Plenary 5e Sustaining Geri-Flood Stakeholder Engagement

Engaging Providers from All Disciplines AKA: creating “little g” geriatricians October 15, 2015 Kellie L Flood, MD Associate Professor Assistant Chief Medical Officer for Care Transitions and Geriatric Quality Officer, UAB Hospital Director, Geriatric Medicine Section Division of Gerontology, Geriatrics, and Palliative Care University of Alabama at Birmingham If they could only see the solutions are right there… Page Engagement Approach is Group Dependent Page Engagement Approach is Group Dependent Page Engagement Approach is Group Dependent Page Kotter’s Eight Steps for Leading Change Create a sense of urgency Create the guiding coalition Develop a vision and strategy Defrost a hardened status quo Communicate the change vision Empower broad-based action Generate short-term wins Introduce new practices Consolidate gains and produce more change Anchor new approaches in the culture Ground the changes in the culture so they stick! Page Establishing a Sense of Urgency Page Isn’t That Special Page Create Urgency at Every Opportunity  Every meeting/session starts with a real case “If this were your loved one….”  Bring in families to tell the story/be interviewed  Reflective journaling  Music/videos as emotional movers  The “WOW” factor Page 10 Telling the “Why”: Walking in Another’s Shoes Page 11 You Want Them Leaving With A Sense of Urgency Page 12 Empowering Broad-Based Action 13 Page 13 “I Helped Put a Man on the Moon” Page 14 “I Save Lives” Point Score Mortality 0-1 points 13% 2-3 points 20% 4-5 points 37% >6 points 68% Improves absolute mortality risk by 55% Independent in all ADLs Dependent in all ADLs Aspirin reduces risk of death or MI by 25-50% Would we withhold aspirin from a patient who has cardiovascular disease? Why in the world would we not get patients out of bed? Walter LC;JAMA;2001;2987 Page 15 Empowerment at Every Level Page 19 Generating Short Term Wins 20 Page 20 Celebrating Wins at the Annual Geriatric Scholar Quality Symposium > 165 in attendance, from Leaders to Community Supporters Page 21 Celebrating Wins At Annual Event Reaches All Types of Stakeholders At Once Page 22 Anchoring New Approaches in the Culture Page 23 “Acefying” UAB Hospital via Virtual ACE: A Joint Commission Recognized Best Practice Model Unit-Based Care Delivery Redesign that trains all providers in: The “Why” Function/Safe Mobility Pain Assessment and Management Delirium Prevention and Management Care Transitions All coordinated with ACE Tracker Delirium Prevention Toolbox Page 24 Mobility in the Prior 24 Hours Orthopedic Surgery Units FY 15 Patients with a Baseline Katz Index of 12 P