Louis Gonzales: Welcome everyone we're just going to wait a couple more minutes we're looking for a speaker Daniel are you on.
Louis Gonzales: Just bear with us for just a couple more minutes and then we'll get started.
Louis Gonzales: Again, I apologize everyone, we are waiting on our speaker we're reaching out to him right now, we will go to plan B if if we're not able to reach him in a couple minutes, so thank you for your patience, will be on in just a few minutes.
Louis Gonzales: So while we're waiting.
Louis Gonzales: Michelle murphy's going to.
Louis Gonzales: put up a poll just kind of unrelated related but unrelated to this specific topic of today but it's an information that we'd like to any share with us about your specific.
Louis Gonzales: Awareness of some materials and so Michelle are you able to launch that poll.
Michelle Murphy: and put it up right now it's just two quick questions.
Michelle Murphy: we're just looking to gain information on usability and accessibility of the pre hospital pediatric ready toolkit.
Michelle Murphy: we're looking to see how many of you are aware of it and.
Michelle Murphy: i'm also going to put in the chat box contact information for Rachel to her, if you have any feedback on the toolkit we would love to hear it.
Michelle Murphy: well.
Louis Gonzales: So looks like for those who have responded so far, if you haven't responded, please do looks like we're like almost 5050 for.
Louis Gonzales: Having used the toolkit.
Louis Gonzales: So, Michelle I think you have about I counted you and me, but we wouldn't count almost every one of the 38 who are participants, if you want anyone else, like to vote will give you another.
Louis Gonzales: 30 seconds or so to vote and then we're going to move on and start having some discussion on today's topic.
Louis Gonzales: alright.
Louis Gonzales: Thanks Michelle so it looks like.
Louis Gonzales: Many of you have not used it we certainly encourage you to take a look at it, if you haven't already done so.
Louis Gonzales: And rachel's contact information is in the chat box with Michelle so reach out if you have any specific questions or suggestions for that, and she can certainly help you.
Louis Gonzales: So let's move on the Shell and.
Louis Gonzales: it's going to that we can go ahead and end the poll.
Louis Gonzales: Alright, so sadly.
Louis Gonzales: speaker has not joined so.
Louis Gonzales: hey we're all in.
Louis Gonzales: The hospital world, so we know.
Louis Gonzales: That he got it sometimes shift gears and go to plan B so let's go to plan B so let's talk about our topic earlier that we just had a presentation from and regional alter on communication and collaboration.
Louis Gonzales: So.
Louis Gonzales: i'd like to talk a little bit more about that and most specifically we'd like for you to share some examples of of how you are times when you put together an elevator pitch how you did it what process did you use who to get involved.
Louis Gonzales: And we can certainly all learn from your experiences so if anyone would like to share just unmute yourself and share your experience with an elevator pitch.
Louis Gonzales: And don't be shy is a pre hospital breakout so.
Louis Gonzales: Not a shy group.
Louis Gonzales: To.
Louis Gonzales: Anybody have any experience you'd like to share.
Louis Gonzales: Or do you have an elevator pitch for anything.
Jason Mahoney CCPH: This is Jason mahoney from up in Montana.
Louis Gonzales: hi Jason.
Jason Mahoney CCPH: Montana was part of the pack learning collaborative a few years back and coming up with an elevator elevator speech or pitch was part of the process we went through there.
Jason Mahoney CCPH: The intent of it at that time was to develop that that short introduction and informational.
Jason Mahoney CCPH: sort of I mean almost a speech I guess that we would use to try to.
Jason Mahoney CCPH: Talk people into designated a pack in their in their agency, so it was.
Jason Mahoney CCPH: It was an interesting process I hadn't i'd never done one to that scale and then work that hard on it, I typically just kind of throw things together.
Jason Mahoney CCPH: But, especially since we were sharing it with the national collaborative I put a lot more work into it, it was an interesting process of trying to pick out the most impactful information and some data and things like that, without it.
Jason Mahoney CCPH: You know, going on for 10 or 15 minutes.
Jason Mahoney CCPH: So I don't have mine right in front of me it's been.
Louis Gonzales: fun to get out but.
Jason Mahoney CCPH: It really helped me try to distill down a ton of information into what I thought was really important about it and it to a good degree to help me focus my work in that collaborative based on what I what I really pulled out as a meaningful parts of the process to myself.
Louis Gonzales: So thank you Jason were there.
Louis Gonzales: was a specific process you use to create yours your your elevator pitch and then did you involve other people in creating that.
Jason Mahoney CCPH: Excuse me um.
