Title: Partnerships Work! Healthcare Partners Collaborate for Better Outcomes
1Partnerships 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
2Define Collaboration
- To work together, in a joint intellectual effort
- ?
- Power in organizations is the capacity generated
by relationships. - Margaret Wheatly
3Why 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
4Benefits 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
5Where 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
6Getting Everyone in the Sandbox
- Gain commitment
- Identify shared goals
- Remind each other of them
- Establish communications strategy
- Use it wisely
7Playing 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
8Building 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
9Keep 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
11Concrete Examples
- Flu Immunization Awareness Campaign
- Strike Out the Flu
- Michigan Heart Failure Discharge Documentation
Collaborative
12Strike 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
13Play 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
14Even 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
15Meet the Dream Team
16The 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
17Common 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
18Visuals are in Place
- Slogan is picked
- Message is targeted
- Uniforms picked out
- Scoreboard is lit
- Team baseball hats created
19Game Day Arrives and its a Home Run!
20Michigan 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
21Why Did we Come Together?
- Heart failure was top diagnosis
- Opportunity for improvement
- Quality of Care Measure tracked by Medicare and
the Joint Commission (JCAHO)
22Goals
- 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
23Roles in the Partnership
Hospitals
- Physician Champions
- Project Leaders
- Multidisciplinary teams
GFHC
MPRO
MI-ACC
BCBSM
- Physician leadership
- Physician Network
- QI Expertise
24What are the Elements?
- Heart Failure-1 Discharge Instructions
- Activity level
- Diet
- Discharge medications
- Follow-up appointment
- Weight monitoring
- What to do if symptoms worsen
25Our 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
26Our 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
27Outcomes
28Outcomes (cont.)
29Comparison Between Participating and
Non-participating Hospitals
30Did 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
31Project Motto
- Go over, go under, go around, or go through, but
never give up!
32Lessons 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
33Now You Try It
34Contact 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.