Getting Staff Buy-in for change. 1.Select an Aim that is important to the CEO No CEO buy-in; no staff buy-in Connect organization’s strategic goals.

Getting Staff Buy-in for change

1. Select an Aim that is important to the CEO

• No CEO buy-in; no staff buy-in

• Connect organization’s strategic goals to change team’s charge

• Staff feel important

2. Define a Change Project:

• Focus on: – One aim – One level of care – One location – One population

• Build excitement

3. Appoint and empower a Change Leader

• Change Leader is closely connected to CEO• Overcomes challenges, celebrates successes

4. Appoint a Change Team • Treat being on the Change Team as an honor• Select people who are invested and flexible about change• Be clear about what they’re expected to do• Have CEO send formal invitations• Have fun!

5. Allocate Sufficient Resources • Make PI a priority • Free up Change Team members’ time

0

10

20

30

40

1 2 3 4 5 6 7 8 9 10 11 12

No

Sh

ow

Rat

e

No Show Rate toAppointments

Chg 1

Chg 2 Chg

3

Month

• CEO models acceptance and recognizes that lots can be learned from what doesn’t work

6. Monitor Progress

7. Perform a Walk-through• CEO and Change Leader• Use as springboard to motivate staff

8. Select a Project Aim

• Confirm or revise aim, based on walk-through

9. Measure Baseline Data • Depend on the data to know if a change was an improvement ARC Wait Times Are Down 77% From Baseline

0

2

4

6

8

10

12

14

Wait Time OP

Wait Time IOP

Monthly Average

10. Select a Change Idea to Test

• Get everyone’s ideas, (Nominal Group Technique, Flowcharting)• Seek to understand different perspectives

10. Select a Change Idea to Test (continued)

• Start with an easy win• Choose something that will benefit staff

11. Test Changes • Everyone is involved • Simple data collection

• Huddles

16/mth

28/mth

43/mth

68/mth

72

0

10

20

30

40

50

60

70

FY02 FY03 FY04 FY05 FY06

13. Sustain Improvements

• Make the Change Team’s efforts stick• Make it impossible to revert back to the old way of doing things

A long-term residential and outpatient chemical dependency program for pregnant women and/or mothers of children under age 6

with a focus on keeping mothers with their children.

Description of Organization

Seattle, WashingtonSeattle, WashingtonFunding sources: ##% block grant Funding sources: ##% block grant funded; ##% Medicaid:funded; ##% Medicaid:

Pregnant or Parenting Woman onlyPregnant or Parenting Woman only##% CPS involved##% CPS involvedServices provided: Level III.5 Services provided: Level III.5 Long-term ResidentialLong-term Residential

Outside Our Building

Our Newly Painted Lobby

Picture of Team

Aim Addressed Create an open and Create an open and

inviting atmosphere inviting atmosphere that creates support that creates support and acceptance and acceptance during our intake during our intake process processprocess process

Why this was a Why this was a problem?problem?

Clients have reported Clients have reported the building feels the building feels uninviting and “like a uninviting and “like a jail”jail”

Intakes where being Intakes where being done in a public area done in a public area and with littleand with little privacyprivacy

Changes Made Designated an Designated an

office for office for admissionsadmissions

Moved the search Moved the search of Client of Client belongings to a belongings to a private area.private area.

Provide Childcare Provide Childcare for Mom’s during for Mom’s during their intake for their intake for Moms who enter Moms who enter with their childrenwith their children

Found donated Found donated funds to paint a funds to paint a mural in the front mural in the front lobbylobby

No X-rays

Paperwork Change

Walk-ins

% to 1st Treatment in 24 hrs

0102030405060708090

100

Week 1 Week 2 Week 3 Week 4 Week 5 Week 6

Days

Walk-ins

14. Tell your story

15. Select the Next NIATx Project

•Spread and/or start new project