Partnerships Work! Healthcare Partners Collaborate for Better Outcomes - PowerPoint PPT Presentation

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Partnerships Work! Healthcare Partners Collaborate for Better Outcomes

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Title: Partnerships Work! Healthcare Partners Collaborate for Better Outcomes


1
Partnerships Work!Healthcare Partners
Collaborate for Better Outcomes
  • Teri Aldini, RN, BSN, MSA, Project Manager
  • Susan Burns, BA, Director of Marketing
  • Alina Pabin-Prusak, BSW, MUP, Long-Term Care
    Outreach Manager

2
Define Collaboration
  • To work together, in a joint intellectual effort
  • ?
  • Power in organizations is the capacity generated
    by relationships. - Margaret Wheatly

3
Why Bother?
  • Collaboration Knows no Bounds
  • It can cross the entire healthcare continuum
  • Partners have different needs that can be met by
    others
  • The benefits are bigger than the effort
  • If you have a vision and a willingness, the dream
    can become a reality

4
Benefits of Successful Collaboration
  • Shared workload
  • Reduces the burden on resources (financial,
    staff)
  • Opportunity for building new relationships
  • Increases visibility of all organizations
  • Maximizes talent
  • Improves outcomes
  • Shared ownership
  • True community involvement

5
Where do We Start?
  • Establish a vision
  • Identify something that needs improvement in your
    community
  • Assess what is currently happening around the
    issue
  • Identify your potential partners
  • Who can help your vision become reality?
  • Who can benefit from this as well?
  • Start communicating your vision to them
  • How will you reach them?
  • Get them all in the same sandbox

6
Getting Everyone in the Sandbox
  • Gain commitment
  • Identify shared goals
  • Remind each other of them
  • Establish communications strategy
  • Use it wisely

7
Playing in the Sandbox
  • Create ground rules and enforce them
  • Play nice!
  • Handle conflicts in a constructive way
  • Disagree and still work together
  • Define roles in advance
  • Insist on the support of leadership
  • Practice joint decision-making

8
Building a Sandcastle
  • Together
  • Brainstorm activities and strategies
  • Creative ideas
  • Develop an action plan
  • Who, when, where, how
  • Develop an evaluation strategy
  • Weve succeeded when
  • What do I want to know?
  • What do I want others to know?
  • Go out and build the castle

9
Keep the Sand and the Builders
  • Maintain flexibility
  • Different styles and different ways to meet goals
  • Allow change
  • Leaders and feedback
  • Check progress
  • Reinforce your shared vision and common goals
  • Celebrate success
  • Use humor

10
Admire Your Castle
11
Concrete Examples
  • Flu Immunization Awareness Campaign
  • Strike Out the Flu
  • Michigan Heart Failure Discharge Documentation
    Collaborative

12
Strike Out the Flu
  • Public Awareness Campaign
  • Vision If You Build It They Will Come
  • MPRO and Visiting Nurse Association of Southeast
    Michigan
  • Summer 2004
  • Raise community awareness on need for flu
    immunizations
  • Comerica Park (home of the Detroit Tigers) is the
    perfect venue
  • This has never been done in Detroit

13
Play Ball!
  • September 30, 2004 - Tigers lose 4 to 6 in the
    second game of a double header to the Tampa Bay
    Devil Rays. MPRO alerted by Tigers that we can
    have the ball park the following Friday for our
    requested press event plenty of timeor so we
    thought
  • Event Day is set for October 8, 2005but waitthe
    unthinkable happens

14
Even the Best Laid Plans Can Go Awry, and They
Did!
  • Flu shot shortage looms Chiron, vaccine maker
    that was to provide half of U.S. supply, forced
    to shut down British plant. - October 6, 2004
    641 p.m. EDT
  • Days before the big-event national flu vaccine
    shortage announced
  • MPRO re-crafts message and gets the commitment of
    partners to participate in revamped press
    conference
  • 48 hours to put it all together

