Transcript Improving Planning Processes and Community Engagement

Quality Improvement Projects Addressing
Public Health Capacity Areas
October 30, 2009
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code 8422006
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Improving Planning Processes
and Community Engagement
Marlene “Marni” Mason
MCPP Healthcare Consulting
October 30, 2009
Projects to Improve Planning

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Often aren’t a good fit for “traditional” quality
improvement methods and tools, such as
Rapid Cycle Improvement (RCI)
Excellent for the Collaborative or
Breakthrough Method from Institute of
Healthcare Improvement (IHI)
Do benefit from AIM statements and from
using the Plan-Do-Study-Act cycle
Model for Improvement
What are we trying
to ac c omplish?
How will we know that a
c hange is an improvement?
Ac t
Study
Plan
Do
Example- Meeting Effectiveness
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What are We Trying to Accomplish? Increase
the effectiveness of Community Health
Improvement Plan (CHIP) coalition meetings
and maximize stakeholder participation. We
do this in order to increase member
engagement and contribution to the
implementation of the CHIP.
How Will We Know When We Get
There? Measurements
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Increase in meeting attendance (% of
members that regularly attend)
Increase in effectiveness (% of members
rating meetings as effective or valuable)
Increase in engagement (% of members
rating their commitment as high)
Increase in participation (% of members that
contribute resources to CHIP activities)
Evaluating Meeting
Effectiveness
Act
The PDSA
Cycle for
Improving
Meeting
Effectiveness
• What changes
will make mtgs.
more effective?
• Make
improvements
Study
• Make
conclusions from
the evaluation
results
• Summarize
what was
learned
Plan
• Identify mtg.
evaluation tool
• Plan for use of
evaluation
•Plan for data collection
Do
• Conduct mtg. evaluation
• Trend results over
several mtgs.
• Begin analysis
of the data
Fear of Public Speaking
Ideal state: To speak
confidently in any situation
+Driving Forces
Restraining Forces –
Increases Self Esteem
Past
Embarrassments
Helps Career
Afraid to Make
Mistakes
Communicates Ideas
Lack of Knowledge
on the topic
Contributes to a
plan/solution
Afraid People will be
Indifferent
*PH Memory Jogger page 63, Goal/QPC
Force Field Analysis*

