Meredith Rodriguez: Alright, welcome everyone to our P wbc coaching session office hours.
Meredith Rodriguez: As you may remember, this is just an open hour to ask questions.
Meredith Rodriguez: get some advice from our subject matter experts so it's really you're welcome to use the chat you can come on video you can come off mute all those are available to you and so we're just here to answer your questions or go through anything you might be wondering about.
Meredith Rodriguez: So I will turn it over to the floor if anyone wants to lead off.
Meredith Rodriguez: If you people.
Meredith Rodriguez: sprinkling in.
Meredith Rodriguez: Questions today.
Meredith Rodriguez: Okay.
Meredith Rodriguez: And i'm feeling right now, you do not have to attend the sessions receive credit, those are only for the main sessions, these are just really for extra information if you want to them, you have a question.
Meredith Rodriguez: i'm going to give everyone a few more minutes and I do have this kind of information on face to.
Meredith Rodriguez: See.
Meredith Rodriguez: Has there been any development of a CD con vehicle for instance.
Meredith Rodriguez: i'm not aware of one i'm curious if anyone else has a good one.
Meredith Rodriguez: I know that at least our disaster experts tend to recommend the laundry basket i'm sure there's something more official, though.
Meredith Rodriguez: I can ask and find out as well.
Maryanne Higbee: Can you repeat the question.
Meredith Rodriguez: Yes, it's in the chat That said, has has there been any development of a safe D con vehicle for infants.
Meredith Rodriguez: Anyone use anything innovative or have a place in their plan.
Meredith Rodriguez: What do you guys use 2219.
Maryanne Higbee: We use a shopping cart.
Meredith Rodriguez: that's good because, as we all know, you can progress them through them.
Maryanne Higbee: I have a question about you mentioned this, he he credits like do we see that on our PA registry, or is there something else, we need to do.
Meredith Rodriguez: um.
Meredith Rodriguez: Sorry, what what level, are you.
Maryanne Higbee: phr.
Meredith Rodriguez: Okay um so you should be getting so our.
Meredith Rodriguez: See credited for you should be coming through DNA.
Meredith Rodriguez: And it's coming from Lisa grace she's been sent working on sending out certificates for each of the you get two credit hours for each other, learning sessions that you attended and she should be getting an email from her if you haven't um.
Meredith Rodriguez: Let me look into that have you seen anything come through from her.
Maryanne Higbee: No, I haven't.
Meredith Rodriguez: been making know.
Michelle Moegling: meredith says that Marianne did you do your evaluations, because I think those had to be completed for you to get it.
Maryanne Higbee: Maybe not.
Maryanne Higbee: I think I think I did one.
Maryanne Higbee: For okay.
Meredith Rodriguez: Am I correct man you.
Meredith Rodriguez: Marianne.
Meredith Rodriguez: The links to.
Meredith Rodriguez: See, I can.
Meredith Rodriguez: And i'll send you an email.
Meredith Rodriguez: alias is still working on getting those out so hopefully.
Meredith Rodriguez: Is it coming from.
Meredith Rodriguez: And if you're a pre hospital and waiting on CAP see that'll come all at once.
Meredith Rodriguez: yeah after our next learning session so that'll come in March, if you've attended all of the learning sessions and completed the evaluations, you will get eight hours with Pepsi.
Mitchell County Hospital: Oh.
Mitchell County Hospital: alternating different tasks like i'm allergic to.
Mitchell County Hospital: My face is just.
Mitchell County Hospital: Bad starting to burn now which one of us, the White one and the blue.
Meredith Rodriguez: Think I think there's not a lot of questions today.
Meredith Rodriguez: I can take you through kind of what phase two will look like.
Meredith Rodriguez: To you, I posted some more information on phase two.
Meredith Rodriguez: Yesterday, and so you have a perspective date a little bit I pushed back to March forth to register for phase two and decide what you want to do, and let me show you kind of what it's going to look like.
Meredith Rodriguez: But really my main disclaimer for phase two is that all you really need to know if you want to participate as one if you're willing to engage in it in there in the.
Meredith Rodriguez: Collaborative fully so you have to make slides, and you have to present them in small breakout groups or the throughout this.
Meredith Rodriguez: um but as far as your project you don't you really just need to have an idea of what you want to work on and we will walk you through the steps of how to get there.
Meredith Rodriguez: And how to move it into a smart am and how to decide your measures and change strategy, so you don't have to know all that up ahead of time.
Meredith Rodriguez: I do have that on the form in case you like, if you if you have an idea, it gives us as planners and coaches, a better idea of how to start forming the teams and the small breakout rooms, but.
