OneCF LLC2
May 4, 2015
3:30-5pm
Phone Number: (866) 537-0817
OneCF LLC2 Teams, Coaches & Leaders
Team & Coach
Leaders
Boston Children’s Hospital/Judy
Kate, Leah, Greg, Ahmet
Columbia NYC/LaCrecia
Emily ,Claire, Hossein, Shirley
Nationwide
Columbus Ohio/Suzanne
John, Terri, Karen, Deanne, Judy
Rush
Chicago Illinois/Staci
Robert, Jenifer, Girish, Kathryn
University of Missouri
Columbia/Bob
Jim, Connie, Natalie, Joe
University of North
Carolina/Randy
Sheree, Jennifer, Magee, James
Agenda
May 4, 2015
3:30PM Welcome and check-in
3:40PM RC Survey Review and Schedule
3:50PM Progress Reports (3-minute per site)
4:10PM Obeya Room and Measurement Homework
review
4:15 PM OneCF LLC2 Site Visit to Minnesota
4:55PM Summary, questions, adjourn
-3-
OneCF LLC2
Aim: Assess and develop a CF
care center that provides
seamless care from the time of
diagnosis through advanced
care. This includes a focus on
integrated care, smooth
transitions (pediatric to adult),
warm handoffs and transfers,
and improvement of
mesosystem care such as
referral to specialists (e.g.
Endo, GI, ENT, Psych) and
inpatient care.
Diagnoses
Baby
Care
1.
2.
3.
Pediatrics
4.
OneCF
Adult
Exacerbations?
Hospitalization
CFRD
Pedi-Adult
Transition
Specialties
-4-
Baseline assessments
Improvement
fundamentals
Everyone’s first focus:
Pedi to adult transition
All teach, all learn
Inpatient
Reproduction
Mental
Health
Lung
Transplant
Advanced
Care
Teams, Coaching and Leadership
Teams & Coaches
Leadership
Expectations
Regular
meetingsProvide
time &
space
5Ps/performa
nce
Anticipate
& assist
with data
PDSA
Rapid
Tests of
change
with
measures
Sustain
Inspire,
Know &
Tell
Stories
-5-
OneCF Center LLC2
Overall Aim: Assess and develop a CF care center
that provides seamless care from the time of
diagnosis through advanced care. This
collaborative will focus on integrated care, smooth
transitions (pediatric to adult), warm handoffs and
transfers, and improvement of mesosystem care
such as referral to specialists (e.g. Endo, GI, ENT,
Psych) and inpatient care.
-6-
Leadership of Health Care Quality and
Improvement
Development Program
Overall Aim: Assess and develop personal and
team leadership skills and abilities to lead quality
and improvement as part of CF Pediatric, Adult
and OneCF leadership team.
Create conditions for successful improvement
-7-
Relational Coordination
Calendar
Date
Topic
Tuesday, May 5
RC survey will be sent out by Saleema Moore
Tuesday, May 19
Deadline to complete RC survey
Wednesday, June 10
RC reports distributed and discussed with leaders, coaches
and team members at Minnesota Benchmarking Site meeting
Relational Coordination Survey
Leaders: Create the conditions to
ensure the RC surveys are completed
Team members: Please remind
everyone about the survey
1 Poll
-9-
Progress Reports3 minutes each
Any challenges?
How are you engaging people with CF and families
in “co-production” of care in your OneCF Center?
-10-
Obeya Room
• Room with a view
• Aim: Effective solutions and actions
that can be developed and
implemented quickly. Increase
coordination
• Multidisciplinary and person with CF
and family members
• Dedicated time and space to
coordinate and problem-solve
-11• Minimize organizational
barriers
Materials to Include
• Registry data
• 5Ps
• Value Stream Map and data
• Detailed “Hand off” flowchart and
data
-12-
Obeya Room
-13-
Obeya Room “The Big Room”
Obeya Room
Jack D. Gorvoy Obeya Room
Aim:
We created a webbased gathering place
to store and create
tools that would
improve the transition
process from the
pediatric to adult CF
center
VSM focus on Transition to
Adult
Nationwide Children’s
Measurement Homework
Brant has reviewed and posted
comments to guide your work
Leaders and coaches will
discuss in next session
-18-
Calendar Change
• The OneCF LLC2 team and leader
Adobe Connect June 1st will not be
held.
– Minneapolis Minnesota June 8-10
• Monday, June 8th Coaches @ 3pm
– OneCF LLC2 Leaders @ 5pm
– OneCF LLC2 ALL @ 6:30pm (includes dinner)
– Please make your hotel reservat
-19-
Minnesota Agenda
https://www.surveymonkey.com/s/DV62RFG
MONDAY, JUNE 8, 2015
2:00–7:00 p.m.
Registration
Social West, Pinnacle Ballroom
3:00–4:30 p.m.
OneCF LLC2 Coach meeting
Inventor 1 Room
Coaches
5:00–6:00 p.m.
OneCF LLC2 Leaders and Coaches meeting
Inventor 3 Room
Leaders &
Coaches
6:30 p.m.
DINNER
6:45 p.m.
Welcome from University of MN Executive Leader
Welcome from University of MN CF Team
Pinnacle Ballroom
Jordan Dunitz, MD
Terri Laguna, MD, MSCS
Sandy McAllister, RN
Carlye Tomczyk RN, MSN, CPNP
7:00 p.m.
Overview of CF Foundation Quality Improvement Initiative
Paula Lomas, MAS, RN, CCRP
7:15 p.m.
Overview of University of MN CF Center
Jordan Dunitz, MD
7:30 p.m.
BREAK
7:45 p.m.
OneCF Team Reports including Obeya Rooms,
Value Steam Mapping on Poster board stands: 3 sites (15 minutes each)
8:30 p.m.
BREAK
8:45 p.m.
OneCF Team Reports including Obeya Rooms,
Value Steam Mapping on Poster board stands: 3 sites (15 minutes each)
9:30 p.m.
ADJOURN
-20-
All
All
Next Activities
• Continue to meet weekly: Team and Coach
– Leader and Coach meet regularly
• Review Task book on OneCF LLC2 website (prepare
for Minnesota–June 8 to 10, 2015) Available
Wednesday May 5, 5pm ET.
– Reading, videos, resources
– Preview the Minnesota CF Center website, annual
report, maps and other relevant materials
-21-
Minnesota Taskbook
To help you prepare for the Minneapolis Minnesota meeting, please review and complete the
following Task Book.
1.Bring your value stream map including cycle time and information flows
2. Bring your Obeya Room example or pictures
3. Prepare a 7 minute PowerPoint presentation updating the Value Stream map, detailed “hand off”
flowchart and where you have found improvement opportunities in the process.
4. Please practice the 7 minute presentation to ensure you don’t exceed 10 minutes (5 minute Q&A)
5. Review the OneCF LLC2 Minnesota agenda and pre-meeting materials: Observation worksheet
and Fresh Eyes document
6.Post Site visit check list and materials: Thank yous, debrief with CF Center, Executive summary
for your organization leadership and CFF.
7. Review these QuIRK modules on the website: #7 & #8
9. Review the following measurement modules on the website: #5, #6 & #7
10. Read Quality by Design chapters: 23
11. Read Difficult Conversations: 4, 5, 6, 7, 8, 9
If you have not registered for the Minnesota meeting:
https://www.surveymonkey.com/s/MY5DV6Q
-22-
Thank You
See you in Minnesota!
Please complete the Survey
Monkey listed in the chat box.
www.clinicalmicrosystem.org
-23-