Apresentação de Derek Freeley e Stephen Muething durante o O SIMPÓSIO EINSTEIN-IHI: Implantação e Disseminação de Programas de Segurança do Paciente aconteceu de 3 a 5 de novembro de 2013, em São Paulo - Brasil. Derek Freeley é Vice Presidente Executivo do Institute for Healthcare Improvement (IHI), tem responsabilidades executivas por conduzir estratégias do IHI em cinco áreas de atuação: desenvolvimento de habilidade; cuidado centrado no paciente e família; segurança do paciente; qualidade; custo e valor; e grande foco em populações. Antes de integrar a equipe do IHI em 2013, foi diretor geral de saúde e assistência social e diretor executivo do National Health Service (NHS) na Escócia. Stephen Muething é Médico, Vice Presidente de Segurança no Cincinnati Children’s Hospital Medical Center (CCHMC), Professor Associado de Pediatria e um pediatra atuante. Durante a primeira década de sua carreira clínica atuou desenvolvendo a assistência pediátrica, tanto no âmbito ambulatorial quanto hospitalar, em uma região rural no sudeste de Indiana, Estados Unidos

1. Investments for
Implementation
November 5 2013
Sao Paolo
Derek Feeley
Stephen Muething

2. 3 key investments
Leadership
Infrastructure
Quality Improvement Capability

3. A Mindset Shift and a Resource Shift?
Standards Bundles
Guidelines Real time data
Audit PDSA cycles
Inspection Doing with…..
Doing to……

4. IHI Leadership Framework

5. High Impact Leadership Behaviors

6. Lessons Learned
1. Establish and Oversee Specific System-Level Aims at
the Highest Governance Level
2. Develop an Executable Strategy to achieve these Aims
3. Channel Leadership Attention to System-Level
Improvement
4. Put Patients and Families on the Improvement Team
5. Make the Chief Financial Officer a Quality Champion
6. Engage Physicians
7. Build Improvement Capability
IHI Seven Leadership Leverage Points

7. Infrastructure
Measurement
Program Management
Communications
Physician Engagement
Tools – checklists, ‘how to’ guides etc

8. IHI Breakthrough Series – a collaborative
infrastructure
Select
Topic
(develop
mission)
Planning
Group
Develop
Framework
& Changes
Participants (10-100 teams)
Prework
LS 1
P
S
A D
P
S
A D
LS 3LS 2
Supports
Email Visits
Extranet Assessments
Monthly Team Reports
Congress,
Guides,
Publications
etc.
A D
P
SExpert
Meeting

9. Quality Improvement Capability
Getting the right ‘dose’
A group of highly skilled improvement experts
(Improvement Advisers)
Patient safety officers
Point of care staff with knowledge of basic concepts and
models
Fellowships

10. Some examples from IHI offerings
The following list gives an overview of many of the capabilities that IHI offers. Some of
these services are existing public enrollment programs, while others can be customized for
your organization.
Improvement Advisors/Experts: By training select individuals within the organization to
become Improvement Advisors (IAs) or quality/safety experts and coaching them to get
results on the strategic improvement initiatives they are working on.
Training and Professional Development: By helping the organization deliver key
professional development programs in quality and safety, enabling it to build capacity in the
region. Such programs may include: Executive Quality Academy, Improvement Science in
Action, and Breakthrough Series College.
Innovation and Research & Development: By training the organization on how to
establish and manage an effective research and development method that will enable
innovation.
Testing and Adopting an Evaluation Framework: By facilitating the application of an
evaluation framework that will enable the organization to identify improvement efforts that
are ready for spread.
Dissemination and Spread Capacity: By training the organization in how to spread best
practices and share knowledge widely.
Data Experts and Analysts: By helping existing resources within the organization to
further develop the skills needed for measurement and data analysis.