Creating a Change Platform:
Quality Improvement in Residential Care
“Safer Care for Older Persons (in
residential) Environments”
Adrian Wagg
@TRECResearch
Fatima Al-Roubaiai
@falroubaiai
Changing the story
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http://galleryhip.com/the-word-culture.html
What is SCOPE?
• Empowers frontline staff to deliver better care by enabling
and empowering teams to:
– Improve their ways of working
– Improve care for residents
– Make their working life better
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Empowering the Team
• Led by Personal Support Working/Healthcare Aide
• Supported by SCOPE Team and Senior Sponsor
Learn how to make long lasting
changes to improve care
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The Process
36 Care Homes
SCOPE
Recruitment
Learning Session 1
Learning Session 2
Learning Session 3
Feb 2016
May 2016
Sep 2016
Jan 2017
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Modified from Institute of Healthcare Improvement (IHI) Breakthrough Series Collaborative Model
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http://www.liberatingstructures.com/
PALETTE OF LIBERATING STRUCTURES
Designer: Lesley Jacobs
80% of Care
Healthcare Aides are under considerable stress,
yet remain highly committed to their work
Actively engaging care aides to improve
bedside care is a powerful strategy
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http://www.trec.ualberta.ca/en/Publications/~/media/trec/Documents/Newsletter/TREC_Report.pdf
Who are they?
• Mostly women
• Many English is second language
• 2 jobs or more
• Truly believe they make a difference
https://www.youtube.com/watch?v=fPBJe9bW6BY&feature=youtu.be
• Committed to residents
• Use informal sources of information for care
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http://www.trec.ualberta.ca/en/Publications/~/media/trec/Documents/Newsletter/TREC_Report.pdf
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Once upon a time…
there was a boy lost in the woods…
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http://www.vangoghgallery.com/catalog/Painting/165/Girl-in-the-Woods.html
Ideas
https://www.youtube.com/watch?v=sfmQvc6tB1o
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http://gapingvoid.com/2007/05/13/great-ideas/
TRIZ
Designing a perfectly
adverse system
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The worst possible
results from your work
Why do we use TRIZ?
• Creative destruction
• Challenge the status quo and sacred cows
• Gives permission to discuss taboo subjects
• Builds trust
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TRIZ – First Step
• Be creative! Make yourself laugh! This is
SERIOUS FUN...
• Reflect in your groups, make a list of “to-do’s” list
in answer to…
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Pick one you like!
How will we ensure staff are not interested in
change?
How do we ensure our residents are harmed?
How can we be sure that our staff morale is
rock bottom?
How do we ensure resident care plans are
never used?
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TRIZ – Second Step
Go down the list and ask:
Is there anything on that list that we currently practice,
even remotely?
Is there an element of truth in here?
Cross out the ones that you are not doing EVER
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TRIZ – Third Step
Look at your list…what items do you want to commit to
avoiding?
Pick your top two. What will you do to avoid those
items?
Do you need leadership or organizational help?
What needs to stop or change? Be as concrete as
you can.
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“Leadership is not about making clever decisions and
doing bigger deals. It is about helping release the
positive energy that exists naturally within people.”
Henry Mintzberg
There has never been a time in the history of
healthcare when this perspective has been
more pertinent.”
Helen Bevan
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Engage Hearts & Minds
http://3060100.org/articles/transformation-mind-heart-connection/
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http://applecopywriting.com/heart-and-mind-using-both-a-logical-and-personal-perspective-for-powerful-copywriting/
Questions?
Adrian Wagg
[email protected]
@TRECResearch
Changing the story
Fatima Al-Roubaiai
[email protected]
@falroubaiai