On Monday of this week, I spent the day at Learning
Session 2 of our GBMC Improvement Collaborative. In a collaborative, teams that
are working on improvements get together at regular intervals to share their progress
(and their failures!) so that they can learn from each other and accelerate
meaningful change.
Each Team had a storyboard to display and got an
opportunity to discuss their work with the larger group. The Teams are working
on our system goals. We have teams working on cleanliness (I am the executive
sponsor of this team), pressure ulcers, falls, and patient education about
medications, to name just a few. The Teams learned more about the Model for
Improvement and the notion of testing changes before full-scale implementation.
We also watched a video of Dan Heath, who along with his
brother Chip, wrote the book, Switch. The basic premise of this
book is that people who want to generate change will make more progress if they
understand what fosters change and what gets in its way. Their change model
includes 3 components that they call the rider,
the elephant, and the path. The rider is our conscious,
thinking, self. The elephant is our emotional, urge-driven component and the
path is set of external factors that will either make it easier for the rider
to navigate the elephant towards the goal, or make it harder. The Heath’s teach
that you must first direct the rider with clarity about where he or she needs
to go. But it isn’t the rider who has the real say…it’s the emotional self, the
elephant. So, you have to motivate people to change with stories that move
them. You must get to their emotions. And lastly, you must shape the path by
building habits that will help move change forward.
At the learning session there was a lot of sharing of
data and a lot of story-telling for motivation. There was great celebration of
accomplishments, like the significant increase in inpatient satisfaction that
appears to be coming from hourly rounding, bedside handoff, and faster response
to call lights. The Teams recommitted themselves to their goals…all towards our
vision of becoming the healthcare system where everyone, every time, gets the
care that we want for our own loved ones.
The GBMC HealthCare system is transforming from “hold the
status quo” to continuous performance improvement and it is really fun to
watch.
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