C11 Get Creative QI Meets Design Thinking Rebecca Trotta, David Resnick, Anita McGinn-Natali, Michael Posencheg
Nothing to Disclose The presenters, Rebecca Trotta, David Resnick, Anita McGinn- Natali,and Michael Posencheg, have no relevant financial or nonfinancial relationship(s) within the services described, reviewed, evaluated, or compared in this presentation.
Objectives Develop proficiency in using the design thinking tools of ideation and assumption matrix mapping Identify opportunities to apply design thinking strategies to enhance traditional quality improvement design Illustrate learnings in an individual case example guided by the session moderators
What s the problem?
Returning Home is Hard
Meet Ms. Foster
It s Not Just Ms. Foster
What s The Game Plan?
Avoiding Silos
QI and Design Thinking
Why use QI and Design Thinking?
Contextual Inquiry
Some Contextual Inquiry Methods 1. Observe 2. Shadow 3. Interview 4. Video 5. Diary 6. Photo-journey 7. A mole 8. Positive Deviants 9. Journey Map
SOAR Contextual Inquiry
A Quick Exercise
QI To The Rescue
But Then We Got Stuck
Innovation Tools Can Help!
Design depends largely on constraints Charles Eames
Card Game
Game Set Up 1. Pair up with someone next to you. 2. Take one minute to review the booster cards that were on your seat.
Game Play 1. We ll show you a mission card. 2. You and your partner will have 1 minute to choose 1 booster from among your combined hands and use it to think of an idea to solve the mission. 3. You ll then get 1 minute to pitch your idea to a pair sitting next to you. Make sure to include How does your solution work? Why will it succeed where current efforts fail? 4. Discuss which idea you think is more promising.
Round 1
Round 2
Round 3
So You Have An Idea
Devastating if we re wrong So You Have An Idea We know this as a fact! I have no idea if this is true. No big deal. We still got this!
Devastating if we re wrong We know this as a fact! Patients have a home we can deliver to Patients will be hungry when food arrives Food options are easily available for all dietary restrictions The SOAR team can deliver at the times patients want We can deliver to all 5 counties Patients want this service I have no idea if this is true No big deal. We still got this!
PDSAs and Rapid Validation Vapor Test Fake Front End Fake Back End Play - through
Go For It!
Back to QI! Change Concept PLAN DO SOAR team member uses Grubhub to order lunch for next 15 SOAR patients STUDY Address patient malnutrition Deliver lunch and Boost day of discharge PDSA 1 SOAR team member interviews 15 patients about experience, reviews home care notes Food delivery successful as temporary measure. More comprehensive approach needed ACT
Back to QI! Change Concept Address malnutrition issues PLAN Comprehensively assess patient s nutritional needs. Connect to resources DO Develop assessment tool and build in EPIC. SOAR staff assess next 10 patients. Pass results to home care staff. PDSA 2 Need to discover and create better linkage to community resources. Home care needs support. ACT STUDY Patients have needs around finances, feeding, cooking, shopping, and depression. Not enough resources available.
Show and Tell
Seamless continuity of care across settings Hospital Home
Thank you! Presenters: Rebecca Trotta David Resnick Anita McGinn-Natali Michael Posencheg