Jason Mahoney CCPH: I there was no.
Jason Mahoney CCPH: You know formatted process that I was aware of time, so I kind of went through my own little internal process to do things like that, and I just sat down and brainstorm.
Jason Mahoney CCPH: All of the reasons I thought that that an emc agency would would or should have a pack.
Jason Mahoney CCPH: I gathered data that I thought would be impactful and put it all together and then just had to kind of distill it down and synthesize something that was appropriate length.
Jason Mahoney CCPH: I did go through multiple drafts and share that with some of my other collaborative partners throughout the process, it probably took about a week to get it to where we were happy.
Louis Gonzales: Right.
Louis Gonzales: So accepted, I appreciate what are the things you just you just said is you know you.
Louis Gonzales: You came up with you know kind of what we're all the things that.
Louis Gonzales: You know we're a value and so you're really kind of creating into the relevance kind of issues that aspect that.
Louis Gonzales: We just talked about so I appreciate that um anyone else, like to share their experience with the elevator pitch or things you want to discuss about elevator pitches that we can talk about as a group.
I think our speakers are online already.
Louis Gonzales: Daniel digital.
Louis Gonzales: don't see him.
Louis Gonzales: that's okay.
Louis Gonzales: Okay, so um.
Louis Gonzales: let's talk, talk about you know kind of some of the components, you know that Rachel is talking about you talked about you know kind of.
Louis Gonzales: More my words of it, of kind of defining you know what is the situation or the or the problem and it sounds like, in this case, you know.
Louis Gonzales: The the need for increased awareness of the peck peck role and it's as Dr hammer talked about its value.
Louis Gonzales: So what are some some thoughts that come to your mind in terms of like you know words or phrases.
Louis Gonzales: That should be part of that you know you don't have to come up with the exact words you know, but what are just some words or phrases that you think might need to be in that first part of.
Louis Gonzales: With the situation what's the what's the problem we're trying to develop with eight elevator pitch for in terms of pecs.
Louis Gonzales: shout out some words.
bsoriano: I speak, maybe, are you aware of what I find my name is brianna and from fight just the fire department i've just recently been.
bsoriano: volunteered to be the Pec actually offered it to me and I have some pretty good passionate about pediatric.
bsoriano: Patients and I said i'll be more than happy to do it so very new introduce still getting my network together.
bsoriano: So, but some of the examples that I thought that you know we we before we had a pack was actually when we had issues with MED dosing for kids, and so it was actually evident After reviewing reports.
bsoriano: That that we weren't aware how bad we were at that so and that led us to getting a product that actually diminished that and, now that we have now that that that that system we've had less pediatric matters so we still have some lot less here.
Louis Gonzales: So that's really interesting, so the the dosing issues in pediatric patients and and you identify the chart review and it sounds like you came up with as a solution.
Louis Gonzales: Did that also help with in your organization that have helped create the petrol or was the back row kind of first and then you identified.
bsoriano: Now it actually helped create the PIC world depict so it's only been in about a year and a half, and since it was created for us.
bsoriano: Some the first that I know of an area so.
bsoriano: But we we've been having numerous issues with pediatric so you know, as you know, pediatrics has when it comes to training i'm sorry if you hear the background.
noise.
bsoriano: In training focuses mainly on adult and pediatric is an aside, or you know it's never ever focused in my agency, we only have 5% of call volumes that are pediatrics.
bsoriano: And ironically it's one of those calls to where they're really, really okay or get rid of video bags there's really hardly anything in the middle, and so the frequency is not there, therefore, you know the practice the the.
bsoriano: The memory of how to do it is not there, so we do have stopgaps to actually keep us from faltering like MED those errors, so I don't know if i'm allowed to say, but we use entities and it's now.
bsoriano: accepted by a whole entire region, so we started it in Chesapeake and then everybody now uses it here so but it wasn't an elevator pitch it was more like oh.
bsoriano: Why are we having this so as a peck now what we do is we actually review, I personally get all the pediatric calls 17 years old and under.
bsoriano: said to me digitally and I review all of them do PR PR PR review of it just to make sure dosing is right, you know things so it's a little bit of hard work.
bsoriano: i'm only one right now, so I am allowed to have more right now I don't see money is kind of tight as always y'all know that so being efficient and using it wisely.
bsoriano: You know when we're we're celebrating moments of all of you know.
bsoriano: Good quality care that we see out in the field, so that way you kind of see the benefits of that so that way when I asked for something else in the future i'll go they'll say oh yes Okay, we will so.
