Frontline Huddling for Quality Improvement Implementation Strategy Learning Network Hub
Frontline Huddling for Quality Improvement Implementation Strategy Learning Network Hub
批准号:
10181066
负责人:
CHRISTINE W HARTMANN
金额:
$0.0万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
已结题
起止时间:
2019-10-01 至 2022-09-30
关键词:
AddressAdoptionAreaBiteCaringCommunicationData CollectionDiffusionEducational CurriculumElectronic MailEnsureEvaluationFundingGeriatricsGoalsGoldHealthcareHomeHospitalizationInfrastructureInpatientsInstitutesInterventionInterviewLeadershipLearningLong-Term CareMeasuresMental HealthMentorsMentorshipModelingMonitorOutcomeParticipantPatient CarePatient-Centered CarePatientsPerformancePhysiologic pulsePrimary Health CareProblem SolvingProcessProviderQuestionnairesReportingResearchResourcesSafetySeriesSiteSpeedSpottingsStructureSystemTechniquesTimeTrainingTraining ProgramsVeteransWorkbasecohortcommunity livingdesignevidence baseexperiencefallsimplementation frameworkimplementation scienceimplementation strategyimprovedinnovationinstructorlearning networkoperationpeerpeer coachingprogramspsychologicsatisfactionsustainability frameworktelephone coachingtooluptakevirtualwebinar
中文摘要
以员工为基础的举措对患者护理质量具有巨大影响,特别是当发生变化时
落实在第一线。然而,许多质量改进 (QI) 计划都低估了关键的因素
向一线员工学习并让他们参与 QI 工作的重要性。我们开发了一种独特的、基于证据的
称为 LOCK 的实施框架(从亮点中学习、观察、集中协作以及
保持小规模)来弥补这一差距。该中心支持 VA 一线提供者、经理、
运营人员和 VHA 卓越传播计划金牌研究员(例如,在以下领域)
住院患者心理健康、家庭初级保健、社区生活中心 [CLC] 等)使用 LOCK
改善前线护理的实施框架。该中心使用医疗保健研究所
完全虚拟培训计划中的改进 (IHI) 突破性系列协作模型,利用
来自正在进行的国家虚拟计划的材料。该中心有以下目标。 (1) 对参与者进行培训
(a) LOCK 的基本原理以及 (b) 通过以下方式有效实施(包括快速周期改进):
使用 IHI 突破性系列协作模型的一系列虚拟培训。 (2) 促进行动期
在培训期间,参与者使用快速试验基于 LOCK 的系统变革实施
周期改进技术并衡量其干预措施的影响。该中心利用广泛
VA 资助的研究以现有的、基于证据的流程为基础,强调了
基于优势的学习、协作解决问题和结构化观察。基于此,我们
制定并实施——首先在 6 个试点 VA CLC 中,然后通过与办公室一起在全国所有 CLC 中实施
老年病学和延伸护理——LOCK 实施框架。完全实施后,LOCK
在结构、流程和结果方面产生有记录的积极影响。该中心的两个培训目标
将帮助参与者实现其环境的快速循环改进,并确保参与者遵守
核心 LOCK 原则。虚拟(基于交互式网络研讨会)培训将教授 LOCK 捆绑包
及其实施。学习课程将穿插有参与者尝试的行动期
他们学到了什么。指导将通过电子邮件和 Pulse 网站以及每月的辅导电话进行实时进行。
培训课程重点关注 LOCK 框架及其实施的细节,重点是
如何建立和维持领导力和组织实践以及 QI 基础设施以实现高绩效
在护理的第一线。因此,该中心通过 (1) 对参与者进行有效培训来实现改进
实践并让参与者分享实施这些实践的经验以及 (2) 使用行动
让参与者能够尝试他们所学到的知识。通过实施实践并向同行学习
参与者不仅可以从讲师那里学习,还可以通过学习同事如何克服困难来有效地利用自己的时间
障碍并使用 LOCK 实施实践成功传播干预措施。这加速了
传播并促进有效流程的快速采用。
英文摘要
Staff-based initiatives have tremendous influence on the quality of patient care, particularly when changes are
implemented at the frontline. Yet many quality improvement (QI) programs underemphasize the crucial
importance of learning from and engaging frontline staff in QI efforts. We developed a unique, evidence-based
implementation framework known as LOCK (Learn from the bright spots, Observe, Collaborate in huddles, and
Keep it bite-size) to address this gap. This Hub supports practical training for VA frontline provider, manager,
operations staff, and VHA Diffusion of Excellence Initiative Gold Status Fellows (in the areas of, for example,
inpatient mental health, home based primary care, Community Living Centers [CLCs], etc.) in using the LOCK
implementation framework to improve care at the frontlines. The Hub uses the Institute for Healthcare
Improvement (IHI) breakthrough series collaborative model in a completely virtual training program, leveraging
materials from an ongoing national virtual program. The Hub has the following goals. (1) Train participants on
(a) the fundamentals of LOCK and (b) its effective implementation (including rapid cycle improvement) through
a series of virtual trainings using the IHI breakthrough series collaborative model. (2) Facilitate action periods
between trainings in which participants pilot the LOCK-based implementation of systemic changes using rapid
cycle improvement techniques and measure the impact of their interventions. The Hub capitalizes on extensive
VA-funded research and builds on existing, evidence-based processes emphasizing the importance of
strengths-based learning, collaborative problem-solving, and structured observation. Based on this, we
developed and implemented—first in 6 pilot VA CLCs, then in all CLCs nationally through and with the Office of
Geriatrics and Extended Care—the LOCK implementation framework. When fully implemented, LOCK
produces documented positive effects in structures, processes, and outcomes. The Hub's two training goals
will help participants achieve rapid-cycle improvement in their settings and ensure that participants adhere to
the core LOCK principles. The virtual (interactive webinar-based) trainings will teach about the LOCK bundle
and its implementation. The learning sessions will be interspersed with action periods in which participants trial
what they learn. Mentoring will take place real time via email and a Pulse site and in monthly coaching calls.
The training curriculum focuses on specifics of the LOCK framework and its implementation, concentrating on
