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Discovering Changes That Are Improvements for Your Organization

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  Increase Admissions & Continuation.

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Discovering Changes That Are Improvements for Your Organization

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  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  Increase Admissions & Continuation

  2. Five X Five Starring: Sam price

  3. A SURPRISE FOR YOU!Small group exercise Your Row = Your Team

  4. 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 Structure of Exercise

  5. 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 The R-Ducky Rules:

  6. What did you learn? Duck Observations

  7. What did you learn? • Better process vs. increased hand-eye coordination/speed? • Practice, practice, practice! • Optimal group size! • Working as a team!

  8. With A Little “Helf” From My Friends

  9. The URL is www.NIATx.net Toolkits, Templates, Testimonials, Ideas, Promising Practices, Success Stories, Examples … Bookmark Recommended Resources Abound at the Web Site

  10. NIATx was originally a partnership oftwo grant programs The Center for Substance Abuse Treatment Strengthening Treatment Access and Retention and The Robert Wood Johnson Foundation Paths to Recovery

  11. 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 Where Credit Belongs

  12. 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 A Universal Approach to Improvement

  13. 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 Substance Abuse and Mental Health Services Administration, 2002

  14. 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? The “Frosty Freeze” Case Study

  15. Deciding your first PDSA • Where do you start? One small change! • Nominal Group Technique Overview.

  16. One more exercise! Small Group Activity: What is your starting place?

  17. Five Key PrinciplesEvidence-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

  18. NIATx Aims Reduce Waiting Times Reduce No-Shows Increase Admissions Increase Continuation Rates

  19. 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!

  20. 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  Increase Admissions & Continuation

  21. 5 X 5 presentation Starring: Sam price

  22. Frosty Freeze • Break into small groups. • Read Frosty Freeze together. • Identify “concerns” found in the FF walk through.

  23. Conducting a Change Exercise PDSA cycles Plan the change Do the plan Study the results Act on the new knowledge Rapid cycle changes Changes should be doable in 2 weeks

  24. PDSA Create a PDSA for your group using Frosty Freeze. Remember: start with one small change.

  25. Skipping the “P” in PDSA

  26. A P S D D S P A A P S D A P S D Change CyclesPD-SA-Sustain Changes That Result in Improvement DATA • Rapid cycle changes • should be do-able in 2 weeks !!!!! • Maybe….. Hunches Theories Ideas

  27. How will you sustain change? Small Group Activity: • Ideas to sustain the change after the (rapid change cycle) PDSA is concluded.

  28. PDSA: The Bigger Picture

  29. Going up???? • Elevator Speech: what is it? • Example of an elevator speech.

  30. Write an Elevator Speech Small Group Activity • What would you say to describe NIATx? • Benefits • What do they want to hear?

  31. 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!

  32. Phil Chvojka (Shove-oak- ah) Chvojkap@michigan.gov Assistance From MDCH’s Point Person for MI Coaches

  33. Thank you!!! Kim Kern: • kkern@listpsych.com Sam Price: • sprice@1016.org Deb Ronk: • dronk@arborcircle.org Rebecca Emmenecker: remmenecker@babha.org

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