Louis Gonzales: Great what other that's so there's there's an example of a specific situation, what else are some words or phrases you know that would help you in in in your elevator pitch, for you know kind of describing you know the the.
Louis Gonzales: what's the situation that requires us to have a peck not required, but that demonstrates, you know, the need for one.
Brent Hahn/Mont Belvieu Fire Department: Those this is.
Brent Hahn/Mont Belvieu Fire Department: On with the fire department what we've done and in our role here is one of the key words is recognition and recognition goes both ways and something that we don't have something.
Brent Hahn/Mont Belvieu Fire Department: that we need to improve on and we're recognizing the need to like I said, improve on but also establish we don't have the best, and you know our.
Brent Hahn/Mont Belvieu Fire Department: service that we've done in getting heavily involved in improvement of pediatrics you know, we found that we had many single points of failure, where we had just one instructor.
Brent Hahn/Mont Belvieu Fire Department: To do this, we wanted to do that before too long, that instructors moved on their certification had lapsed will just not where we need to be.
Brent Hahn/Mont Belvieu Fire Department: On that, so one of the words that we were using is just a recognition and throw a few words in there with improvement and.
Brent Hahn/Mont Belvieu Fire Department: stabilizing or building upon current programs and really getting involved not just from our medical director, the Chiefs the medics but Council and the public that we serve.
Brent Hahn/Mont Belvieu Fire Department: Our city is very big on on children protecting children well you know we started the car seat safety program and just moving forward with stuff like that kind of kind of building on that so that's my two cents worth I appreciate the time.
Louis Gonzales: Well, thank you Brent yeah a couple things you know i'd like to kind of reiterate that you said that that I really appreciate it is.
Louis Gonzales: you're talking about both things you know the things that you're doing now that you, you, you can use some improvement with but also, I heard you talk about the things that maybe you're missing but you'd like to establish and those are really good points, because that really.
Louis Gonzales: lends itself towards the value of what we talked about a few months ago, which was the environmental scan and the environmental scan that you do in your specific organizations.
Louis Gonzales: helps you to identify those things that Brent was just talking about which are the things that are missing that need to be established and and then some things that you have in place that maybe you'd like to.
Louis Gonzales: Either you recognize there's a need for improvement, or you recognize there's a need for at least review for potential improvement so.
Louis Gonzales: that's really good to think about that those are two different related but different kind of aspects and encourage you to use that environmental scan to your advantage so so thanks for bringing those up brand.
Louis Gonzales: Those are good, so what other words we've heard approve, you know establish new things we heard about a specific need, which was MED dosing error issue.
Louis Gonzales: What other kind of things in terms of either the problem, the situation or maybe the relevance, you know what's the relevance of of having a peck you know, so what what's the value what words could we have in our elevator pitches.
bsoriano: Can I add one more thing.
bsoriano: Absolutely so.
bsoriano: When we decided to do this, one of the guidance that I had for my chief my chief medical officers that he wanted me to be two hands eyes and ears on the pediatric section.
bsoriano: So as a peck you actually are part of numerous things from acquisition of new items protocols so whenever time those goes through meetings they always you know now that there's actually a peck.
bsoriano: And that's an individual that actually look at the aspect of pediatrics so you know beforehand, you would only get that kind of input if that individual had you know.
bsoriano: passion for it now that you have a pack, you know, for every meeting, such as okay we're going to go get a structure, you know order structures that are already have pediatric.
bsoriano: capabilities, or when we get bags, you know order bags up have pediatric sections for dividing it so that we don't mix them.
bsoriano: So it's important when you picture yourself as a pack, you have to actually, despite the fact that's not the call volume is not there when an assessor it when you need somebody.
bsoriano: That it is already implemented so that's the other ways, but you know the Pack is the hands eyes and ears of the email on the pediatric side of a mess.
Louis Gonzales: So you're certainly right on there with you, you stayed exactly you know, one of the relevant issues for a pack, which is providing that pete's perspective.
Louis Gonzales: and always thinking about it that way and that's exactly what you just described and I liked how you included specific examples of when it came to new things like protocols or equipment.
Louis Gonzales: Having that pack the serves to ensure that the pediatric voice is is there in your organization so appreciate that.
Louis Gonzales: Anything else that you guys can think of, in terms of of things we might want to have or that would be important to have words or phrases describe this to.
Louis Gonzales: The situation in terms of the, we need to pack the relevance, why do we need effect and then, of course, you could even say you know of the proposed solution is.
Louis Gonzales: identify a pack in and get on board, so what other things, can you think of.