how to build and sustain leadership and organizational practices and a QI infrastructure for high performance
at the frontlines of care. The Hub thus achieves improvement by (1) training participants about effective
practices and having participants share their experiences implementing these practices and (2) using action
periods to enable participants to trial what they learn. By implementing practices and learning from their peers
rather than only from instructors, participants efficiently use their time by learning how colleagues overcame
barriers and successfully spread their interventions using LOCK implementation practices. This accelerates
spread and promotes rapid adoption of effective processes.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
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批准号:10417631
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项目类别:
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资助金额:$0.0万
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财政年份:2022
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负责人:CHRISTINE W HARTMANN
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依托单位:
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批准号:10489313
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资助金额:$0.0万
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财政年份:2021
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负责人:CHRISTINE W HARTMANN
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依托单位:
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批准号:10248049
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项目类别:
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资助金额:$0.0万
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财政年份:2021
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依托单位:
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批准号:10813930
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资助金额:$196.11万
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财政年份:2019
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负责人:CHRISTINE W HARTMANN
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依托单位:
Developing a roadmap for best practices in CLC resident-centered care
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批准号:10176577
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项目类别:
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资助金额:$0.0万
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财政年份:2015
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负责人:CHRISTINE W HARTMANN
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依托单位:
Developing a roadmap for best practices in CLC resident-centered care
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批准号:8776595
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项目类别:
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资助金额:$0.0万
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财政年份:2015
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负责人:CHRISTINE W HARTMANN
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依托单位:
Developing a roadmap for best practices in CLC resident-centered care
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批准号:9982087
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项目类别:
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资助金额:$0.0万
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财政年份:2015
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负责人:CHRISTINE W HARTMANN
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依托单位:
Developing a roadmap for best practices in CLC resident-centered care
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批准号:9982689
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项目类别:
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资助金额:$0.0万
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财政年份:2015
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负责人:CHRISTINE W HARTMANN
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依托单位:
Developing and Implementing a Toolkit for Measuring CLC Cultural Transformation
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批准号:8477986
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项目类别:
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资助金额:$0.0万
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财政年份:2014
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负责人:CHRISTINE W HARTMANN
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依托单位:
Two CLCs Implementing The Green House Model: A Mixed-Methods Baseline Assessment
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批准号:7868604
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项目类别:
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资助金额:$0.0万
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财政年份:2010
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负责人:CHRISTINE W HARTMANN
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依托单位:
海外基金