New Approach to Controlling SuperbugsVirtual Learning Session 1Discovering Positive Deviance<br />Michael Gardam<br />Leah...
Agenda<br />Intro to WebEx<br />Patient story<br />What is the “new approach”?<br />
Interacting in WebEx<br />Be prepared to use:<br /><ul><li>Pointer
Raise your hand </li></ul>10-Jan-11<br />3<br />
Meet Our Team<br />Erika Bailey<br />Michael Gardam<br />Leah Gitterman<br />Liz Rykert<br />Jessica Ip – Project Coordina...
A story…<br />
Why focus on a behaviour change approach?<br />Current “top down” approaches have had limited success<br />Traditional “be...
Culture EatsStrategyFor Breakfast<br />
Sharing best practices<br />Solutions imported from external sources results in “social immune response”<br />NEW IDEA<br />
The Premise Of Positive Deviance<br /> No matter how bad things are, there are always people in the group that do a bet...
3 quick examples<br />Malnutrition<br />Smoking cessation<br />Medication reconciliation<br />
If you tell people where to go, but not how to get there, you'll be amazed at the results.General George S. Patton<br />
PD and MRSA<br />US pilot project<br />Implementation of PD followed by 20 month follow up period<br />No attempt to decol...
Examples from Healthcare<br />Hook story<br />Transportation cards<br />Isolation signage<br />Nursing student Hand Hygien...
Quinte Health Visitor Board<br />Making the invisible visible at<br /> Vancouver General<br />Improv at Toronto Western Ho...
This is about…<br />Creating sustainable change<br />Helping culture to shift<br />Indentifying existing practices <br />D...
4%<br />Problems known to top managers<br />9%<br />Problems known to middle managers<br />74%<br />Problems known to supe...
“Up, down and out”<br />
TAKE<br />Talk amongst yourselves<br />Think about someone you know who you suspect might be a positive deviant…<br />What...
Tell us your stories<br />
The 6 D’s<br />Define: the problem and a successful outcome<br />Determine: if anybody exhibits the desired behaviour<br /...
How does it work?<br />Invite those who are interested<br />Front-line staff must be there (the “Gurus”)<br />Create condi...
Who is included?<br />Anybody who wants to be there<br />Everybody who touches the problem<br />Get the right people aroun...
4 Phases of Implementation<br />Getting Started<br />Engaging the Organization <br />Fuelling Change<br />4. Making Sense...
Getting Started<br />You have to decide how to “kick off” this process in your facility<br />Examples:<br />UHN<br />US ex...
Talk amongst yourselves<br />What would this look like in your organization?<br />How would you launch it?<br />Anybody yo...
PD Tools<br />Kick offs <br />Improvisation<br />TRIZ<br />Sharing Stories<br />Discovery and Action Dialogues<br />Wise c...
stopsuperbugs.com<br />Google groups: discussion forum<br />Google maps<br />positivedeviance.ca<br />positivedeviance.org...
New website screen shot<br />
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Nacs ls1 wave3_jan10

Published on: Mar 3, 2016
Published in: Education      
Source: www.slideshare.net


