November 27 and December 4, 2015 Hellenic Meeting & Reception Centre, Ottawa, ON ideasontario.ca Funded by the Ministry of Health and Long-Term Care, IDEAS is a partnership among seven universities, Health
Program at a Glance Day One November 27, 2015 7:00AM - 8:00AM 8:00AM - 8:15AM 8:15AM - 9:00AM Networking Breakfast Introduction and Overview of the Two Day Program Dr. Paul Hendry Module 1 - The Imperative for Quality Improvement in Health Care Dr. Elizabeth Muggah Articulate the case for improvement in health care Describe the complexity of the health system Describe how participants can contribute to health care improvement 9:00AM - 9:45AM Module 2 - Foundations of Quality Improvement Mary Boutette Define Quality and Quality Improvement Distinguish among QI, Research and Accountability List various levels of projects and describe their scope 9:45AM - 10:00AM 10:00AM - 11:00AM 11:00AM - 11:45AM 11:45AM - 12:15PM 12:15PM - 1:00PM Module 6 - Team Considerations Dr. Elizabeth Muggah Discuss considerations in choosing team members including stakeholders Describe roles within the project team List characteristics of successful teams Identify types and causes of behaviours in teams Help participants discover how they can function effectively and contribute to the team Module 5 - Idea Generation Tools Mary Boutette Use simple tools to help teams expand their thinking or get unstuck Module 3 - The Model for Improvement Ellen Odai Describe the Model for Improvement Articulate the three questions of the Model for Improvement Explain PDSA cycle and ramps Illustrate how the Model drives improvement Define terminology Networking Lunch
Day One November 27, 2015 1:00PM - 2:00PM Module 3 - The Model for Improvement (Continued) Ellen Odai Describe the Model for Improvement Articulate the three questions of the Model for Improvement Explain PDSA cycle and ramps Illustrate how the Model drives improvement Define terminology 2:00PM - 2:15PM 2:15PM - 3:45PM Module 4 - Project Charter Ellen Odai Relate the project charter to the Model for Improvement Discuss how to use the charter effectively through the life of the project Introduce the LTC/ED case Write an Opportunity Statement Write an Aim Statement Distinguish the scope of the project Define a family of measures Discuss sources of ideas for change including evidence, change concepts and team knowledge 3:45PM - 4:00PM Wrap up
Day Two December 4, 2015 7:00AM - 8:00AM 8:00AM - 8:05AM Networking Breakfast Welcome Back 8:05AM - 9:00AM Module 7- Process Mapping Rebecca Brooke Explain what a process map is and how it can be used Describe basic symbols and conventions for process map construction Analyze a process map to identify opportunities for improvement 9:00AM - 9:45AM Module 8 - Fishbone Diagram + 5 Whys Dr. Edmund Kwok Explain what a Fishbone (Ishikawa) Diagram is Explain the concept of 5 Whys and how it works with the Fishbone List the uses of a Fishbone diagram and 5 Whys thinking Consider how the Fishbone might help you know what questions to ask or what to do next 9:45AM - 10:30AM Module 9 - Pareto Principle and Pareto Diagram Suzanne Dionne State the Pareto Principle and discuss why it is important in QI Explain what a Pareto Diagram is and how it can be used in a QI project Analyze a Pareto Diagram to determine where to focus improvement efforts 10:30AM - 10:45AM 10:45AM - 11:30AM Module 10 - Run Chart Dr. Edmund Kwok Explain the concept and types of variation in a process and how it relates to using data for Improvement Describe what a run chart is Identify when to use a run chart Using rules for interpreting run charts, analyze a run chart and choose appropriate next steps 11:30AM - 12:00PM Module 11 - Data Collection Suzanne Dionne Discuss principles of data collection with common pitfalls and tips for success Relate data collection methods to data display and analysis tools
Day Two December 4, 2015 12:00PM - 12:45PM 12:45PM - 1:45PM 1:45PM - 2:30PM Networking Lunch Module 12 - PDSA Julie Latreille Given what is known about the process presented in the case, design early PDSA cycles to test at least one change idea Module 13 - Sustainability and Spread Julie Latreille Differentiate sustainability from spread in the context of local improvement efforts Discuss factors for micro and macro success List key factors in sustaining improvement Describe strategies for spread of good practice Identify attributes of change stickiness for sustainability and spread 2:30PM - 2:50PM 2:50PM - 3:50PM 3:50PM - 4:00PM Module 14 - The Human Side of Change Rebecca Brooke Appreciate the relationship between adaptation and complex systems Understand and distinguish between technical vs adaptive challenges Apply a theory of human performance Identify sources of resistance to change Address resistance using a positive and productive approach Wrap up
