Joanne and Emily at your service

#IHI09 Many thanks to Joanne Healy and Emily Crites for organizing the logistics at the IHI National Forum. Everything went incredibly smoothly as the IHI "blue shirt" team took good care of 5000 people on site over four days in Orlando.

College drop-out does good (and well)

#IHI09 Marshall Ganz was the keynote speaker at this morning's plenary session at the IHI National Forum. As co-chair of the event, I had the privilege of introducing him. See biographical details here. An excerpt: "Marshall entered Harvard College in the fall of 1960. In 1964, a year before graduating, he left to volunteer as a civil rights organizer in Mississippi." And thus began a lifelong career in movement building. (He eventually, 28 years later, went back to conclude his degree.) Before getting into lessons learned, Marshall explained what it was like to be involved in the early days of the civil right movement in the South.

Marshall summarized five practices that constitute leadership for change, which I summarize very briefly here:

1) Using storytelling to enable people to act together for change. "Narrative is how we learn to make choices, to understand the world affectively. Stories teach us how to act under uncertainty. We need to learn how to tell stories purposefully."

2) Building relationships. "Create a mutual commitment to a common purpose. Association makes the whole greater than the sum of its parts."

3) Creating an organizational structure based on team leadership rather than individual leadership. "Establish clear norms of behavior for the teams."

4) Translating shared values into action requires a focus on a few strategic objectives. "How to turn what we have into what we need to get what we want. Good strategy flows from commitment. Commitment puts us into a place where we have to figure it out. Use the resources we have, not the ones we don't. Don't buy in to conventional notions.

5) Actions to be real have to be real, concrete, and specific, with measurable results. "It matters what we count. There has to be a connection between metrics and strategy. Does the strategy move us towards the goal and increase our capacity to work together, and are people learning and growing as a result of the effort?"

Session E11 at #IHI09

Yell Eureka if u c this!

That is a message to the attendees at the session (a repeat of the one below) I am now conducting at the IHI National Forum, entitled Using Social Media to Pursue Quality and Safety. I have asked them to keep their Twitter search open for the meeting hashtag, #IHI09, as an illustration of how quickly information can flow through the social media.

This post is timed to go up at 11:25 am, just after the session starts. My blog posts automatically are fed to Twitter, and the hashtag will ensure that this post is collected by Twitter in the National Forum collection of tweets. The first person in my session to notice the tweet and yell "Eureka" will win a prize.

In the session, I will present our journey at BIDMC in the use of social media in encouraging our programs in patient safety and quality. This all started with some posts on this blog about central line infections, ventilator associated pneumonia, and hand hygiene. We discovered two things from those posts. First, the world would not come to an end if we disclosed clinical outcomes from our hospital. Second, the public presentation of these data acts as a stimulus to quality and safety improvement in the hospital. It serves to hold ourselves accountable to the standard of care we strive for.

Following publication on this blog, we moved to doing the same in a more expanded way on our corporate website. Here, you can see some of the same quality metrics, but you also see the full survey conducted by the Joint Commission when they came to accredit our hospital. Why? Well, the Joint Commission has important things to say about how well we run our place and where we should make improvements. How better for everyone in the hospital to see those things than to post them on the company website?

Each hospital has to decide for itself what degree of transparency is appropriate and comfortable, but as noted by John Toussaint here at the National Forum, it is an essential component of a culture of continuous process improvement. Social media can help spread the world.

Added later: The picture above is of the winner of the prize at this session, Mark Trahant. Congratulations!

Session D11 at #IHI09

Yell Eureka if u c this!

That is a message to the attendees at the session I am now conducting at the IHI National Forum, entitled Using Social Media to Pursue Quality and Safety. I have asked them to keep their Twitter search open for the meeting hashtag, #IHI09, as an illustration of how quickly information can flow through the social media.

This post is timed to go up at 9:40am, just after the session starts. My blog posts automatically are fed to Twitter, and the hashtag will ensure that this post is collected by Twitter in the National Forum collection of tweets. The first person in my session to notice the tweet and yell "Eureka" will win a prize.

In the session, I will present our journey at BIDMC in the use of social media in encouraging our programs in patient safety and quality. This all started with some posts on this blog about central line infections, ventilator associated pneumonia, and hand hygiene. We discovered two things from those posts. First, the world would not come to an end if we disclosed clinical outcomes from our hospital. Second, the public presentation of these data acts as a stimulus to quality and safety improvement in the hospital. It serves to hold ourselves accountable to the standard of care we strive for.

Following publication on this blog, we moved to doing the same in a more expanded way on our corporate website. Here, you can see some of the same quality metrics, but you also see the full survey conducted by the Joint Commission when they came to accredit our hospital. Why? Well, the Joint Commission has important things to say about how well we run our place and where we should make improvements. How better for everyone in the hospital to see those things than to post them on the company website?

Each hospital has to decide for itself what degree of transparency is appropriate and comfortable, but as noted by John Toussaint here at the National Forum, it is an essential component of a culture of continuous process improvement. Social media can help spread the world.

Added later: The picture above is of the winner of the prize at this session, Dan Henderson, Health Justice Fellow, at UConn School of Medicine. Congratulations!

Welcome reception at IHI

#IHI09 Shannon Mills, Community Manager for IHI, was on hand at the IHI National Forum to help people learn about the IHI Open School. Rebecca Vellejo and a colleague from the University of Kansas were explaining about the National Database of Nursing Quality Indicators. Lucille Skuteris joined a colleague to give information about Joint Commission Resources Consulting. Monda Shaver and Susan Lautner were marketing the Healthcare Facililties Accreditation Program, a competitor of the Joint Commission. And a new nanofiber product produced by a company called Vestagen Technical Textiles was on display, complete with a demo showing how it repels fluids.