each team needs a leader • Educate the workforce – Introduce key concepts and basic tools for improvement – Encourage everyday awareness to capture work • Facilitate the gathering process to stay on schedule • Interviews – Leadership team & key departments – Natural work groups and cross-functional teams MAKE THE MOST OF ALL YOUR MOVING PARTS 71 Sources of Information • Strategic Plan goals and Action Plans • Annual and quarterly reports • Previous assessments, e.g. TNCPE Feedback Report • Key processes, measures and results • Best Practices • Other sources in your organization? MAKE THE MOST OF ALL YOUR MOVING PARTS 72 Basic Results Questions • Mostly “what” questions: What are the results for this process over time? • Look for outputs and outcomes • How do these results align with key requirements from customers, stakeholders, market, processes and plans? • What documents, graphs, and/or charts show the results? MAKE THE MOST OF ALL YOUR MOVING PARTS Exercise Objective: Considering your organizational culture, what would be the best approach to gathering information? MAKE THE MOST OF ALL YOUR MOVING PARTS 74 Tips for gathering information • Identify major themes and strengths – What do we do best? – What are we most proud of? – What are our major initiatives – past, current and planned? • Begin collecting results and formatting figures early – it takes longer than you think! • Review and revise Organizational Profile after your application is complete to ensure alignment MAKE THE MOST OF ALL YOUR MOVING PARTS 75 Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 76 How do I tell our story? So much information… So little space! Application Tips Consider these questions in developing your response to the process Item questions: • • • • • What is the process/approach called? Who owns/manages it? Who participates? How often does it happen? How/how often is the approach evaluated and improved? • Where is it used (deployed)? • What other information would help to explain “How?” and “Where?” MAKE THE MOST OF ALL YOUR MOVING PARTS 78 DAE’s Basic Improvement Process Students Stakeholders Leadership Planning Community Approach Deployment Results Plan Do Act Study Integration Improvement Workforce (Faculty & Staff) Process Management Learning Results Measurement & Analysis Exercise Take your work from “How do you obtain information from your customers?” • Swap with your partner • Assess for A-D-L-I • What’s there and what’s missing? • What results would you expect to see in Category 7? MAKE THE MOST OF ALL YOUR MOVING PARTS MAKE THE MOST OF ALL YOUR MOVING PARTS 81 Park Place Lexus – Approach 3.1a(2) Determine needs of customers Lexus is our primary source of formal information about clients and their needs and expectations. They utilize the Gallup CE11 survey based on a scientific model of factors that provide the greatest influence on clients’ purchasing behavior. Our Listening and Learning process shown in Figure 3.1A was designed to formalize our activities in receiving input from clients…This process begins with providing a variety of access points to collect feedback from our various customer segments as shown in Figure 3.1B…As new features, such as upgraded technology in vehicles, service offerings and new financing options are added to our products, the Listening and Learning process is used to collect feedback on these new features… 82 Park Place Lexus – Deployment 3.1a(2) Determine needs of customers …We validate the results of the Lexus survey for our specific clients and ensure that we get information from former, current, and potential clients about how we run our business…Focus groups...are conducted to help us understand the impressions that clients have of our dealerships, products, and services…We ensure that these groups contain former, existing, and potential clients… Park Place Lexus – Learning Keeping listening and learning current Our Listening and Learning process includes a step to evaluate its own effectiveness. We use this evaluation step each month to ensure we continue to use the most effective approaches to listen to our clients. MAKE THE MOST OF ALL YOUR MOVING PARTS 84 Alignment and Integration 85 Exercise Objective: A Picture is worth 10,000 words! • Read the text for ACME Category 2 • Use the technique assigned to your team to present the information in a new way MAKE THE MOST OF ALL YOUR MOVING PARTS 86 Exercise text for ACME Category 2 ACME has a strategic planning process. Many people are involved including the CEO, managers, customers and employees. First ACME gathers information from customers (P.1-3) and managers. ACME uses this info to identify what is important. Next ACME’s CEO and managers look at past results (Fig. 7.1-1) and compare this to the list from the first step. From this ACME identifies its gaps. After this is complete CEO and managers prioritize the list and select the top 5 items. These become our objectives. From this list (Fig. 2.1-4) managers are tasked to develop action plans (Fig. 2.2-1) with timelines. Finally teams of managers and employees follow the action plans and report their results (Fig. 7.6-1). MAKE THE MOST OF ALL YOUR MOVING PARTS 87 Guidelines for Results (Category 7) • Focus on the most critical business results • Align results with key requirements from customers, stakeholders, market, processes, and plans • Results are usually reported in charts, graphs, and tables • Use text to describe why the results are important and to explain anything that may not be readily understood – do not repeat the information provided in charts and graphs! MAKE THE MOST OF ALL YOUR MOVING PARTS 88 Criteria Linkages • Organizational Profile P.1b(2) What are your KEY market SEGMENTS, CUSTOMER groups, and STAKEHOLDER groups, as appropriate? What are their KEY requirements and expectations…? • Customer Satisfaction and ENGAGEMENT 3.1b(1) How do you determine CUSTOMER satisfaction and ENGAGEMENT? How do these determination methods