Speaker Biographies Day One Mary Boutette (MHA) is currently the Chief Operating Officer at The Perley and Rideau Veterans Health Centre, a seniors care organization with 450 long-term care beds, 139 seniors apartments, and a variety of services across the care continuum. She has over 13 years health leadership experience in strategy development and execution, strategic human resources and performance improvement. Prior to joining Perley Rideau, Mary worked at The Ottawa Hospital, where she held numerous roles in operations, quality improvement and organizational development, including Director of Service Excellence and Director of Quality and Patient Experience. Mary is passionate about partnering with patients, families and team members to make healthcare better. Mary holds a Master in Health Administration from the University of Ottawa and a Bachelor of Science, Life Sciences, from Queen s University. She is Lean Greenbelt and is a graduate of the first cohort of the IDEAS Advanced Training Program in Quality Improvement, sponsored by the Ministry of Health and Long-Term Care. Mary lives in Ottawa with her husband Jason and daughters Claire and Kathryn. Dr Elizabeth Muggah (MD) is a practicing Family Physician at the Bruyere Academic Family Health Team in Ottawa and an Assistant Professor with the University of Ottawa Department of Family Medicine. She is also the Director of Quality Improvement for the Department of Family Medicine. Prior to joining the Department of Family Medicine she practiced as a community family physician in Canada, the United States and Switzerland focusing on the care of vulnerable and underserved populations. She has a Masters of Public Health from Harvard University. Ellen Odai (OT Reg. (Ont.), MHA) is currently the Manager, Quality, Risk and Client Experience at the Champlain CCAC. Ellen s background and experience are multifaceted; she has worked as an occupational therapist on the Geriatric Assessment Unit of The Ottawa Hospital (TOH), a Care Coordinator at the Champlain CCAC, and in diverse roles at TOH as a Specialist in Patient Advocacy, a consultant to TOH s Interprofessional Model of Patient Care (TOH IPMPC ) and as a Quality Improvement Coordinator. Ellen holds a BSc. in Psychology from Carleton University and a BSc. in Occupational Therapy from Queen s University. She received her Masters of Health Administration from the Telfer School of Management in 2012 and was a recipient of the 2012 Robert Wood Johnson Award. Ellen is certified as a LEAN Green Belt and is a Certified Improvement Advisor from the Institute for Healthcare Improvement (IHI).
Speaker Biographies Day Two Rebecca Brooke s (BSc, MA) work in healthcare began in public health laboratories, and she soon became interested in system-level improvement. Her passion is for engaging with the human side of healthcare to drive change. Rebecca is a LEAN Process Improvement Specialist at the Children s Hospital of Eastern Ontario where she supports continuous improvement in the perioperative and medicine programs. She has previously worked at The Ottawa Hospital and the BC Patient Safety & Quality Council. She is a graduate of the Quality Academy professional development program in quality improvement and holds a LEAN Green Belt. Suzanne Dionne (CPA-CGA) is a CPA/CGA with a BSC from the University of Ottawa, and a Masters of Health Information Science from the University of Victoria underway. Suzanne is currently the Chief Finance and Information Officer at the Cornwall Community Hospital with responsibility for finance, IT, health records, registration and employee scheduling. Previously Suzanne was the Senior Director of Health System Accountability at the Champlain LHIN for 7 years, and prior to that the Director of Decision Support at The Ottawa Hospital. Suzanne has served on many committees at the regional (LHIN), provincial (Ministry of Health, Health Quality Ontario, and Ontario Hospital Association), and national (CIHI) levels to provide her expertise in the areas of performance measurement, case costing, working capital, and various funding formula topics. Dr. Edmund Kwok (MD, FRCP(C), MHA, MSc), after obtaining a medical degree at Queen's University, Ed received his FRCPC training in Emergency Medicine at the University of Ottawa, followed by a fellowship in Health Administration at the Telfer School of Management. His academic interests include ED flow, Quality Improvement, and Patient Safety. Ed has led large healthcare change projects such as the development of ED Surge Plans, improvement of Door-to-Transfer time for stroke patients, and the implementation of structured hospital-wide M&M processes. He blogs at "the Front Door to healthcare" (http:// frontdoor2healthcare.wordpress.com), and you can follow him on Twitter: @eddeestyle Julie Latreille (RN, MS), our guest speaker for today, has a bachelor of nursing science from the University of Ottawa and a Master s degree in Informatics from the University of Colorado. She completed her certificate as an Improvement Advisor from the Institute of Health Care Improvement in 2009. She is in the process of completing the requirements for certification as a Black Belt in Six Sigma. She has worked in a variety of clinical positions in a variety of hospitals. Currently works as an Improvement Specialist at Health Quality Ontario in the Quality Improvement Department.