Welcome to CUSP Communication Teamwork Tools Coaching

Welcome to CUSP Communication & Teamwork Tools Coaching Call 4 The session will begin shortly. To access the audio for the session, Dial: 800 -977 -8002, Participant code 083842#. The materials for this coaching call can be downloaded from the CUSP Communication & Teamwork Tools password-protected web page. Directions for how to access this web page can be found on each of the coaching call meeting notices (appointments) sent to you. The phone lines will be open during the presentation. Please keep your phone on mute unless you are asking a question. If you do not have a mute function on your phone, you can press *6 to mute your phone (and *6 again to unmute if you want to ask a question). PLEASE DO NOT PUT YOUR PHONE ON HOLD!!! If you experience any problems, please call Marilyn Nichols at the MOCPS office at 573 -636 -1014, ext 221 or mnichols@mocps. org.

Document 1 CUSP Communication & Teamwork Tools Coaching Call 4: Continuing To Work Through Action Planning September 20, 2011 Pat Posa RN, BSN, MSA System Performance Improvement Leader St. Joseph Mercy Health System Ann Arbor, MI patposa@comcast. net Kimberly O’Brien, MHA Project Manager Missouri Center for Patient Safety Jefferson City, MO kobrien@mocps. org

Documents for this Session (All can downloaded from the CUSP Communication & Teamwork Tools password-protected web site. Detailed instructions are located on each of the coaching call meeting notices/appointments emailed to you by Kimberly O’Brien) 1. 2. 3. 4. 5. 3 This Power. Point presentation Monthly Team Leader Checklist Sample Agenda for September CUSP Team Meeting Daily Rapid Rounds Article An audio file recording of this session will be emailed to you shortly after the call today

MDR with DG Action Plan Task Obtain executive buy-in Define members of rounds and their roles Define time of day and frequency Structure of rounds: • Review of systems (or major issues) • Define components of checklist • Time for each patient Documentation: • What is documented in medical record • daily goal—where is it documented? Educating staff Define metrics and evaluation process 4 Responsibility Due Date

Structured Huddles Action Plan Task Obtain executive buy-in Order Huddle board Select Huddle metrics for first board: operational, quality/safety and patient satisfaction Define huddle process: • Define time of day and frequency • Who will lead huddle • Expectations of staff—who will attend • Create agenda (in first huddles include overview of purpose of huddles and huddle process) Hang huddle board and fill in metrics Identify when huddles will begin Define process for changing huddle metrics Create evaluation process: how will I know if huddles are successful? 5 Responsibility Due Date

Round Robin • • 6 Which are you implementing? Where are you at in action plan? What are your next steps? Are there any barriers that you are experiencing that are preventing you from moving forward? If so, what are they? 6

CUSP Communication & Teamwork Tools Next Steps (has not changed from Coaching Call 3) • Multidisciplinary Rounds – Complete action plan and a test of change • Structured Huddles – Complete action plan – Define first metric and do a practice huddle on one shift, one day • Learning from a Defect – Identify next defect to solve (if haven’t done it yet) – Begin/complete through LFD steps • CUSP Team Agenda – Choose next defect to take through the Learning from a Defect Tool or begin LFD process – Complete MDR with DG action plan – Show video’s of structured huddle; get feedback/questions from CUSP team and unit leadership for next Coaching Call – Ensure that concepts of Multidisciplinary Rounds and Structured Huddles are vetted by executive sponsor for unit and VPMA/CMO 7

Questions? 8