Louis Gonzales: Well, throw in a couple things just thinking of some of the things that if you look, if you think back on some of the data, Dr remnick presented.
Louis Gonzales: You know some of that that data is certainly beneficial in terms of describing you know the situation and the situation is the reality is that for most.
Louis Gonzales: Always cautious about generalizing but for most.
Louis Gonzales: Ms organizations within the United States that.
Louis Gonzales: The proportion of patient encounters that involve pediatric patients is pretty low and that's what the data is really telling us, which means that and as, as you just stated that the Community cares about making sure that we take care of children and do a good job with that, so the.
Louis Gonzales: there's no question, we want to do a good job with that, but in order to do a good job, but with that being a small proportion, it means we need sometimes a different approach, because it's not what we commonly do so in terms of this situation is, you know relevant data.
Louis Gonzales: And certainly when you get the slides you copy some of the things that that Dr ever presented and and that was just a small portion of it, but in terms of what the current situation is within the US in a hospital setting in terms of the the.
Louis Gonzales: Minimal encounters we have with pediatric patients in the Ms setting so data would be important.
Louis Gonzales: Again, if you think of something else you know just populate in one thing i'm going to just pause here real quickly.
Louis Gonzales: I have a tendency to forget that we may have some new people weren't in the last couple of sessions, but.
Louis Gonzales: My Michelle and and I didn't introduce ourselves, but just just a real brief kind of intro is.
Louis Gonzales: For those of you don't know because i've been in all of these three hospital sessions, my name is Luis Gonzalez i'm with the EIC I have a different role than you would expect, and the director of operations, which is different than what i've done for the last.
Louis Gonzales: 35 years where I was involved in quality improvement in an Ms for 30 years, both as a field provider and educator and as a quality improvement specialist.
Louis Gonzales: So certainly have the background in in Ms but not doing that anymore.
Louis Gonzales: And my co host is Michelle Murphy or salty want to just kind of say hi introduce yourself there if.
Michelle Murphy: I am Michelle Murphy.
Michelle Murphy: I am the project manager for the pre hospital hospital domain so II II see but my background is as a paramedic in New York so currently in Texas, but that's where I did most of my work.
Louis Gonzales: And I feel to mention, I am in Texas in the University of Texas Medical School currently.
Louis Gonzales: And my experience has been in Texas, and in King county Washington so kind of a couple different parts of the country so back to our topic.
Louis Gonzales: Other other thoughts about elevator pitch before we move on to talk about proposed solution.
Louis Gonzales: So, if you think about your elevator.
Louis Gonzales: pitch and your you've put together what you what you feel is critical for what's the problem or situation here in terms of an absence of a peck and identify peck and then you've kind of put together what you think you want to share in terms of what's the relevance what's what's the.
Louis Gonzales: what's the point of it what's the value you put those together and now you're thinking about so in my elevator pitch you know you're really pitching a proposal and so.
Louis Gonzales: Some people talk about is what if, but you can certainly say alright, so my proposal, so I propose that we we and it sounds like for for many of you, at least from.
Louis Gonzales: The examples that i'm hearing is is you were identified as a peck and you said yes, which is good.
Louis Gonzales: But is that the only can you think of other ways to describe your solution other than.
Louis Gonzales: We need to identify a pack or you need to have me as a pack.
Louis Gonzales: What are other other solutions can you think of any others.
Louis Gonzales: So just to give you a couple of hints you know one way you might do that is really the book, the example that Rachel and.
Louis Gonzales: I think was Rachel mostly sharing.
Louis Gonzales: That you could certainly say you know do your pitch and maybe you're you're expressing your pitch to your chief for you, whoever in your chain of command it's appropriate.
Louis Gonzales: And you're, especially in you know your pitch that maybe your solution might be starting small and maybe you start with you know.
Louis Gonzales: i'd like to my proposal is i'd like to, and we can take, for example.
Louis Gonzales: i'm sorry I forgot your first name, Mr soriano What was your first name.
bsoriano: brian's around.
Louis Gonzales: Right Brian Thank you so if he if you think about like you know you know, Brian he had it.
Louis Gonzales: At some point in time, you know his organization had an idea about a specific issue they wanted to tackle So if you think about it, your pitch if you're really early on.
Louis Gonzales: there's no traction for a peck yet you know that that may be your defining the problem that situation you're defining the relevance of a pack.
Louis Gonzales: Or the relevance of a need for some improvement there, and maybe your solution might be small, and it might be, you know.
Louis Gonzales: hey one of the things we're recognizing is that we use, you know brian's as an example, like we're recognized, you know we were having some some some errors in.
