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www.ahrq.gov/takeheart/training/module-2/index.html
December 01, 2022 - Module 2: Systems Change: Laying the Foundation, Leadership, and Action Plans
YouTube embedded … video: https://www.youtube-nocookie.com/embed/IJQC58AGQD0
Video: Systems Change: Laying the Foundation … , Leadership, and Action Plans (1:05:01)
Slides: Systems Change: Laying the Foundation, Leadership … , and Action Plans (PDF, 2 MB)
Implementation Guide: Systems Change: Laying the Foundation, Leadership … PDF, 296 KB)
Following the call to action in Module 1, this module lays the foundation for systems change
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-6.pdf
January 01, 2023 - 2019 15.9 -0.2 No change ====== 15.9 29.3 Worse
Noncore 2002 14.5 2019 13.2 -0.8 No change === … 19.5 0.5 No change ====== 19.5 -7.1 Same
Age 18-44 2002 22.6 2020 23.8 0.5 No change ====== === … 0.3 No
change
====== 24.0 -0.1 Same
Noncore 2011 21.2 2019 27.4 -0.1 No
change
====== … 0.0 No change ====== 18.2 -6.5 Same
Non-Hispanic,
Black
2011 18.1 2019 18.6 0.0 No change == … -0.3 No change ====== ====== ====== ====== ====== ======
45-64 2011 13.7 2019 12.7 0.1 No change
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
October 01, 2014 - Detecting Change in a Resident's Condition
Module 2. … Communicating Change in a Resident's Condition
Module 3. Falls Prevention
Appendix 1-A. … Pre/Post-Test Questions
What is the best environment that allows you to pick up on a change in a … You ask the licensed nurse if she has noticed any change in his mood or behavior, and if she has asked … If you notice a sudden change in a resident's condition, what should the nursing assistant do?
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans
Systems Change: … Initiative to Increase Use of Cardiac Rehabilitation
TAKEheart Initiative Webinar Series: Systems Change … How will we know that a change is an
improvement? … What change can we make that will result in
improvement? … TAKEheart change/improvement
=
Automatic referral with care coordination
Develop an Action Plan
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
January 01, 2023 - 886.4 2.2 No change ====== 18-44 1410.5 886.4 -37.2 Better
45-64 2016 916.8 2020 816.6 -2.7 No change … change
====== 2-4 388.6 347.1 -10.7 Same
10-14 2016 523.9 2020 247.6 -12.8 No
change
====== … No change ====== ====== ====== ====== ====== ======
10-14 2016 28.9 2020 34.3 4.4 No change ==== … 230.2 9.3 No change No progress 230.2 601.8 Worse
45-64 2016 127.4 2020 164.1 6.1 No change No … 0.4 No change ====== 1633.3 2356.1 Worse
80-84 2016 2469.8 2020 2390.1 -0.5 No change ====== 2390.1
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.html
May 01, 2014 - We emphasize:
Assessing Clinic Readiness for Change and Leadership Support . … positively or negatively affect the process of change in your clinic. … Low Energy Level (Change Fatigue). … Is [this] change seen as an opportunity or a threat? … Clinic spirit can influence the willingness to participate in change activities.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - worksheet designed to help staff review how they currently identify residents who have experienced a change … It is expected that the Facilitator will work with the Change Team to identify gaps in current falls … An On-Time Facilitator will help guide the Change Team through this process. … Leadership agrees to identify a change team champion and establish a multidisciplinary Change Team to … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team
The Change Team consists
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmenu.html
January 01, 2015 - Menu of Implementation Strategies
Three implementation documents are used to help the nursing home change … The menu can help the change team identify ways to integrate the reports into current care planning discussions … Offering a menu of possible implementation strategies allows the change team to consider which strategies … Users and Uses
Once particular meetings/huddles are identified, the expectation is that the change
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-2.pdf
January 01, 2023 - 0.5 No
change
No progress 14.9 2.2 Same
Multiple races 2012 23.9 2022 16.9 0.8 No
change … 2020 61.1 0.6 No change ====== 61.1 -3.2 Same
Black 2006 49.3 2020 50.5 -0.6 No change ====== … 2002 43.9 2020 39.5 0.4 No change ====== 39.5 -3.8 Same
Black 2002 46.7 2020 38.4 0.2 No change … 0.1 No change ====== Any private 42.1 38.2 6.7 Same
Uninsured 2002 45.5 2020 32.8 0.5 No change … 0.3 No change ====== ====== ====== ====== ====== ======
0-17 2002 56.5 2020 49.0 0.5 No change =
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdf
January 01, 2023 - 2002 11.0 2020 12.0 0.1 No change ====== 12.0 -27.3 Better
Black 2002 13.1 2020 13.5 -0.3 No change … 0.8 No change ====== ====== ====== ====== ====== ======
0-17 2002 14.3 2020 14.3 0.6 No change = … 13.1 2020 15.2 0.1 No change ====== 15.2 42.1 Worse
Measure Category: 3. … 10.8 2020 16.0 1.2 No change ====== 16.0 -2.4 Same
Micropolitan 2002 11.7 2020 16.4 1.4 No change … 13.1 -1.1 No change ====== 18-44 16.2 13.1 -19.1 Same
Measure Category: 3.
