B12 creating collaboration

Creating Collaboration: Weaving community wisdom into your organization Scarborough Centre for Healthy Communities

Presenter Disclosure Presenter: Callum Tyrrell No Conflict of Interests To Declare

Theme • People and communities at the centre - What can we learn from the initiatives, tools and evidence that put involvement of individuals, families and communities at the centre of service planning, improvement and delivery?

The Elephant Story…

Don’t Blame People, Look at Structures

What are the ideals we look for in health care systems and teams?

Liberating Structures • When you feel included and engaged, do you do a better job?

• Do you think teams in which people work well together produce much better results?

• Have you noticed the best ideas often come from unexpected sources?

• Do you want to work at to the best of your intelligence and give the same opportunity to others?

CREATING PROBLEMS

Instructions • 1. “Make a list of all you can do to design structures to make sure that you achieve the worst result imaginable for health outcomes and quality experience for your clients with respect to a CHC Diabetes clinic.” 1-2-all • 2. “Go down this list item by item and ask yourselves, ‘Is there anything that we are currently doing that in any way, shape, or form resembles this item?’

Be brutally honest to make a second list of all your counterproductive activities/programs/procedures.” 1-2-all • 3. “Go through the items on your second list and decide what first idea will help you stop what you know creates undesirable results?” Idea Cards

Idea Cards IMPROVEMENT OPPORTUNITY Name: What is the problem?

Recommended Solution:

Expected Benefits:

Date:

High Impact

PICK Chart

Implement Challenge

Low Impact

Possible Kibosh

Low difficulty

High difficulty

High Impact

PICK Chart IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

Recommended Solution: Recommended Solution:

Recommended Solution: Expected Benefits:

Recommended Solution: Expected Benefits:

Expected Benefits:

Expected Benefits:

Implement Challenge Possible Kibosh

Low Impact

IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

IMPROVEMENT OPPORTUNITY Name: Date: What is the problem?

Recommended Solution:

Recommended Solution: Expected Benefits: Expected Benefits:

Low difficulty

High difficulty

Instructions • 1. “Make a list of all you can do to design structures to make sure that you achieve the worst result imaginable for health outcomes and quality experience for your clients with respect to your CHC clinic.” 1-2-all • 2. “Go down this list item by item and ask yourselves, ‘Is there anything that we are currently doing that in any way, shape, or form resembles this item?’ Be brutally honest to make a second list of all your counterproductive activities/programs/procedures.” 1-2-all • 3. “Go through the items on your second list and decide what first idea will help you stop what you know creates undesirable results?” Idea Cards • 4. “Using the PICK Charts, determine based on the following limitations, which ideas are “Possible, Implement, Challenge and Kibosh” be prepared to report out! Limitations: $100, 3 staff, 2 weeks

Accreditation Evidence

Structure

Process

Outcome

Visual Management Structure Continuous Improvement and Co-Design

Current Time-limited Active QI Project Connect to Impact: % of funder targets achieved

Community

Each Other

Partners

Impact

Measure:% of funder targets achieved for MOW.

Measure: % of MOW Routes Filled % of MOW Routes Filled

Visual Check list of a “WHO; WHAT: WHEN” What WhoQI When Tracking PDSA1: Demand visibility Joan 1/22/18 progress PDSA 2: Capacity visibility

Coordinators

1/26/18

PDSA 3: Develop Plan SW

All

2/2/18

PDSA 4: Vol profile comms

Abha/crdintrs

2/6/18

Co-Design Process Steering Group Setup CoCelebration Event

Info Sharing from Clients & Families

CoMonitoring

Info Sharing from Staff

Co-Design Teams Action Planning

Co-Design Event: CoDetermine Priorities

Four Pillars of Person and Family Centered Care • Patients and families’ perspectives and choices, knowledge, values, beliefs, and cultural backgrounds are listened to and incorporated in the care plan by the healthcare team.

• Patients and families collaborate with health-care leaders in policy, program design and evaluation

• The health-care team communicates and shares timely and complete information with patients and families

Respect and Dignity

Information Sharing

Collaboration

Participation

• Patients and families are encouraged and supported in participating in care and decisionmaking.

The Institute for Patient and Family-Centered Care

Provincial Engagement Framework

Weave Client’s & Staff Wisdom Into your Organization

Final Thought…