Louis Gonzales: In dosing with pediatric patients so i'd like to propose that what we do is and you make your proposal and you make that proposal and that's a starting point.
Louis Gonzales: That, then, could gain some traction towards you know after you after you're successful with that because we're going to be positive we're going to be successful, with your proposal that the next thing might be then.
Louis Gonzales: Moving forward with with them, you know we did this imagine what would happen if we had someone identified as a peck in that role, who could really coordinate these things and lead other improvement efforts.
Louis Gonzales: Beyond the one that we just completed successfully so that may be, you know one other approach.
Louis Gonzales: For so For those of you who are currently packs you know how did your how did your role get.
Louis Gonzales: Created meeting you know how'd that come to happen was there, someone pitch.
Louis Gonzales: The idea or was it just the tips idea.
Louis Gonzales: Anyone want to share how that started in your organization.
Kajil Sharp, DC Of EMS Hartland Fire: I am, my name is cage on with the heart little fire department out Wisconsin I apologize, and just couldn't get over being ill with something so voices crackly I apologize.
Kajil Sharp, DC Of EMS Hartland Fire: So my role started off with with the pet world and our fire department I previously had worked at clinical clinical position on a children's hospital in Texas, and then move back to Wisconsin purple can fire position at our agency.
Kajil Sharp, DC Of EMS Hartland Fire: Which shortly led to me becoming a B, C or D deficiency, for your mouse to have my role was more about our proposed to me from the fire to.
Kajil Sharp, DC Of EMS Hartland Fire: um it was something that was brought up to the state that had sent out an email to the chief who is our service director.
Kajil Sharp, DC Of EMS Hartland Fire: And he related over to me as my interest and he knew that I had a strong passion for em or for pediatric and Ms even prior to me.
Kajil Sharp, DC Of EMS Hartland Fire: Working in the clinical side of it down in Texas, I worked for this department for seven years prior to moving to Texas and working down there.
Kajil Sharp, DC Of EMS Hartland Fire: And I was big into Ms preparedness for pediatrics before I had left the fire department and then, when I came back he found that I was you know, still in a huge huge passion for it.
Kajil Sharp, DC Of EMS Hartland Fire: i'm actually currently in nursing school to become my goal pediatric emergency nurse transport nurse and.
Kajil Sharp, DC Of EMS Hartland Fire: He said, you know what I see you as a great candidate for this i'm going to push this over to you if you're interested feel free to sign up, which I will immediately, they will perish Wisconsin state.
Kajil Sharp, DC Of EMS Hartland Fire: which then led into the pw East or the pediatric workforce development and know my biggest goal with the fire department side is you know preparing ourselves for pediatric patients.
Kajil Sharp, DC Of EMS Hartland Fire: Assessment wise I put every training that we have, even though it seems more of an adult training, I tried to put a PDF twist to it or an aspect into it as well for our providers to understand.
Kajil Sharp, DC Of EMS Hartland Fire: The differences and assessing what we're looking for to them over the course of the last year and work on implementing new protocols I help.
Kajil Sharp, DC Of EMS Hartland Fire: include pediatric into medication dosa gene assessment, you know what things are we looking for that are different, especially from having it on the clinical side and watching out of this clinical aspect.
Kajil Sharp, DC Of EMS Hartland Fire: And it's one of those that, over the course of a few year or these two years of me, being in this role, I now oversee all the pediatric.
Kajil Sharp, DC Of EMS Hartland Fire: Ms runs that we have I evaluate and see what things at our department or our Members on their department or missing during assessments, but our key things in case something changes.
Kajil Sharp, DC Of EMS Hartland Fire: i've had it even where I saw operate clinically as a 2448 paramedic as well in the department, on top of my role.
Kajil Sharp, DC Of EMS Hartland Fire: And whenever I have a pediatric patient it's amazing how some of my providers or my other dms partners are watching and how I am assessing patients patient versus an adult patient.
Kajil Sharp, DC Of EMS Hartland Fire: The differences of what you're looking for, and you know assessing your patient more visually vs.
Kajil Sharp, DC Of EMS Hartland Fire: talking to him because I always tell my pain or tell them apart nervous that pediatrics don't really express to you what their concerns are you have to visually see it and you have to look in the very keen on certain areas when you're assessing.
Kajil Sharp, DC Of EMS Hartland Fire: I always say adults can talk back kids are going to be afraid to talk to you, so you want to make sure that you're looking in that visual assessment and watching for the warning signs right away.