Transcripts - Nacs ls1 wave3_jan10

  • 1. New Approach to Controlling SuperbugsVirtual Learning Session 1Discovering Positive Deviance<br />Michael Gardam<br />Leah Gitterman<br />
  • 2. Agenda<br />Intro to WebEx<br />Patient story<br />What is the “new approach”?<br />
  • 3. Interacting in WebEx<br />Be prepared to use:<br /><ul><li>Pointer
  • 4. Raise your hand </li></ul>10-Jan-11<br />3<br />
  • 5.
  • 6. Meet Our Team<br />Erika Bailey<br />Michael Gardam<br />Leah Gitterman<br />Liz Rykert<br />Jessica Ip – Project Coordinator<br />Paige Reason<br />Susan McDonald<br />Katie Procter<br />
  • 7. A story…<br />
  • 8. Why focus on a behaviour change approach?<br />Current “top down” approaches have had limited success<br />Traditional “best practice” approach has been disappointing<br />We need to acknowledge that we are human!<br />
  • 9. Culture EatsStrategyFor Breakfast<br />
  • 10. Sharing best practices<br />Solutions imported from external sources results in “social immune response”<br />NEW IDEA<br />
  • 11. The Premise Of Positive Deviance<br /> No matter how bad things are, there are always people in the group that do a better job, despite having access to the same resources<br />
  • 12. 3 quick examples<br />Malnutrition<br />Smoking cessation<br />Medication reconciliation<br />
  • 13. If you tell people where to go, but not how to get there, you'll be amazed at the results.General George S. Patton<br />
  • 14. PD and MRSA<br />US pilot project<br />Implementation of PD followed by 20 month follow up period<br />No attempt to decolonize patients<br />26-62% reduction in MRSA clinical infections<br />SHEA 2009<br />
  • 15. Examples from Healthcare<br />Hook story<br />Transportation cards<br />Isolation signage<br />Nursing student Hand Hygiene video<br />Vancouver General: HH rates<br />Toronto East: cleaning equipment, antibiotic stewardship<br />
  • 16. Quinte Health Visitor Board<br />Making the invisible visible at<br /> Vancouver General<br />Improv at Toronto Western Hospital<br />
  • 17. This is about…<br />Creating sustainable change<br />Helping culture to shift<br />Indentifying existing practices <br />Developing new behaviours to overcome barriers<br />Acting your way into a new way of thinking<br />
  • 18. 4%<br />Problems known to top managers<br />9%<br />Problems known to middle managers<br />74%<br />Problems known to supervisors<br />100%<br />Problems known to front line managers<br />
  • 19. “Up, down and out”<br />
  • 20. TAKE<br />Talk amongst yourselves<br />Think about someone you know who you suspect might be a positive deviant…<br />What are they doing? What makes you recognize their behaviour as unusual or different? <br />
  • 21. Tell us your stories<br />
  • 22. The 6 D’s<br />Define: the problem and a successful outcome<br />Determine: if anybody exhibits the desired behaviour<br />Discover: uncommon practices/behaviours<br />Design: activities enabling others to access and practice new behaviours<br />Discern: effectiveness of activities or project through ongoing monitoring and evaluation <br />Disseminate<br />
  • 23. How does it work?<br />Invite those who are interested<br />Front-line staff must be there (the “Gurus”)<br />Create conditions for people to discover and adopt their own solutions<br />Identify and analyze the positive behaviours<br />Create ways to spread peer to peer<br />Track and publish results<br />
  • 24. Who is included?<br />Anybody who wants to be there<br />Everybody who touches the problem<br />Get the right people around the table<br />Who isn’t here?<br />“nothing about me without me”<br />
  • 25. 4 Phases of Implementation<br />Getting Started<br />Engaging the Organization <br />Fuelling Change<br />4. Making Sense and Diffusing<br />
  • 26. Getting Started<br />You have to decide how to “kick off” this process in your facility<br />Examples:<br />UHN<br />US experience<br />CPSI study sites<br />
  • 27. Talk amongst yourselves<br />What would this look like in your organization?<br />How would you launch it?<br />Anybody you know who might be interested?<br />Front line, middle management, senior management?<br />
  • 28. PD Tools<br />Kick offs <br />Improvisation<br />TRIZ<br />Sharing Stories<br />Discovery and Action Dialogues<br />Wise crowds<br />Social Network mapping<br />Ethnographic mapping<br />
  • 29. stopsuperbugs.com<br />Google groups: discussion forum<br />Google maps<br />positivedeviance.ca<br />positivedeviance.org<br />Twitter: @DrMichaelGardam<br />Facebook: stopsuperbugs<br />Faculty office hours<br />One-to-one coaching available<br />
  • 30. New website screen shot<br />