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Upcoming important dates, next steps for the SIVB Phase II Initiative...

(The Support for Birth initiative's weekly email newsletter comes out every Tuesday.)

 
October 23, 2012
SIVB Cesarean Review

to do list

As discussed on the webinar, We are asking that each facility complete the SIVB Cesarean Review form on 10% of <41 weeks, unscheduled C-sections for the next month.  Each team should review the tool together and make the decision if the C-section was potentially avoidable or if it was unavoidable.  During the month the teams will make changes to the review tool to better help them to focus improvement efforts.  At the next webinar Forsyth will discuss what it has learned based on the tool.  Please let me know if your facility would be willing to share their experience with the use of the tool. The review tool can be found on the extranet - click here.


 

Culture:  Crossing the Threshold, Choosing a Path

patients voice

Organizations that make a decision to embark on cultural transformation journeys stand on the threshold and choose a path into the unknown.  

 

The process used or created to move forward on the path has a number of steps:

 

Assessing current reality, defining a desired state, guiding change, engaging the workforce, leadership commitment and support, involvement and ownership at all levels.

 

Assessing Current Reality:  Organizations employ some type of activity to identify their current reality i.e.; leadership rounds, staff focus groups, family focus groups.  Done well identifying the current reality is the organizational version of looking in the mirror.

 

Defining a Desired State:  In response to information gathered about current reality, the next step is the development of a clear definition of the desired state:  shared values, a collective vision, goals, a strategic plan, new service or quality standard.  Approaches can range from top-down to interactive i.e.; leadership planning retreats, staff meetings and employee forums.  Whatever process is used the desired stat must be collectively owned.

 

(to be continued next week)

 

(Kimball, 2005)

 

 

QI Tips:  Types of Data to Support Improvement Efforts

PDSA

Continuous measurements: 

  • Temperature, weight, time to complete a task

Counts of observations: 

  • Number of people in a waiting room,
  • Number of scratches on tile,
  • Number of complaints received

What people think; how they feel about something:

  • Responses to questions

Ratings: 

  • A user rating the ease of use of a product
  • Customer satisfaction with care

Rankings:

  • People being ask to place a one beside the item in a list they think is most important, a two by the next most important and so on.

 

You can decide what data to collect from the questions you are trying to answer. Developing, testing, implementing, and spreading changes all lead to a natural set of questions. Some of those questions might be:

 

* Developing a change: What are the sources of problems in a work activity? At what time of day do problems occur? What do customers want?

 

* Testing a change: Has a change affected performance?

 

* Implementing a change: Is performance being sustained after a change?

 

* Spreading improvements: How many other sites have adopted the change? 

 

 

The data you collect will help you answer these and other questions that arise in your improvement efforts. 

 

 

 

 Langley, Gerald J.; Moen, Ronald D.; Nolan, Kevin M.; Nolan, Thomas W.; Norman, Clifford L.; Provost, Lloyd P. (2009-06-03). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (JOSSEY-BASS BUSINESS & MANAGEMENT SERIES) (Kindle Locations 840-847). Wiley Publishing. Kindle Edition.

 

 

 

In the literature...

news

Monitoring, risk adjustment and strategies to decrease cesarean rates

Kimberly D. Gregory Current Opinion in Obstetrics and Gynecology 2000, 12:481�486

 

Cesarean rate as a clinical indicator for health care quality continues to be a focus of discussion and research among clinicians and health policy advocates. Over the review period, there were several studies regarding statistical strategies for monitoring and reporting cesarean rates, clinical and nonclinical risk factors for cesarean, and clinical interventions related to the management of labor that may help to decrease the likelihood of cesarean delivery. Future research should focus on developing and refining the statistical strategies for monitoring and adjusting cesarean rates to allow for meaningful comparisons.

 

 

SIVB November Webinar

conference call The next webinar is Tuesday, November 27th, 7:30 - 8:30 AM.  Please plan to have at least one person from your team on the call so we can hear your 'voice'.     

Click here for webinar information.

 

Contact


Tammy Haithcox  

 

Tammy Haithcox

 

PQCNC Clinical Initiative Manager

 

[email protected]

 

 

 

 

 

 

 



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