Kajil Sharp, DC Of EMS Hartland Fire: And I think i've developed a lot of that with my paramedics on my department to make them more comfortable when it comes to pediatric care and I tried to get them more involved.
Louis Gonzales: You know it's it's interesting kegel is you, you brought up kind of a.
Louis Gonzales: Another pathway, you know for for.
Louis Gonzales: pecs being created, and that was it sounds like your your chief.
Louis Gonzales: came to you with that and and here she had the the idea from some message from the State and that goes back.
Louis Gonzales: To what was discussed earlier in the importance of coordination and collaboration across your community and region and state, so it kind of.
Louis Gonzales: Was maybe an end around way so rather than coming up from internal it was external through some some other organization, who somehow set up a message to chiefs, and your chief picked up on that and recognized in your interest and it went from there, so that's another pathway, which again.
Louis Gonzales: kind of.
Louis Gonzales: illustrates the importance of this coordination collaborating across these state region and Community kind of groups so thanks for sharing that anyone else.
Louis Gonzales: you're welcome you're good started.
bsoriano: You can ask the heel.
bsoriano: heel or congeal.
Kajil Sharp, DC Of EMS Hartland Fire: Its cage.
bsoriano: cage how big is your department.
Kajil Sharp, DC Of EMS Hartland Fire: So our department, where a single station 911 fire Ms service that operates about just over 1000 calls per year by 80% of our call volume is Ms and we have a pediatric population of seven different grade schools in our response area, ranging from 4k all the way up to high school.
bsoriano: I thank you for that I was just kind of wondering because that's some of the things i've been thinking of is.
bsoriano: is one of the things they're asking me is Do I need assistance and what i'm doing as a pack, yes, my department is about 450 strong we do 35,000 calls a year.
bsoriano: Which is significantly we have 15 fire stations so and I range between you know reviewing probably every Monday I get between 15 to 25 pediatric reports, so I mean it's pretty significant bended right now I don't think it's too laborious.
Kajil Sharp, DC Of EMS Hartland Fire: Because it was.
bsoriano: very, very simple calls I do like the fact that you still run calls, because I think being the example and how to do things is actually.
bsoriano: Probably the best way to honor to represent being a peck so not only are you going to be the eyes and the ears, but you're going to be almost a subject matter expert, so you know so when the call does happen, you know it should be you that performs the best so yeah.
Kajil Sharp, DC Of EMS Hartland Fire: Definitely, and I try to help get my all my providers up the prior.
Kajil Sharp, DC Of EMS Hartland Fire: scopes and their skills and I am one that says, I let people operate to their level i'm not one that likes to always say Ford the.
Kajil Sharp, DC Of EMS Hartland Fire: scope of practice hope cord all the skills.
Kajil Sharp, DC Of EMS Hartland Fire: I want people to keep practicing them by their strength and their skills and I always say you know what there's never a wrong to every mother's always wrong to something, but I would say, this is a learning opportunity.
Kajil Sharp, DC Of EMS Hartland Fire: When you do something wrong, this is a time to learn from it and see what you can do better later.
Louis Gonzales: All right, other thoughts on elevator pitch for creating a pack.
Louis Gonzales: One thing, there were a couple other topics that we're discussing, I just want to make sure that there isn't there aren't any questions that maybe we could discuss like, are there any questions or concerns about you know how to utilize the stakeholder grid that.
Louis Gonzales: I have to remix I believe reviewed.
Louis Gonzales: Anybody ever used one of that what it does before.
Louis Gonzales: or something like it.
Louis Gonzales: was very helpful, especially if you're trying to put groups together like is we're trying to form, you know, maybe advisory groups or things like that.
Louis Gonzales: When you have a need for a diverse perspective and diverse representation, the stakeholder grid kind of helps you with determining and kind of what role the different.
Louis Gonzales: members of that group you're trying to put together what actually play you know so so knowing the role helps you with making sure you have the right people in the room to be most successful with whatever it is you're trying to accomplish in terms of that group.
Louis Gonzales: Alright we're going to just real quickly i'd like to just ask if there are any other discussions on the elevator pitch.
Louis Gonzales: Questions about the or anything you guys would like to talk about about the upcoming phase two, which is where you would.
Louis Gonzales: If you wish to participate in phase two and meredith talked about registering for that by I forgot the date so third week of this month, but I can't recall it specifically but.
Louis Gonzales: Do you have any questions about that aspect.
