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-