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Agenda

Assisted Living Enforcement Process Improvement Project Leading Age Assisted Living Enforcement Training October 18, 2013 Oklahoma State Department of Health and Oklahoma University Center for Public Management. Agenda. Introduction, meeting process, ground rules

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Agenda

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  1. Assisted Living Enforcement Process Improvement ProjectLeading Age Assisted Living Enforcement Training October 18, 2013Oklahoma State Department of HealthandOklahoma University Center for Public Management

  2. Agenda • Introduction, meeting process, ground rules • Ginger Thompson, OUCPM and Performance Solutions • Quality Improvement Project Overview – How we got here • Henry F. Hartsell Jr., Protective Health Services • Swim Lane Steps – Understanding complexity & consequences • Mike Cook, Long Term Care Service • Plan of Correction Tool -- Reduce or eliminate fines & waste • Patty Scott, Long Term Care Service • Informal Dispute Process – New law November 1, 2013 • Sue Davis, Patty Scott, Long Term Care Service

  3. Ground Rules! Know the agenda One person talk at a time Listen Don’t talk over someone Respect Be on time, return from breaks timely Provide session summaries Turn electronics off or vibrate Knock-Knock rule

  4. Objectives • Gain familiarity with: • Quality improvement project • Swim Lane process map • Optional plan of correction template • How to participate in pilot • Informal dispute resolution

  5. Project Overview: How we got here(and where we are going) • Henry F. Hartsell Jr., Ph.D. • Deputy Commissioner for Protective Health Services

  6. Quality Improvement in Public Health • Deliberate improvement process - PDCA • Plan • Do • Check • Act

  7. Quality Improvement in Public Health • Achieve measureable improvements • Efficiency • Effectiveness • Performance • Accountability • Outcomes

  8. Plan: Identify Opportunities • Opportunity exists to ensure OSDH implements clear & reasonable enforcement process for assisted living centers to: • Positively impact residents • Reduce need for penalties • Reduce waste for all involved

  9. Plan:Participants • OSDH staff members • Assisted living providers • University of Oklahoma Center for Public Management

  10. PDCA Plan Phase:Describe Current Process • Swim Lane map shows: • Steps • Responsibilities • Where delays, mistakes, inefficiency are most likely • See the waste

  11. Swim Lane Process Map • Lanes (responsibilities) are horizontal • Steps are vertical • Time moves left to right • Boxes are steps or tasks • Diamonds are decision points • Lines & arrows are connections • Ovals are start and end points

  12. Swim Lane Lanes • Surveyors • Enforcement staff • OSDH Long Term Care Leadership • General Counsel • Assisted Living Centers • Administrative Law Judge • Informal Dispute Resolution Panel

  13. Building the Swim Lane

  14. Swim Lane Analysis:Find Causes of Waste • Plan of correction incomplete • By first revisit, problems not: • Corrected • Monitored • Documented • Rework, delays, penalties • 40 centers had 2nd revisits in 2012!

  15. PLAN: Root Cause Analysis Issue Issue Issue Issue Idea Issue Issue Idea Issue Idea Issue Issue Issue Issue Issue Idea Issue Issue

  16. Plan Phase: Identify Improvements • Ensure a complete & acceptable plan of correction 1st time • Optional POC template walks assisted living centers through all required elements • Improvement Theory: • Increase proportion of POCs accepted 1st time • Reduce proportion of 2nd revisits by 15% in three months

  17. Knowledge Test

  18. PDCA: Where we are going • Plan: • Reduce POC rejections • Reduce 2nd revisits • Use Optional Plan of Correction Template • Do: • Test Optional POC Template in Nov - Jan • Check: • Adopt, adapt, abandon • Act: • SOPs, train, track, solve problems, feedback

  19. Next Up: Mike Cook and the Swim Lane Process Map

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