differ among CUSTOMER groups and market SEGMENTS, as appropriate? • Customer-Focused Outcomes 7.2a(1) What are your current LEVELS and TRENDS in KEY MEASURES or INDICATORS of CUSTOMER satisfaction and dissatisfaction? How do these RESULTS compare with the CUSTOMER satisfaction LEVELS of your competitors. . . ? MAKE THE MOST OF ALL YOUR MOVING PARTS 89 Results Evaluation Factors • Performance Levels - Places results on a meaningful measurement scale • Trends - Shows the direction, rate and breadth of performance improvements • Comparisons - Establishes the value of results by relating them to similar or equivalent measures (competitors, industry averages, best-in-class) • Integration - The performance management system operates as a fully interconnected unit • Segmentation - Disaggregate data to allow for meaningful analysis (by important customer, workforce, process, and product line groups) • MAKE THE MOST OF ALL YOUR MOVING PARTS 90 MAKE THE MOST OF ALL YOUR MOVING PARTS 91 Expected Results MAKE THE MOST OF ALL YOUR MOVING PARTS 92 Segmented Results Considerations for Results Graphs • Remember your audience – can an outsider easily understand the graphs? • Is there an arrow to show “good” direction? • Are there gaps in what is presented? • Are trends apparent? • Does every result have a relevant comparison? • Do results link to something important to your organization? • Are results segmented (e.g. by customer group, employee group, location, product etc.)? MAKE THE MOST OF ALL YOUR MOVING PARTS 94 Exercise • Create a results graph based on the information provided • Which graph is more informative? MAKE THE MOST OF ALL YOUR MOVING PARTS Tips for telling your story • • • • Develop and deploy an acronym list Cross-reference when appropriate Cite examples to support the explanation Describe what you already have in place, not what you’re “fix’n” to do • Engage a proof-reader to read it “cold” – Is it clear? – Ensure major themes and strengths are addressed – Be sure major processes, their deployment, and cycles of refinement are described – Ensure expected results are shown in Category 7 96 Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 97 How do I organize all my work? Apply? Yes PLAN Authoring Structure WRITE No REV/ REWRITE 1st Pass Org Profile Allocate pages SUBMIT Submit Intent Form Write 1st Draft Review 1st Draft Project Plan Format Template Other CI Process Develop acronym list Submit App Site Visit Prep Write 2nd Draft Review 2nd Draft Write Final Version Proofread Feedback Report Produce Copies Follow up Site Visit 99 Tips for organizing your work • Develop an application project plan • Create a project time line – Include several cycles of Plan-Write-Revise-Submit – Expect hiccups and plan for contingencies • One writer or shared responsibility? ‒ Both approaches require communication and coordination • Make your application “Examiner-friendly” – Tabs, dividers, glossary, 10-point font MAKE THE MOST OF ALL YOUR MOVING PARTS 100 Page Allocation (example) The most important areas for your organization should get the most ink. Points Excellence (50 pp.) Achievement (35 pp.) Commitment (15 pp.) 120 7 4.2 1.8 2. Strategic Planning 85 4 2.9 1.3 3. Customer Focus 85 5 2.9 1.3 4. Measurement, Analysis & Knowl. Mgt. 90 4 3.2 1.3 5. Workforce Focus 85 4 2.9 1.3 6. Operations Focus 85 6 2.9 1.3 450 20 16.0 6.7 1,000 50 35.0 15.0 Category 1. Leadership 7. Results TOTALS Finalize the Application • Produce one master copy and review before making multiple copies • Use the application (or a summary) to communicate with your entire organization • Postmark application before the deadline • Celebrate! • Begin site visit preparation • Implement improvement projects to close gaps (why wait?) • Evaluate and improve the application process Check-in • Any questions about what we just covered? • Any concerns? • Does it make sense? MAKE THE MOST OF ALL YOUR MOVING PARTS 103 Summary Activity MAKE THE MOST OF ALL YOUR MOVING PARTS 104 Next Steps and Wrap Up “In doing anything the first step is the most difficult.” Chinese proverb So what do I do now? • • • • • • • • • Start now – there is no time like the present Educate and engage the workforce Form Category team(s) Create a project plan Begin with the Organizational Profile Monitor deadlines Call the TNCPE office if you have questions Celebrate successes: be serious but have fun! Apply to be a TNCPE Examiner MAKE THE MOST OF ALL YOUR MOVING PARTS 106 Resources • Read a book – Baldrige Winning Quality by Mark Graham Brown – Keeping Score by Mark Graham Brown – The Pocket Guide to the Baldrige Award Criteria by Mark Graham Brown – Insights to Performance Excellence by Mark Blazey • Join TNCPE as a Member MAKE THE MOST OF ALL YOUR MOVING PARTS 107 TNCPE Membership • Benefits – – – – – – Knowledge-sharing Opportunities to benchmark Access to other members' best practices Education/learning through conference & workshops Public recognition Discounts on program fees, training and conferences • Cost – Corporate Annual Membership – Individual Annual Membership $500 - $25,000 $100 - $1,000 MAKE THE MOST OF ALL YOUR MOVING PARTS 108 Resources Attend a Conference or Workshop • TNCPE Excellence in Tennessee Conference ‒ February 22-23, 2011 (Franklin, TN) • Baldrige Quest for Excellence Conference ‒ April 3-6, 2011 (Washington, D.C.) • CIGNA’s Best Practice Sharing Day – May 16, 2011 (Nashville, TN) Visit a Website: • www.tncpe.org • www.quality.nist.gov • www.asq.org MAKE THE MOST OF ALL YOUR MOVING PARTS 109 Wrap Up • • • • What questions do you have? What are your concerns? Did we meet your expectations? What feedback do you have for Katie/TNCPE? MAKE THE MOST OF ALL YOUR MOVING PARTS 110 For more Information Katie Rawls, President & CEO Tennessee Center for Performance Excellence 2525 Perimeter Place Drive, Suite 122 Nashville, Tennessee 37214 Phone: 615-889-8323 or 800-453-6474 E-mail: contact@tncpe.org Please visit our website at www.tncpe.org