Transcript Slide 1
Discovering Changes That Are Improvements for Your Organization
Sam Price, Ten Sixteen Recovery Network Rebecca Emmenecker, Riverhaven Coordinating Agency Kim Kern, List Psychological Services Deb Ronk, Arbor Circle
Reduce Waiting & No-Shows
www.NIATx.net
Increase Admissions & Continuation
Reduce Waiting & No-Shows Increase Admissions & Continuation
Five X Five Starring: Sam price
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Reduce Waiting & No-Shows Increase Admissions & Continuation
A SURPRISE FOR YOU!
Small group exercise
Your Row = Your Team
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Structure of Exercise
• Minimum of Three Active Team Participants in a row • One observer/timer/referee per team • This is not a competition across teams/rows…it’s about each team’s improvement against their baseline Reduce Waiting & No-Shows Increase Admissions & Continuation
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The R-Ducky Rules:
• Everyone of Team must touch the duck with both the right hand and the left hand • The duck must travel to each person.
• You get three attempts • Your timekeeper will score: Baseline…Change #1…Change #2
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Duck Observations
What did you learn?
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What did you learn?
• Better process vs. increased hand-eye coordination/speed?
• Practice, practice, practice!
• Optimal group size!
• Working as a team!
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With A Little “Helf” From My Friends
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Resources Abound at the Web Site
•
The URL is www.NIATx.net
• Toolkits, Templates, Testimonials, Ideas, Promising Practices, Success Stories, Examples … • Bookmark Recommended
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NIATx was originally a partnership of two grant programs
The Center for Substance Abuse Treatment
Strengthening Treatment Access and Retention
and The Robert Wood Johnson Foundation
Paths to Recovery www.NIATx.net
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Where Credit Belongs
• NIATx National Program Office is at the University of Wisconsin – Madison • The “guru” and director is David Gustafson, PhD – a process engineer • Integration of Engineering Department and Behavioral Health Researchers • Many of the principles are adapted from the work of earlier/current quality gurus
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A Universal Approach to Improvement
• Applies to SA or MH or Integrated Treatment…and more • Works across institutions, functions, subject matters, levels of care, settings… • Customized to your identified goals and needs • It’s a map and compass (not a full “Turn by Turn” GPS Navigation System)…”Recalculating” is the team’s job Reduce Waiting & No-Shows Increase Admissions & Continuation
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Statistics and a Conclusion
• 19 million Americans need treatment • 25% are able to access treatment • 50% of those in treatment do not complete • The way services are delivered is a barrier to both access and retention
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Substance Abuse and Mental Health Services Administration, 2002 Reduce Waiting & No-Shows Increase Admissions & Continuation
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The “Frosty Freeze” Case Study
A “Walkthrough” of Frosty Freeze: Small group activity • The Perspective of The Customer?
• Who is your change team? • Who is your change leader? • Buy-in from staff?
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Deciding your first PDSA
• Where do you start? One small change!
• Nominal Group Technique Overview.
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One more exercise!
Small Group Activity: What is your starting place?
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Five Key Principles
Evidence-based predictors of change • Understand and involve the customer • Focus on key problems • Select the right change agent • Seek ideas from outside the field and organization • Do rapid-cycle testing
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NIATx Aims
Reduce Waiting Times Reduce No-Shows Increase Admissions Increase Continuation Rates
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Reduce Waiting & No-Shows Increase Admissions & Continuation
Come back after the break!
• This duck is a gift for you, sort of like a bribe. We will give this to you if you make a deal with us that you will return for the second half of our presentation….
• Don’t you want to know more about how to implement the NIATx ideas in your agency? • See you right after the break! Thank you!
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Discovering Changes That Are Improvements for Your Organization
Sam Price, Ten Sixteen Recovery Network Rebecca Emmenecker, Riverhaven Coordinating Agency Kim Kern, List Psychological Deb Ronk, Arbor Circle …
Reduce Waiting & No-Shows
www.NIATx.net
Increase Admissions & Continuation
Reduce Waiting & No-Shows Increase Admissions & Continuation
5 X 5 presentation
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Starring: Sam price
Reduce Waiting & No-Shows Increase Admissions & Continuation
Frosty Freeze
• Break into small groups.
• Read Frosty Freeze together.
• Identify “concerns” found in the FF walk through.
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Reduce Waiting & No-Shows Increase Admissions & Continuation
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Reduce Waiting & No-Shows Increase Admissions & Continuation
Conducting a Change Exercise
PDSA cycles
P
lan the change
D
o the plan
S
tudy the results
A
ct on the new knowledge Rapid cycle changes Changes should be doable in 2 weeks
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PDSA
Create a PDSA for your group using Frosty Freeze. Remember: start with one small change.
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Skipping the “P” in PDSA
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Change Cycles PD-SA-Sustain
A P S D Changes That Result in Improvement
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A P S D Hunches Theories Ideas Rapid cycle changes should be do-able in 2 weeks !!!!!
Maybe…..
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How will you sustain change?
Small Group Activity: • Ideas to sustain the change after the (rapid change cycle) PDSA is concluded.
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PDSA: The Bigger Picture
Walk Through Generate Ideas Plan Change Pilot Test Show Benefit/ Educate Study Data Do Change Adjust the Plan Celebrate Act Sustain Change Adjust Change Stop and try New Change
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Reduce Waiting & No-Shows Increase Admissions & Continuation
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Reduce Waiting & No-Shows Increase Admissions & Continuation
Going up????
• Elevator Speech: what is it?
• Example of an elevator speech.
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Write an Elevator Speech
Small Group Activity • What would you say to describe NIATx?
• Benefits • What do they want to hear?
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DUCK!!!!!
• Wow, that was a close one!
• We’re giving you a gift….if you weren’t here for the first half: ask someone that was here what it represents!
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Assistance From MDCH’s Point Person for MI Coaches
Phil Chvojka (Shove-oak- ah) [email protected]
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Thank you!!!
Kim Kern: • [email protected]
Sam Price: • [email protected]
Deb Ronk: • [email protected]
Rebecca Emmenecker: [email protected]
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