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www.ahrq.gov/data/infographics/ed-visits-opioids.html
September 01, 2021 - More Opioid-Related Emergency Visits, No Change in Illicit Drug Use Treatment
More Opioid-Related … Emergency Visits, No Change in Illicit Drug Use Treatment (PDF, 587.7 KB)
Emergency department (ED … or outpatient drug and alcohol rehabilitation facility, hospital, or mental health center) did not change
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting … Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper … This raises the issue of defining the role and contribution of AHRQ in making
change. … Is there a change agent
available to influence opinion leaders? … lead to its use and, subsequently, to actual
behavioral change.
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www.ahrq.gov/innovations/will-work/guide3.html
February 01, 2021 - How will other stakeholders react to the change?
Question 1. Is our staff open to change? … Who is most likely to resist change? … change. … for information about testing a change. … How will other stakeholders react to the change?
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www.ahrq.gov/evidencenow/projects/urinary/resources/recruiting-practices-change-initiatives.html
May 01, 2018 - Back to MUI Resources
Recruiting Practices for Change Initiatives Is Hard: Findings from EvidenceNOW … Recruiting Practices for Change Initiatives Is Hard: Findings from EvidenceNOW. May-June 2018.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
August 01, 2022 - the need for change. … For the change effort to be successful, a group must lead the change and work as a team to support the … Leaders must change the systems or structures that support the change vision, and then provide employee … Additional ideas that help build the new foundation for change include integrating the change ideals … to change.
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www.ahrq.gov/sites/default/files/wysiwyg/healthsystemsresearch/decarbonization/decarbonization.pdf
September 01, 2022 - Reducing Healthcare Carbon Emissions: A Primer on Measures and Actions to Mitigate Climate Change … Accessed September 1, 2022. https://www.hhs.gov/climate-change-health-
equity-environmental-justice/climate-change-health-equity … Climate Change 2022:
Mitigation of Climate Change. … /climate-change-health-equity/actions/health-care-sector-pledge/index.html
https://www.hhs.gov/climate-change-health-equity-environmental-justice … /climate-change-health-equity/actions/health-care-sector-pledge/index.html
https://www.hhs.gov/climate-change-health-equity-environmental-justice
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
February 28, 2022 - Begin planning your organizational change strategy.
64
Eight Steps of Change
Change Management … Leadership skills drive the change.
67
Develop the Change Vision
and Strategy
Change Management … Sometimes the only way to change culture is to change key people. … Model
Change Management
77
77
Other Change Models
Change Management
PDSA: Plan, Do (TeamSTEPPS … .
79
Change Management Exercise
Change Management
Share stories.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-scale-improvements.pdf
January 07, 2022 - Educational emails
Include:
Description of the change
Reasons for the change
Benefits … Spell out the benefits of the change - why change is important and benefits to clinicians,
staff … The learner disagrees with the change. … The learner delays making the change. … The learner is unsure about making the change.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/assess.html
November 01, 2017 - worksheet designed to help staff review how they currently identify residents who have experienced a change … It is expected that the Facilitator will work with the Change Team to identify gaps in current falls … The Self-Assessment Worksheet assists the Change Team to identify how they:
Determine which residents … 4: Communication Practices
Users and Uses
The main users are members of the Falls Prevention Change … An On-Time Facilitator will help guide the Change Team through this process.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_slides_chmgmt.pdf
July 11, 2017 - Mod 8 LTC 2.0 Page 2
Change
Management
Objectives
• List the Eight Steps of Change
• Identify … Mod 8 LTC 2.0 Page 3
Change
Management
John Kotter
8 Steps of Change
TeamSTEPPS 2.0 for LongTerm … about the change
• Discuss ways to solve the problems people
identify with the change
• Empower … Mod 8 LTC 2.0 Page 13
Change
Management
Culture Change Comes Last,
Not First! … Mod 8 LTC 2.0 Page 14
Change
Management
TeamSTEPPS Change Model
.