Louis Gonzales: In order to help you make your decision about whether you wish to participate in phase two.
bsoriano: I actually I have a question about that.
bsoriano: They said on phase two that they might ask you to provide data or things like that.
bsoriano: When when you're operating the fees to section so far I mentor all this phase one.
bsoriano: We had some of course connection issue, the first.
couple the first couple seconds.
bsoriano: So it's been smooth over the last the last four or five.
bsoriano: But what is the benefit of going to face to in terms of you know if you're just starting out as a pig you know I don't want to get too far ahead of myself I don't have enough on my plate.
bsoriano: So I know I want to add value to my position by knowing everything you know that you all, will provide as far as tasty but.
bsoriano: As far as a to what should I expect in terms of what do I need to present because right now the data that I have i'm worried about Hippo you know of course you won't have any names are not bad.
bsoriano: You know, numbers, those are those are easy to get you know what would our electronic map everything is electronic so which is.
bsoriano: Wonderful I can't imagine doing it in the paper days so.
Louis Gonzales: So we think.
Louis Gonzales: That is a little bit less than important, although sort, so let me kind of backup and just kind of real briefly go over you know kind of the phase to.
Louis Gonzales: The idea is to take what we've talked about what we've learned in terms of the different QA kind of approaches to doing some nice things.
Louis Gonzales: And now applying them to an actual project and you get to pick the project it's whatever fits for your organization, so if you use your as an example, if.
Louis Gonzales: If I pick myself and they say you know in my organization i'm going to use my environmental scan to identify maybe an area i'm a new Pack.
Louis Gonzales: And this is all kind of new to me so i'll start with something simple, so I look at my environmental scan, and I say oh there's the area we could maybe maybe see if we can find a way to do that better, so I pick that it's pretty simple and i'm kind of new to this so i'll start with that.
Louis Gonzales: That phase two would be than taking your idea your improvement idea that topic that project is you want to do.
Louis Gonzales: And then coming up with alright so what's my aim statement, including with that included in that statement is how do I know that when we when we implement the.
Louis Gonzales: strategies and i'm going to propose a we implement when we implement those, how do we know that there was a change and how do we know that that change was actually improvement and not.
Louis Gonzales: A change in the opposite direction and that's measurement and so the aim statement, but we would walk.
Louis Gonzales: Through that with you and we would help you so you would maybe put the draft together you bring it to the meeting and we talked through and you'd hear experience it's really a collaborative ideas to share.
Louis Gonzales: And so, in phase two is truly going to be a sharing thing there's there's not a lot of lectures, it is, it is really more of.
Louis Gonzales: Maybe you saying here's my aim statement it's a little rough but i'd like your feedback and the group that's in your group would say.
Louis Gonzales: hey that's really good, but you know, have you thought about maybe rewarding this, and so they help you to to to learn to frame your aim statement better than then we move on to.
Louis Gonzales: Okay, so what are some some inflammation implementation strategies that I could use so some strategies to improve what would they be.
Louis Gonzales: And then you could use tools, like a fish bone diagram or others, to try to say what are some possibilities for that, and you could.
Louis Gonzales: All of those tools, you know that we've talked about you put those together you put that together, and your plan here's my idea of of an implementation.
Louis Gonzales: i'm sorry my stress and change strategies, and this is what I would want to implement.
Louis Gonzales: Again in another session, then you would put that together in each of those sessions, where i'd say you come back to we provide you with a.
Louis Gonzales: template slide and you would fill in what you would what you've come up with you know, this is my aim statement, these are my strategies, this is my plan, this is my measurement.
Louis Gonzales: is how to do that, and you would present all that and the idea is then because it's pretty quick, this is all over just a short period of time right.
Louis Gonzales: So the idea is then after that or or even during you could then take that pitch it to your organization is what I want to do and and hopefully get the okay.
Louis Gonzales: Then you would actually start collecting your data, how do we do kind of measure that we actually made a change, and you would be taking it from there, so we're really just kind of helping you build.
Louis Gonzales: build out that plan using quality improvement kind of approaches and then you would actually implement it in your organization.
Louis Gonzales: So you want to choose, something you think you could maybe implement but you're gonna you're going to pitch it you're going to implement it you're going to collect the data so we're not necessarily looking for your data to in the group you wouldn't have to share that with us.
Louis Gonzales: That makes sense, did I leave anything out Michelle.
bsoriano: yeah you did it, it makes sense because I was like thinking so sometimes department moves on a very slow pace.
