CPXP Flash Cards
Strengths/ limitations discharge phone calls
Strength - quick feedback
Limitations - requires consistent resource
Patient Family Care Model (RIPC)
Respect, Information Sharing, Participation, Collaboration
Affinity Diagram
LEAN - brainstorming - organized data - random thoughts
Use when issues are too large and complex to grasp
Brainstorming
Alayzing verbal data such as survey results
Transactional Leadership
Focuses on tasks and status quo Accepts existing culture Responsive Extrinsic Motivation Management by exception Corrective action to improve performance
Culture
Integrated patterns of behavior that include the language, thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious or social groups
What is “correlation”
The degree that two factors are related
How does cultural competency impact healthcare
- Enables positive and constructive dynamics between patient and provider.
- Improves communication
- Promotes trust
What is a run chart?
trends improvement over time. Graphically display cycles overtime. It is simple to produce but does not allow for full range of analytic techniques that a control chart would. Effective way to show process improvements
PFAC Design & Implementation
- Sponsor - leader
- Liaison - assists Sponsor
- Steering Committee
- Planning Committee - staff & patient/family
- Members - patient, family, staff, senior leadership, service area directors, physician representative
Cultural Sensitivity
- Recognition that there are differences between cultures
- Reflected in the ways that different groups communicate, relate to one another and interact with healthcare professionals.
EBD; EBCD Framework CUIM
- Capture the Experience (observations, interview, questionaires
- Understand the Experience (affinity diagram, reports, sharing experience, emotional mapping, identifying priorities
- Improve the Experience (Co-design / Forming Team)
- Measure the Experience (Subjective and Objective Measure
Interval data
Scale data or temperature gauge
Numerical and logical
Example: 1 is great than 0
Benefits of PFAC to patients and families
- Understand the healthcare system
- Community advocate
- Feels listened to and valued
- Skill development
- Relationship building
Key elements for successful and sustained change in healthcare?
- Sense of urgency
- Guiding coalition
- Vision and strategy
- Communicate the change vision
- Empower broad-based action (empower staff to do the right thing)
- Generate short-term wins
- Consolidate gains producing more chnage
- Anchor new approaches in culture (sometimes the only way to change is to change people)
What is Process Measure? (what are the parts and steps in the system)
Are the parts in the system performing as planned?
Are we on track to improve our system?
EXAMPLE: Pt experience - Decrease time between lab and test results
Access - Daily hours available for appts
Critical care - pct of patients with intentional rounding completed
What is frequency distribution
A method for illustrating the distribution of scores within class intervals
PFCC Strategies for an Exceptional Experience
- Bedside shift reporting
- Calming and healing techniques
- Communication tools: Pearls, AIDET, Heart-Head-Heart
- Communication frameworks: scripting, storytelling, huddles, patient rounding
- Conversation strategies
- Experience Mapping
- Room Service Food on Demand
- Rounding
- Relationship Building
What is a control chart?
a graph that is used to study how a process changes over time. Central line in middle for an average. Limited upper and lower points
Evidence Based
Hard data to support the effectiveness of a process or an improvement
Persuasive
What is Outcome Measure? (how the parts and steps impact patients)
How the system impacts the values of patients, their health and wellbeing
How the system impacts other stakeholders such as payers, employees, or the community
Driven by national standards and financial incentives.
EXAMPLE: Pt experience - number of complaints
Access - number of days to 3rd next avail appt.
Critical care - ICU pct unadjusted mortality
IHI - Institute for Healthcare Improvement - AMI
Plan, Do, Study, Act PDSA - action oriented
What are we doing (Aim)
How will we know it is an improvement (Measure)
What change can we make that will improve (Idea)
What is the “range”
The highest minus the lowest 50, 55, 58, 70, 70, 90, 93, 99 (99-50= 49)
Spread of the data set
Strengths /limitations of compliments & complaints
Strength - can count, sort and trend
Limitations - dependent on rater actions
What is a histogram - bar graph
A graphical representation of a frequency distribution
What is the “mean”
The mathematical average 7,6,3,3,1 (4) 4,4,4,4,4 (4) 5,5,5,0,5 (4) Smooths data by removing peaks and valleys
Likert scale
Any scale with multiple points
Example: Many survey questions (Fair, good, very good)
Any measure from lowest to highest
*After data collected you can turn into interval data so more statistics can be run such as mean
What is qualitative data?
Information that is not in numeric form.
Example : patient comments
What is Experience Based Design
EBD - FOCUSED ON understanding the experiences and EMOTION of those who are involved in receiving and delivering healthcare services.
Best for “what really matters to our customers”
Understanding our patients emotional experience.
68% of the data in normal distribution is within how many deviations of the mean
1
When computing the standard deviation, what do you need to do FIRST as a measure of central tendency
Compute the mean
Strengths/limitations of social media
Strength - instant feedback
Limitations - may be hard to aggregate data
What is a flow chart?
A diagram that represents a workflow or process. Connects with arrows, Analyzing, designing, documenting or managing a process or program
Example: Org Chart
What is “variance”
The average squared difference from the mean
Measure the amount of variability in a set of scores
95% of data in normal distribution is within how many deviations of the mean?
2
Process Flow Chart
Picture of th eseparate steps of a process in sequential order
USES:
develop understanding of how a process is done
study a process for improvement
communicate to others how a process is done
when communication is needed between people involved
document a process
planning a project
Competence
Capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs of the community
Transformational Leadership
Achieving inspirational vision Shapes a new culture Proactive Intrinsic Motivation Intellectual stimulation Promotes innovative ideas to solve problems
Strengths/limitations of rounding
Strength - most reliable - real time, engages leaders
Limitations - time intensive