Sfgh children s health center quarterly report 2 september 2011
This presentation is the property of its rightful owner.
Sponsored Links
1 / 14

SFGH Children’s Health Center Quarterly Report # 2, September 2011 PowerPoint PPT Presentation


  • 42 Views
  • Uploaded on
  • Presentation posted in: General

SFGH Children’s Health Center Quarterly Report # 2, September 2011. The Children’s Health Fairies Lannie Adelman, RN, MS, MBA Shonul Jain, MD Shannon Thyne, MD Katie McPeak, MD Mabel Chan, MD Jennie Trinh. Aim Statement. Original AIM Statement

Download Presentation

SFGH Children’s Health Center Quarterly Report # 2, September 2011

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Sfgh children s health center quarterly report 2 september 2011

SFGH Children’s Health CenterQuarterly Report # 2, September 2011

The Children’s Health Fairies

  • Lannie Adelman, RN, MS, MBA

  • Shonul Jain, MD

  • Shannon Thyne, MD

  • Katie McPeak, MD

  • Mabel Chan, MD

  • Jennie Trinh


Aim statement

Aim Statement

  • Original AIM Statement

    “For primary care patients, decrease total patient time at clinic visits (including registration, clinician time, immunizations, and labs) to <90 minutes per patient by January 1, 2012.”

    • Ultimate goal of increasing patient visits and therefore improving access

    • Route to improvement is through streamlining/shortening the patient visit

    • Focus on improving communication/efficiency through use of huddles & pre-visit preparation (checklists)


Achieving aim

Achieving AIM


Changes tested or implemented this quarter

Changes tested or implemented this Quarter

  • Multiple PDSAs refining a checklist as tool for huddle

    • Feedback from MEA and MDs leading to simplified check list (see next slide)

  • Multiple PDSAs refining Huddle process

    • Process is not empowering the whole team – maintaining MD-centered care

    • Huddles don’t work when “we don’t have enough hands”

    • “When I arrive, there is not someone there who is assigned to me. I would like to have the same person throughout the entire clinic.”

    • Schedule variations are impeding huddle capacity

  • Learnings from PDSAs

    • Our original concept of a huddle may not work.

    • The checklist is a helpful tool, but the most important part of team “huddle” is the preparation and open communication between providers and staff.

    • Need to continue to facilitate “prepping” prior to clinic.

    • Need to facilitate the ability to have a time in the beginning of clinic to communicate with each other.


  • Pre visit checklist

    Pre-visit Checklist


    Sfgh children s health center quarterly report 2 september 2011

    Changes tested or implemented this Quarter

    • Other Changes Implemented

      • Modified MEA schedules to improve staff ratios

      • Added “RN leader” to group of primary care MEAs to help problem-solving and team efficiency

      • Charts being available the day prior to clinic for “prepping”

      • Focus on communication:

        • Created posted schedule display to help anticipate busy clinic days

        • Increased frequency of staff meetings & check-ins to disseminate information and solicit feedback

        • Created clinic “face sheet” to help with name recognition and staff communication

        • Data Wall to show progress


    Data access measures

    Data – Access Measures

    # of days

    # of days


    Data empanelment

    Data - Empanelment

    Total % of Patients Unassigned to PCPs

    Total % of Patients Unassigned, by Age


    Data cycle time

    Data – Cycle Time

    Average time from arrival to departure whole clinic

    Time for Each Component of Patient Visit

    GOAL

    minutes


    Challenges

    Challenges

    • Difficult to communicate change

    • Continued problems with morale and buy-in

      • Short staffed

      • Resistance to change

        • Providers not arriving on time; people still doing things their own way

  • Unique aspects of our clinic

    • Busy drop-in urgent care

    • Academic site with trainees

  • Some issues more difficult to fix

    • SPACE

    • Limited budget to hire new staff


  • Action plan for next 6 months

    Action Plan for Next 6 Months

    • Where we hope to be:

      • Revised immunization form to streamline vaccine ordering

      • Hiring data coordinator to help with collection/dissemination

      • Panel manager

      • Schedules modified to allow providers to attend teaching conference; have all the MEA’s present at the start of clinic and having designated time for group “huddle” prior to seeing patients.

      • Regular all-staff meetings

        • Annual all staff retreat


    Lessons learned

    Lessons Learned

    • Original concepts aren’t always right.

    • Large changes can require multiple smaller adjustments prior to achieving the ultimate goal.

    • A lot can be learned from doing small tests of change.

    • Input and involvement from all staff is important.

    • We realize the importance of accountability.

    • Communication is the key!

    • Change is good but it takes time and energy.


    Team growth

    Team Growth

    • We function better as a core team in the following ways…

      • We all share a common goal and vision.

      • We have realized each others strengths and assigned task appropriately.

      • We communicate better.


  • Login