15
Meet the Dream Team
16
The Strike Out the Flu Team
  • American Cancer Society
  • American Diabetes Association
  • American Heart Association
  • American Lung Association
  • Cystic Fibrosis Foundation
  • City of Detroit Health Department and Senior
    Citizens Department
  • MPRO
  • National Kidney Foundation
  • Visiting Nurse Association of Southeast Michigan

17
Common Goals
  • Unified awareness campaign created to inform the
    public on how to protect themselves from the flu
  • Focus experts on giving simple prevention tips,
    i.e. hand washing, anti-viral medications, and
    plenty of rest
  • Experts are gathered to provide reassurance and
    advice to their constituencies

18
Visuals are in Place
  • Slogan is picked
  • Message is targeted
  • Uniforms picked out
  • Scoreboard is lit
  • Team baseball hats created

19
Game Day Arrives and its a Home Run!
20
Michigan Heart Failure Discharge Documentation
Collaborative
  • Collaborative for clinical improvement
  • 39 Michigan hospitals
  • Partners
  • Blue Cross Blue Shield of Michigan
  • American College of Cardiology MI Chapter
  • Hospitals
  • MPRO

21
Why Did we Come Together?
  • Heart failure was top diagnosis
  • Opportunity for improvement
  • Quality of Care Measure tracked by Medicare and
    the Joint Commission (JCAHO)

22
Goals
  • To improve adherence to evidence-based heart
    failure care standards, improve patient outcomes,
    and decrease readmission rates
  • Assure that a fully executed discharge document
    that includes all six Medicare/JCAHO elements is
    embedded into the care of the heart failure
    patient

23
Roles in the Partnership
Hospitals
  • Physician Champions
  • Project Leaders
  • Multidisciplinary teams

GFHC
  • Funding

MPRO
MI-ACC
BCBSM
  • Opinion leaders
  • Data
  • QI Expertise
  • Measurement
  • Physician leadership
  • Physician Network
  • QI Expertise

24
What are the Elements?
  • Heart Failure-1 Discharge Instructions
  • Activity level
  • Diet
  • Discharge medications
  • Follow-up appointment
  • Weight monitoring
  • What to do if symptoms worsen

25
Our Model for Improvement
  • Institute for Healthcare Improvement
    (IHI)Collaborative Model
  • Designed to help close the gap by creating a
    structure in which organizations can easily learn
    from each other and recognized experts
  • Short-term (6-15 months)
  • Seek improvement in a focused topic area

26
Our Model for Improvement (cont.)
  • Organizational commitment
  • Learning sessions
  • Organizations come together to learn about the
    chosen topic
  • Barriers and strategies
  • Storyboarding as a technique
  • Plan changes
  • Action periods
  • Team test changes in the clinical setting

27
Outcomes
28
Outcomes (cont.)
29
Comparison Between Participating and
Non-participating Hospitals
30
Did the Collaborative Work?
  • The data has spoken!
  • National recognition
  • National American College of Cardiology
    presentation
  • American Heart Association abstracts
  • Partnership and collaboration continues
  • 38 more hospitals
  • Cardiovascular focus

31
Project Motto
  • Go over, go under, go around, or go through, but
    never give up!

32
Lessons Weve Learned
  • Partnering works!
  • Organizations may not always know the specifics,
    but patience and perseverance will reap rewards
  • Events open the door for further collaborations
  • Be adaptable and prepare for the unexpected

33
Now You Try It
34
Contact Information
  • Teri Aldini, RN, MSA, Project Manager, (248)
    465-7340, or taldini_at_mpro.org
  • Susan Burns, BA, Marking and Public Relations
    Director, (248) 465-7375, or sburns_at_mpro.org
  • Alina Pabin-Prusak, BSW, MUP, Manager, Long-Term
    Care Outreach, (248) 465-7371, or apabin_at_mpro.org

This material was prepared by MPRO, the Medicare
Quality Improvement Organization for Michigan,
under contract with the Centers for Medicare
Medicaid Services, an agency of the U.S.
Department of Health and Human Services.
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