Transcript Slide 1

NIATx
EXTRA! EXTRA!
 You need to change this
 You need to change that
 Your numbers aren’t where they need to be
 Health Care Reform is coming
 This EBP needs to be implemented
 Money is going away
 Demand is increasing
Change is Hard
 As I say, it shall be done
– “Yeah, right”
 Just hope things are better tomorrow
– Chances are they’ll be worse
 If we only had more money we would be so much better
at doing this
– Please, share with us just where that money tree is
Four Aims
 Decrease Wait Time
 Decrease No-Shows
 Increase Continuation in Treatment
 Increase Admissions
What is NIATX?
 NIATx teaches behavioral health providers and systems
to use a simple process improvement model to increase
access to and retention in treatment for all clients.
 Based at the University of Wisconsin’s Center for Health
Enhancement Systems Studies
– http://www.niatx.net
– [email protected]
The Model For Improvement
 What are we trying to accomplish?
 How will we know that change is an improvement?
 What changes can we make that will result in an
improvement?
– Reference: The Improvement Guide, Langley, Nolan, Nolan, Norman, & Provost
(1996).
Five Principles
For Successful Organizational Change
 Pick Key Problems
 Select a Powerful Change Leader
 Seek ideas from outside the organization or field
 Use rapid-cycle testing
 Understand and Involve the Customer
ORP & NIATx: A Natural Fit
Offender Reentry Program Performance Measures
Family & living
Substance use
condition
Reduce
Wait Times
Reduce
NIATx No-Shows
Aims
Increase
Admissions
Increase
Continuation
Employment
Social
connectedness
Access to
treatment
Retention in
treatment
Criminal
justice status
Root Cause Analysis: tools for finding
the changes you need to make
Walk
Through
Flow
Chart
Nominal
Group
Technique
Fishbone
Diagram
The Walk Through
 A Structured role play that allows you to experience the
clients perspective, and reveal change opportunities.
– Inform staff
– 2 participants
With each step ask:
– Do a piece, do it all
Is this step needed?
– Plan your role
Is this step the best
it can be?
– Stay in role
– Take notes
– Focus on emotional experience
Source: IHI
The Flow Chart
Flaws
Steps
Transitions
Fixes
Nominal Group Technique
1. Silent Generation
2. Round Robin Report and Record
3. Discussion for Clarification
4. Voting
The Fishbone Diagram
Why Does
this happen?
Develop changes based upon the Root
Cause Analysis
Change Team Roles
 Executive Sponsor
 Change Leader
 Data Coordinator
 Team members
 Sustain Leader
– Mat Roosa, ACSW, LCSW-R
– [email protected]
315-727-4565