Med Rec: Beginning With the End in Mind Clara Ballantine, SIA SHN Ontario Node Ontario Node Open...
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Transcript of Med Rec: Beginning With the End in Mind Clara Ballantine, SIA SHN Ontario Node Ontario Node Open...
Med Rec: Beginning With the End in Mind
Clara Ballantine, SIASHN Ontario NodeOntario Node Open Line CallOctober 29, 2007
What is Med Rec?
Making it Manageable• Two pieces of work:
The Best Possible Medication HistoryThe Reconciliation process
• Two pieces of advice:Move to designing the new process earlyDon’t get stuck on the BPMH tool (form)
What are we trying to accomplish?
How will we know that a change is an improvement?
What changes can we make that will result in improvement?
Act Plan
Study Do
AIM Statement
Measures
Change Ideas for PDSA
cycles
Model for Improvement
What is “The End”?• Whole Process
AdmissionTransferDischarge
• Whole organizationPilot unit All other clinical areas
• SustainabilityProcesses are embedded Targets met and maintained
What is “The Beginning”?
• Project charterSenior sponsorshipTeam leadershipPilot unitTargets
• Baseline dataMaybe before first team meetingDefinitely before tests
of change
What is “The Beginning”?
• Team formationLeadership vs ownershipMembership for pilot and toward spread
• First team meetingPicture, purpose, plan and place
• Communication
Pilot and Spread: What is “Spread”?
• “…learning which takes place in any part of an organization is actively shared and acted upon by all parts of the organization.”
-NHS Modernisation Agency
• “Spread is the result of the process of adoption”
- NHS Modernisation Agency
What is Sustainability?
• “…when new ways of working and improved outcomes become the norm.”
• “…means holding the gains and evolving as required, definitely not going back.
So, What to Do?• Engage concrete, visible senior leadership
support pre-charter• Write a strong, clear charter and use it• Consider team co leadership or an alternative to
pharmacist led (becoming pharmacist owned)• Consider pilot unit in terms of opportunity for
learning, ease of spread, impact• Decide between full three phase process in pilot
unit VS first phase full organization approach• Form team with spread in mind – leadership
support + front line champions• Design process with sustainability in mind
Words of Wisdom on Beginnings
• Beginnings are always messy- John Galsworthy, English
novelist
• Don’t ask me to be in on the landing if I wasn’t in on the takeoff.
- Lyndon B. Johnson
• Begin with the end in mind.- Stephen Covey, 7 Habits of
Highly Effective People
Contact Information
• Clara Ballantine, BSc(PT), MEd, CPHQ
SIA, Ontario Node
Phone: (613) 736-9142