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![Page 1: Collaboratives: Purpose and Structure John Bingham Vice-President, Performance Improvement Chief Quality Officer.](https://reader035.fdocuments.us/reader035/viewer/2022062422/56649ef05503460f94bfff8f/html5/thumbnails/1.jpg)
Collaboratives:Purpose and Structure
John Bingham
Vice-President, Performance Improvement
Chief Quality Officer
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I keep six honest serving-men
(They taught me all I knew);Their names are What and
Why and WhenAnd How and Where and
Who.
“Just So Stories” Rudyard Kipling, 1902
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Collaboration : A recursive process where two or more people or organizations work
together in an intersection of common goals — for example, an intellectual endeavor[1] [2]
that is creative in nature[3]by sharing knowledge, learning and building consensus.
From Wikipedia, the free encyclopedia
What?
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IHI Definition of Collaborative:
“A Breakthrough Series Collaborative is a short-term (6- to 15-month) learning system that
brings together a large number of teams from hospitals or clinics to seek improvement in a
focused topic area.”
The Breakthrough Series Whitepaper © 2003IHI’s Collaborative Model for Achieving Breakthrough
Improvement
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Key Elements of IHI Collaboratives:
1. Topic Selection2. Faculty Recruitment3. Enrollment of Organizations/Teams4. Learning Sessions5. Action Periods6. The Model for Improvement7. Measurement and Evaluation8. Summative Congresses and
Publications
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How? IHI Breakthrough Series
Select Topic
(Develop
Mission)
Planning Group
Develop Framework & ChangesExpert
Meeting
Supports:
Email (listserv) Phone Conferences
Visits Assessments
Sponsors Monthly Team Reports
*AP3 –continue reporting data as
needed to document success
© 2003 Institute for Healthcare Improvement
Participants
(10-100 Teams)
Prework
LS 1
P
S
A D
LS 3LS 2
Dissemination
Publications, Congress, etc.
AP1
AP2
AP3*
LS – Learning Session
AP – Action Period
Holding the
Gains
P
S
A D
P
S
A D
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UT Health System:
Who?
Source: The University of Texas System Fast Facts 2009
6
8,081
41,579
Number of Institutions
Number of Physicians
Number of Employees
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The University of TexasHealth Science Center at Tyler
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Where?
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Why?
Source: The University of Texas System Fast Facts 2009
86,030
5,348,270
1,402,284
Number of UT Admissions
Number of UT Outpatient Visits
Number of UT Hospital Days
? % Percentage of UT System Patients Receiving all of the Evidence-Based Care That They Were Eligible to Receive
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Why?
“Please…
Don’t Make Me Wait…
As I Have So Little Time Left!”
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So… What Should/Could We Do?
1. Continue with Current UT Model
2. Develop More “Robust” UT Model
3. Join One or More of IHI’s Collaboratives
4. Partner With IHI to Develop IHI/UT System Collaborative Model
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IHI Improvement Map Focus Areas:70 Evidence-Based Processes
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New IHI Collaboratives Beginning Fall 2009: • IMPACT Leadership Community• Transforming Care at the Bedside• Improving Perinatal Care• Reducing Readmissions• Reducing Sepsis Mortality
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Now
When?
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Thank You!
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Save the Date!David Eddy, M.D., Ph.D.
on Nov. 17
Special event for CS&E Alumni• Physician-mathematician makes
return to M. D. Anderson• Half-day event on use of evidence-
based guidelinesPlan to Attend!
Nov. 17, 2009 7:30-11:30 a.m.FCT 3.4165, Room 7 (Pickens
Tower)