Why use it?
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To identify the forces and factors in place that support or
work against the solution of an issue or problem so that
the positives can be reinforced and/or the negatives
eliminated or reduced.
What does it do?
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Presents the positives and negatives of a situation so that
they can be compared
Forces people to think about all aspects of making a
desired change a permanent one
Encourages honest reflection and that people to agree
about the relative priority of factors on each side of the
“balance sheet”
*PH Memory Jogger page 63, Goal/QPC
Kane County Community
Partnership QI Project
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Optimizing the Chance of Success
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Once the Force Field Analysis has been
constructed:
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Prioritize the driving forces that can be strengthened
Identify restraining forces that would allow the most
movement toward the ideal state if they were
removed
Achieve consensus through discussion or by using
ranking methods like Multivoting or Nominal Group
Process
Remember that it is often more helpful to remove
barriers than to push the positive forces to create
positive change
Other Resources
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Embracing Quality in Local Public Health:
Michigan’s Quality Improvement Guidebook, 2008,
www.accreditation.localhealth.net
Public Health Memory Jogger, GOAL/QPC, 2007,
www.goalqpc.com
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Ron Bialek, John Moran, Grace Duffy; The Public
Health Quality Improvement Handbook, ASQ, 2009
http://www.asq.org/quality-press/index.html
Marni Mason, MCPP Healthcare Consulting
You can contact Marni at: [email protected]
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QUESTIONS?
Please click on the ‘Q/A’ icon above to
type in your question
Minnesota Public Health Collaborative
for Quality Improvement
Health Improvement Planning:
Community Engagement
Kim McCoy, MPH, MS
October 30, 2009
Why community engagement?
 Relevant to everything we do
 Required for community health plans and
Statewide Health Improvement Program
(SHIP)
 Assessment revealed inconsistency and lack
of evidence base
 Local public health identified it as a need
Challenges of community
engagement
It’s a “soft” topic, less concrete
Difficult to do in a step-wise manner
Been there, done that
No time to engage
MN SHIP – where the rubber meets
the road
 $47 million from July 2009 to June 2011
 35 grantees that include all community
health boards and 10 tribes
 Policy, systems and environmental change
to reduce obesity and tobacco
 Partner with schools, worksites, health care
and community
 Managed by Community Leadership Teams
Tackle the challenges up front
Identify a concrete, evidence-based
approach
Invite experts to the table
Reframe our QI methodology
Be honest about the novelty of our
approach
Community Engagement
Collaborative
Eligibility: all community health boards
and tribal governments
Goal: build Community Leadership
Teams for SHIP
Evidence: Prevention Institute
QI Framework: Model for Improvement
Methodology: Breakthrough Series*
Timeframe: November 2008-June 2009
MN Department of Health Goals
Promote evidence-based practice
Establish consistency
Demonstrate value of time spent on
community engagement and QI
Provide opportunities to use a variety
of QI tools
Spread QI to more agencies and staff
Community Engagement
Collaborative
 Prework conference call
 Monthly webinars
– New QI tool each month
 2 face-to-face learning sessions
– Prevention Institute
– Spitfire Strategies
 Monthly reports
 Follow-up conference call
 Storyboards
PDSA on a large scale
Ob ject iv e : Est ab lish a r ep r esen t at ive* Plan n in g Wo r kg r o u p o f t h e Par t n er sh ip f o r Bet t er Healt h (PBH)
co alit io n b y Ju n e 30, 2009.
If w o r kg r o u p is r ep r esen t at ive
Dr af t a let t er
m o ve ah ead . If n o t ,
Id en t if y p ar t icip an t s
r et u r n t o p lan n in g p h ase.
Develo p ch ar t er f o r PBH
ACT
STUDY
Meet in g p ar t icip at io n
Un d er st an d in g o f p u r p o se
Rep r esen t at io n o f key g r o u p s
PLAN
DO
In vit e p ar t icip an t s
Ho st a m eet in g
Def in e r o les an d r esp o n sib ilit ies
* Rep r esen t at ive: At least t w o p er so n s w h o r ep r esen t each sect o r (i.e. , Sch o o ls & Ch ild car e, Wo r ksit es, Co m m u n it y, an d
Healt h car e) o f t h e PBH, 1-2 p r o f essio n als w h o ar e exp er t s in r elat ed t o p ic ar eas (e.g . , ch ild h o o d o b esit y, n u t r it io n ), an d
members are present from each Commissioner’s district.
PDSA on a small scale
Community Leadership Team
Membership
5
4
3
Measures
2
Expectations
1
0
Resources
SHIP Interventions
To better understand, plan and continue progress as a group, please take a
moment to evaluate the current status of our Community Leadership Team
when considering these areas.
Anoka County Community Health & Environmental Services
Problem Statement: The Planning Workgroup does not have equal
representation from all four sectors in which the Partnership for Better
Health will work.
Potential
members don’t
have time.
Closed Planning
Workgroup
meetings.
I=1, O=1
I=1, O=4
Driver
I=1, O=0
Do not know all of the
experts in the community
(Anoka County).
Potential members do
not understand personal
or organizational benefit
of participating.
I=1, O=0
I=3, O=0
Outcome
Inertia related to use of
technology that could
bring off-siters “in”
(e.g., videoconferencing).
I=2, O=0
Lack of charter (that identifies
roles/responsibilities, decision
making process, mission, etc.)
Inadequate information
regarding the direction of the
Partnership for Better Health
and opportunities for
participation.
Lack of lead agency
staff time to do
recruitment.
I=0, O=5
Driver
I=2, O=1
MN Public Health Collaborative for Quality Improvement
Community Engagement
Monthly Report Form
PLAN
CHB:
Aim:
Measures:
Month / Year:
Reported by:
/
Please summarize the action steps you have taken
in the past month.
Describe the results of your action steps and what you
learned from the process.
1.
DO
CHECK
2.
3.
4.
5.
What advice or assistance do you need from MDH, its partners, or the other project teams?
What have you accomplished in the past month? What are you proud of?
Quality Improvement tools used:
Activity Network Diagram
Affinity Diagram
Brainstorming
Fishbone Diagram
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Interrelationship Digraph
Matrix Diagram
Nominal Group Technique
Pareto Chart
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Snags along the way…
SHIP funding was threatened
SHIP funding to be released in phases
H1N1…need I say more
Waning enthusiasm
Challenges/Lessons Learned
 Give back - meaningful feedback is key
 Make it yours - QI is adaptable and flexible
 Let them lead - teams often know what is
best
 Be real - showcase compelling, practical
examples
 Just do it - perfect is not the goal
 Define the end and celebrate
That’s it for today!
Celebrate!
Thank you
For More Information:
Kim McCoy
Minnesota Department of Health
651-201-3877
[email protected]
QUESTIONS?
Please click on the ‘Q/A’ icon above to
type in your question
or
Press *7 to un-mute your line
Announcements
Upcoming Due Dates
• Quarterly Reports and Semi-Annual Financial Reports
– November 30th: Both of these items are due
• Site Visits
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–
–
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As soon as possible: Choices of which states you would like to attend
Updated Site Visit Guidance document will be available soon
November 13th: Brief Descriptions of Site Visits Due (Hosts)
November 13th: Videoconferencing Capabilities Confirmation (Hosts)
• Storyboards:
– Please remember to submit your storyboards no more than 60 days
following the end of each project
*Submit all to Anooj Pattnaik ([email protected])
Announcements
• Next Spitfire Webinar:
– November 18, 2009 at 2 pm CT: Developing Strategic Communications
Plans
• Next MLC Teleconference/Webinar:
– December 4, 2009 at 11 am CT
• Next Grantee Meeting:
– February 3-5, 2010: Kansas City, MO
– Planning Call with the states will be scheduled soon