Meredith Rodriguez: You don't have to know that and there's a little checkbox that says that you know, like I need more help here and that's fine you don't have to put anything in the box so.
Meredith Rodriguez: Let me show you two things, let me go to our collaborative website so actually Let me take you from the beginning, so this is the ic homepage hopefully you guys have been here once maybe you may see improvement that Center at the bottom of all of my nose.
Meredith Rodriguez: Cone a QA collaborative and down to peck workforce development collaborative and then there's a new little tab over here on the right hand side for phase two QA projects, and this is where you see the overview expectations, a scheduled events we're going to go through this.
Meredith Rodriguez: and ideas about sustaining your efforts, because we realize that phase two is actually pretty short when you're thinking about QA approaches so calendar of events and the session slide templates so let's start, let me look at the calendar of events with you guys.
Meredith Rodriguez: Phase two kicks off in March march 17 is going to be the first day of phase two will go through what we're going to do on each day, and then we will.
Meredith Rodriguez: run through will have another session quickly after that so phase two quick sessions in March, one in April, one in May and then two in June, and these are kind of the main sessions.
Meredith Rodriguez: That you will be expected to attend and they're going to be in about 90 minutes each to give time to work through all of our questions in our breakout rooms.
Meredith Rodriguez: These ready today's just like this, where their office hours or you can come with questions and get additional help on your project.
Meredith Rodriguez: and open completely optional so in a kind of at a glance this is what phase two looks like it's short it's march mid march through the end of June um, but if we kind of go into that into more detail this isn't.
Meredith Rodriguez: Love how this looks but um.
Meredith Rodriguez: let's talk about just kind of an overview so really the goal during phase two is to design and implement the qr project.
Meredith Rodriguez: For mainly logistics on our side if you're in more of a clinical roles for hospital or pre hospital based practitioners.
Meredith Rodriguez: we'd like you to choose a project, and one of these four areas, and it can be really broad within any of these four areas, it can be something having to do with the petrol, so you can work on.
Meredith Rodriguez: defining the role further setting the final and responsibilities and working the petrol more into the organizational structure or gaining support for the Pec roller.
Meredith Rodriguez: or something along those lines, and as far as the petrol that was focused area one, if you remember, which we touched on way back in September.
Meredith Rodriguez: i'm next is equipment and supplies and medication, so you can do a lot in here as far as securing supplies securing equipments during vacation organization.
Meredith Rodriguez: really helping staff members understand where to locate any of these things policies and procedures we touched on this, and this was at December.
Meredith Rodriguez: or January December.
Mitchell County Hospital: And that's where my silent.
webinar.
Meredith Rodriguez: So you can work on developing a policy or procedure really related to anything around pediatric readiness and we gave you some suggestions and the focus area guide.
Meredith Rodriguez: And let me show you ready to get to those and then last but not least, carotene competency so developing.
Meredith Rodriguez: Some sort of program or some sort of system for training care team competencies during this session we talked a lot about the different ways that you could integrate care team competencies full confidence ease into.
Meredith Rodriguez: Your agency or ED and then we have some other tracks specifically for our msc program managers and this is really at the State level or system level where they're working on peck recruitment.
Meredith Rodriguez: Our plan for turnover impacts leave a pack directory hosting an educational conference which essentially could be a much smaller version of what we've done here the workforce development partners.
Meredith Rodriguez: are working on really formalizing the Pec roll into a pediatric medical recognition program or some other local or state statutes so.
Meredith Rodriguez: come back to this link and how to register so but here's kind of what's going to be expected of you for each session, so we have a set of slides there really simple we'll go through them in a minute, but they.
Meredith Rodriguez: are completely they're mostly blank and what you need to do for each session we have one or two sides assigned it's not a ton of work but it's.
Meredith Rodriguez: You know, for a session, the first session will be like what is your name statement and it doesn't have to be perfectly just want you to do your best to complete it.
Meredith Rodriguez: and send that to us this Sunday night before the Thursday session so that we can send it one review it as coaches and to send it to your small group.
Meredith Rodriguez: So throughout the entire learning session what's going to happen is each session we will.
Meredith Rodriguez: kick off with like a 10 minute overview of the topic of the day, whether that's measures or that's change strategies are the same statements we're going to just give kind of a high level overview first 10 minutes from one of us.
Meredith Rodriguez: And then we're going to go into small breakout rooms like maybe six to eight people per breakout room and you're going to have that same small group.