Louis Gonzales: Oh yeah.
bsoriano: You know I can think of numerous pediatric things have been done from you know getting a car for our structures, you know, but that became like.
bsoriano: Well, we can only afford three you know what did we put it, you know now, we have an all or stretchers you know and we use, and we have spares now, so, if anything, needs to be so so that's very low hanging fruit, so I, and I understand trying to use and do things that are.
bsoriano: attainable because when something is attainable it actually gives you a great reward immediately and it gives momentum for whatever you're doing so.
bsoriano: I mean, but I have asked you know.
bsoriano: I have pretty high lofty goals.
bsoriano: You know, on.
bsoriano: On pediatric and I tell people as a pediatrics is.
bsoriano: And I hunt, so I use this analogy all the time, and I said, and when I teach I say.
bsoriano: Think of you know, like a adult cardiac arrest is hunting a doe at 100 yards you're using the same tools you're using the same gun you use the same camel I think pediatric.
bsoriano: cardiac arrest as like a 200 yard, you know trophy buckshot you know it's a little bit more pressure, but you're still using the same tools.
bsoriano: So i've noticed, you know i've been a paramedic since 96 and i've seen our department, you know tremendously increase in capabilities.
bsoriano: But I haven't seen its capabilities increase in pediatric side, and I think a lot of it is because of fear, so I was hoping that face to would actually you know, be more helpful in that act see how it is.
bsoriano: The only thing i'm worried about is that when i'm implementing this it might not be the same timeframe is what we're all doing during this interface to meeting so i'm.
Louis Gonzales: late.
Louis Gonzales: You see what i'm saying.
bsoriano: It takes you know a good amount of traction for it to.
bsoriano: actually implement, so I can collect data.
Louis Gonzales: And that's a good point and I want to make sure we're all on the same page that the expectation is not that well, that would be nice it's not our expectation that you would implement your.
Louis Gonzales: Your improvement project during the phase two because you're right that's that's asking a lot, especially in an organization that's.
Louis Gonzales: Either large or as you put it sometimes a little slow moving, you know that it's not realistic, and so what we want to do is help you to build the the.
Louis Gonzales: The improvement project and plan and what are the strategies and then you you implement it at your pace, you know, most likely after or the later stages of phase two.
Louis Gonzales: and, hopefully, you know it's Just to give you a look into the future that hopefully we will have.
Louis Gonzales: Another version of this whether that's in you know, two years I don't know but somewhere in the future and our hope would be that we reach out to some of you and we'd love to have you like, as a guest speaker saying.
Louis Gonzales: This is a when I was going through phase two, this was the project that I did, and it took me, you know, a year to get it done, but this is the results of of what we we did back then and.
Louis Gonzales: So you know you can share your experiences and the value of you coming back and share your sharing your experiences is other future packs not necessarily those in this room, but feature ones will learn from what you guys are doing right now and phase two.
Louis Gonzales: Any other questions about phase two was really good one, I appreciate you bringing that up any other questions about face to meredith will be giving you more information, as we progress.
Louis Gonzales: But if you have any questions, please reach out and offline and we're happy to talk with you about phase two and and help you see what's involved, and we certainly want to alleviate any fear of doing it, it is work so we're not we're not going to say it isn't.
bsoriano: I had a little through emeritus head yeah we bring your data and everything like oh my God.
bsoriano: How am I going to claim that that I went to takes me almost.
bsoriano: eight nine months to train for some people.
Louis Gonzales: You know I would be more bring your slide this is how I plan to do it.
Louis Gonzales: Not, this is what I already did.
Louis Gonzales: Alright, I think we're coming up to the end of our time.
Louis Gonzales: Of the event great I appreciate your input.
Louis Gonzales: And we apologize again for absence of our speaker, hopefully, you still got something out of the discussion we did have but thank you all for sharing and we will see you again.
Louis Gonzales: Oh, my gosh already next month in March, and we will be on a final that's our final.
Louis Gonzales: session, which will be on polly improvement and i'm actually leading that discussion with.
Louis Gonzales: meredith and we're going to be trying to put it all together to give you the final summation of the tools in preparation for phase two.
Louis Gonzales: So we'll see you next month.
Louis Gonzales: and also the coaching session.
Louis Gonzales: is also shouting at that date in front of you.
Michelle Murphy: I think it looks like it's the 7070.
Louis Gonzales: yeah so February 17 so that's two weeks is the coaching session we would love for you to come with your questions about fees to.
Louis Gonzales: Wear your questions about anything that we've talked about, but especially phase two so join us then that's just an open discussion to help you guys learn so it's all yours and so join us on the 17th, especially if you have questions about the feeds to.
Louis Gonzales: Otherwise we'll talk with you again in March, so thank you are.