FAST_exc_award_v3

VOC:

Time, complexity, org culture, project not well defined, scope unrealistic

Thank you for your attention!

Continuous improvement evolution

SUSTAINABILITY

And one more thing...

WHAT?

sustainability

• 4 x FAST training programmes per year
• 2 x FAST seminars per year
• "FAST" project repository growing fast
• On demand FAST project workshop & mentor sessions
• FAST promotion roadshow
• Continuous evolution, improvement & research
• Network of "FAST Agents" growing...enhancing our organisation's capabilities

"Physicians should be engaged in QI activities to make their work systems safer & more reliable"

http://app.wisemapping.com/c/maps/7475/public

WHY?

J M Taitz, T H Lee, T D Sequist. A framework for engaging physicians in quality and safety. BMJ Qual Saf 2012;21:722-728. doi:10.1136/bmjqs-2011-000167-2011-000167

• Target 4 FAST training programs per year
• Target 2 x FAST Seminars per year
• 'FAST' project repository growing fast!
• On demand FAST project workshop and mentor sessions
• FAST promotion roadshow
• Continuous evolution, improvement and research
• Network of "FAST" Agents growing

Nutshell

WHAT?

"We may be in difficult times but I would like to see more in-house training and opportunities developed for our staff rather than less."

Dale Bramley, Chief Executive Officer, WDHB. Memorandum: Waitemata DHB Financial Performance Improvements. To Executive Leadership Team and Managers. 12 October 2012.

• An applied learning and mentoring programme for quality improvement, problem solving & project management designed for health professionals.

Conclusion

• Platform to spread quality culture, innovation and engage early adopters.

FAST Vision

Innovation:

Distilling latest best practices to "fit of purpose".

Customising to our needs; Experiential JIT learning ; Continuous evolution.

*Enhance organisation's capabilities in QI leading to better patient outcome

Integration & workforce Improvement:

Engagement and collaboration across departments; Common language & incubation platform for ideas and innovation.

Reducing disparity: (clinicians & non-clinicians):

Open & honest egalitarian environment;

Challenges & confronts brutal facts, avoidance of groupthink.

Quantifiable Health gains

FAST projects provided systemic & strategic contributions to enhancing Org capabilities leading to better patient outcome.

Health gains

Mission

Develop & deploy an in-house applied learning and mentoring programme for Health Professionals to:

• apply a range of quality tools
• work within a structured framework
• achieve quantifiable outcome

• Cohorts gained QI knowledge and successfully applied "FAST" to carry out improvement projects in a structured manner with quantifiable results

HOW?

How?

we listen, we ask...

Why is uptake of quality programmes low? How can we be more effective with quality training? Why do projects fail?

FAST: An innovative quality improvement programme for health professionals

"Teamwork" is the glue, creates synergy, cost nothing for us to work together!

Encourage "Simplification":

things will not get simpler by themselves,

it can only get more complex...another form!

Make learning "FUN"

4. TRACK: Project management,

quantify change, sustain

Instill "Accountability" & ownership:

Lets do some work and apply what we learn!

Confront brutal truths

F.A.S.T SPIRIT

3. SOLVE: Solutions for the causations,

with creative, colaborative thinking; PDSA

1. FIND & DEFINE: Strategic thinking, engage stakeholders & listen to the voice of customer, define problem, baseline & goal commitment (a problem well defined is half solve!,)

2. ANALYSE: Process & stats analysis:

looking for vital few causations

Develop a Simplified

F. A. S. T framework that challenges you to a "look before you leap approach"

Theory covers 4 broad disciplines: Strategic Mgt, Process Mgt, Problem Solving and HR dynamics balancing hard and soft skills. Subject coverage is wide but shallow

4 step approach

Ken Kok, NZCE, Dip Mgt, MBA

Quality Specialist

RESULTS

RESULTS

Programme started: May 2011

• 5 Waves of training
• 25 FAST agents trained, good clinician engagement
• consistent excellent course feedback
• 17 improvement projects with quantifiable positive changes

after

before

paired t test; p=0.001

paired t test; p=0.00

Before and after evaluation (to wave 4)

after

Knowledge & application of:

A. Structured & strategic approach

B. Soft skill considerations

C. Importance of stakeholders, VOC, customers

Overall course evaluation:

4.8 out of 5; SD 0.6

before

paired t test; p=0.013

FAST Projects to date (process improvement, strategic, financial, collaborative):

MOH smoking cessation target

• Smoking Cessation in ED
• Palliative care: Improving concordance with the Saf-T-Intima protocol
• Optimising occupancy in the Stroke Unit at North Shore Hospital
• Decreasing CAUTI rates
• Hand Hygiene in ED
• Deceased Care, improving time to release
• Pyxis override, reducing overrides rate
• Therapy Assistant Review
• Induction of labour roles & responsibilities
• Reducing Printing cost
• ACC DN Revenue
• Waste Minimisation Initiative
• County Manukau, improving Physiologically Unstable Patient (PUP) compliance
• County Manukau/ WDHB Patient Experience