#Clinical microsystem greenbooks professional
Facilitate system coordination Link with electronic medical r ecords Link Business initiatives/Strategic plan to microsystem level Attract cooperation across health professional discrepancy traditions Track & tell stories about improvement results and lessons learned at meso/micro levels Schedule rounds regularly at the microsystem level Include improvement as regular agenda item Best Practice using Value Stream Mapping/ LEAN design principles 12 -18 Months.Convene meso/microsystems to work on linkages and “handoffs”.Address roadblocks and barriers to micro/meso improvements and progress Set goals/expectations.Develop measures of microsystem performance Continue “new way of providing care, continuously improving and working together” Active ly engage more staff involvement Multiple improvements occurring Network with other m icrosystems to support efforts Coach network and development Leadership development Annual review, reflect, and plan retreats Quarterly system review & accountability meetings to Meso -Macro Leadership.Colleague reinforcement New habit developme nt through repetition Improvement s cience in action Add more improvement cycles Build measurement into practice Measures/Dashboards /Data Walls Playbooks & Storyboards Relationships between microsystems (Linkages) PDSA -SDSA Improvement.Dartmouth Microsystem Improvement Curriculum Rehearsing within s tudio course format Practicing in clinical practice Daily huddles, weekly Lead Team meetings, monthly all staff meetings Learning s essions (Monthly) Conference c alls (Between sessions) 6 -12 Months.Learning to work together utilizing effective meeting skills.Form Interdisciplinary Lead Team (Patients/Families).Identify resources to support meso -micro development including information technology and performance measure resources 0 -6 Months *Pre-work: org/Read Part 1, 8, 9 of series/Wa tch Batalden streaming video.Link strategy, operations and people - “Make it Happen”.Microsystem Level Mesosystem Level Macrosystem Level “Inside Out” “Creating the Conditions” “Outside In”
Unending curiosity about and pursuit of “best known” world class processes and outcomes. Learn to integrate multiple improvement cycles while taking care of patients 7. Respond to strategic challenges and invitations 5. Test some changes to address some of the “embarrassing stuff” 3. Create awareness of flow of work and our clinical unit as an interdependent group of people with capacity to make change 2. Clinical Microsystem Awareness and Transformational Development Micro-Meso-Macro Framework Microsystems Developmental & Organization Transformation Journey: The Stages 1.
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