Measuring Organisational Capability for Improvement

Transcription

1 Measuring Organisational Capability for Improvement Vivienne Hadj, A/Manager Health Reform Programs & Caroline Frankland Snr Project Officer Redesigning Hospital Care Program, Victorian Department of Health

2 Redesigning Health Care Program Objectives what are we trying to achieve? 1.To increase improvement capacity and capability, by training staff across the system to lead projects, implement change and train their peers, and 2.To measurably improve health delivery processes and outcomes across the system.

3 Victorian Redesigning Hospital Care Program 32 Health services including Ambulance Victoria 32 redesign leads 107 projects funded by DH >250 health service funded projects Significant results Local problems local solutions 16,500 staff engaged in redesign

4 Formal capability development program So after over 4 years what did we know? 2011 Tollgate: Redesign Structures and systems 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Governance supported by executive Redesign framework Link to Statement of Priority Program sustainability plan Organisation wide prioritisation Self- funded projects Metrics to sustain change Capability development for redesign available to staff Structure or system P ercentage of health services

5 We also had a framework for improvement but no real way to measure

6 So we developed a tool Comprehensive, simple, robust Define organisational capability Measure against framework Create organisational capability for improvement

7 The Health Improvement Capability Quotient Tool Health ICQ- T

8 The Approach to development Literature review Identification of key success factors Determine feasibility of proposed tool Develop and test tool and guide Refine tool and guide Implementation

9 THE TOOL 3 stages 1 - Define guide 2 - Measure reporting spreadsheet Health IQ-Tool Assessed By: Yr Yr Organisational capability for improvement level Assessment Date: Level of organisational capability for improvement 2 ( ) Level 3 (770 - Level 1 (0-250) Level 1440) Level 4 ( ) Health Services with limited improvement Health Services with high potential for Improvement Leaders Improvement best practice capacity / capability improvement Improvement (redesign) unit in place and Internationally recognised as improvement No clear plan of how improvement Evidence of improvement capacity but has not strong track record of planning and delivery of leaders with a strong track record of activities support strategic priorities or yet undertaken significant redesign work. improvement. Clear and improving signs of operational delivery, academic evaluation, delivers operational improvement. Little or Mixed levels of clinical or director engagement cultural and behavioural change. Performance clinical engagement and innovation in low capacity for redesign change and little with redesign projects satisfying either improving over a range of access efficiency improvement. Clear, measurable signs of chance of sustaining without capability financial or patient / quality criteria but not and quality indicators. culture and behavioural change. Using building, even if individual redesign both. redesign for improvement across process, projects are funded. quality and patient satisfaction areas. Domain Organisational systems and structures Workforce skills and knowledge Results and system impact Culture and behaviours 3 - Create a roadmap for change Domain Total Score Domain Total Score Domain Total Score Domain Total Score Governance 10 Breadth of improvement skills and knowledge 10 Systems approach to improvement Strategic alignment Yr-1 Yr- Prioritisation of improvement activities 420 People development and organisational improvement Yr Yr Yr-1 Yr- Yr Yr Depth of improvement skills and knowledge 10 Training and professional development opportunities in improvement 10 Critera Yr-1 Yr- Yr Yr Impact on organisational KPI's 10 Improvement outcomes Yr Yr Business Improvement approach 10 Spread of successful solutions and knowledge management 10 Leadership 10 Reward and recognition 10 Staff role 10 Measurement system 10 Knowledge management 10

10 The 4 Domains Organisational systems and structures Workforce skills and knowledge Results and system impact Culture and behaviours

11 Benefits Identify current status of organisational capability for improvement Identify gaps to target capacity building Picture of the system capability

12 Implementation to date Presentation to 14 health service executive teams Health services are planning approach to completing assessment 3 health services have completed the assessment to date

13 Key lessons Embedding improvement requires an organisational approach Need to measure to change capability development Health ICQ provides a measure and a recipe for organisational capability development

14 Questions