Meredith Rodriguez: Through the entire duration of phase two and what each person is going to do it'll be sort of round Robin style, where each person will present this slide deck together.
Meredith Rodriguez: going over kind of any their thoughts their thought processes behind what they put together challenges barriers talk about.
Meredith Rodriguez: really just kind of present it to the group, and then the group will give you feedback and support.
Meredith Rodriguez: And coaching on how Maybe you can improve are asking questions about how you right there and really, the idea is to really bring in this collaborative aspect where we're all learning and growing from each other and putting together.
Meredith Rodriguez: Those small breakout rooms will be by the focus area that you've chosen.
Meredith Rodriguez: But besides that will be sort of interdisciplinary, so we will have physicians and nurses and pre hospital all together in one room to really encourage others to learn about what this process can look like from a different point of view.
Meredith Rodriguez: And so, in those small breakout sessions you'll present your side will give you some coaching and then we'll come back together as a large group for the last 1015 minutes of every session.
Meredith Rodriguez: debrief a little bit and then talk about what you are expected to do in preparation for the next session.
Meredith Rodriguez: So if we go back down here to expectations and think it hit mostly bullet points very dependent in each room we're going to share a round Robin style.
Meredith Rodriguez: And this one's kind of thing is that because we're asking you to be a little bit vulnerable and to share your work and to put kind of your thoughts out there to a small group.
Meredith Rodriguez: we're not going to allow anyone to just observe the process, so we want everyone to have have a little bit of skin in the game, so to speak, so.
Meredith Rodriguez: want to make sure that everyone is engaged and is also doing a project at their agency or the ED and sharing their work as well, so that we are all kind of on equal footing.
Meredith Rodriguez: For the duration of the permit collaborative however they do want to say that you are encouraged to work as a team, so if you know.
Meredith Rodriguez: there's someone else within your organization or even if you're at base and you work closely with any Ms agency and you want to work together on something we would absolutely encourage that.
Meredith Rodriguez: But I think everyone on that team needs to be prepared to talk about the project, because you may not be in the same small breakout room when you come to the session.
Meredith Rodriguez: um let me pause there before I kind of go into schedule of events and see if there's any questions around kind of what you'll be doing what's expected of you, we can look at this slide template.
Meredith Rodriguez: and
Meredith Rodriguez: repository their.
Meredith Rodriguez: thoughts questions concerns.
Greg Edwards: hey meredith this is Greg from North Carolina how you doing.
Meredith Rodriguez: hey i'm good how you doing.
Good.
Greg Edwards: So is the expectation that we would be implementing what we develop by the end of phase two or we're just developing it, and then we can implement it after that that hard stop date.
Meredith Rodriguez: yeah honestly, we probably won't get to the implementation phase, by the end of that hard stop date um.
Meredith Rodriguez: we're going to take you through kind of the whole process but realistically the probably get to the point where you're really implementing maybe your first change strategy and starting to collect some data by June.
Meredith Rodriguez: But.
Meredith Rodriguez: We really don't expect much beyond that idea is really to get you set up to succeed really on your own.
Meredith Rodriguez: And I do talk about here some of the other options for sustaining your efforts, after this collaborative closes in June, and that is that we have several other quality improvement collaborative that are upcoming that are more.
Meredith Rodriguez: condition or clinically focus so less about pediatric readiness in general and more on specific areas of pediatric readiness that you could jump right into.
Meredith Rodriguez: The first two coming up early fall is one specifically on mental and behavioral health, so this one specifically ED focused it's going to launch in August.
Meredith Rodriguez: And it will be focused on developing a clinical care pathway for children, presenting to the ED with acute suicidality.
Meredith Rodriguez: about the same time, about one month later, is a collaborative focused on pediatric disaster networking so that really is the idea of growing the pediatric voice.
Meredith Rodriguez: or within the region so that's going to be beyond ease mems agencies, including healthcare coalition's and some of some of our other.
Meredith Rodriguez: Public Health entities we're really looking at how do we ensure that the pediatric voices pediatric considerations are included and regional disaster planning.
Meredith Rodriguez: And then, then January 2023 so next January will launch the pediatric readiness party collaborative 2.0.
Meredith Rodriguez: This one also ED focused and will be focused on specific areas of pediatric readiness, some of you may know, or have participated in the PR to CPS grants quality collaborative one point o
Meredith Rodriguez: which we land gosh it's been a couple of years now ended in June of 2020 and that was focused on four different areas of pediatric readiness.
Meredith Rodriguez: More system level changes that was like when kids in kilograms.
Meredith Rodriguez: Recognition and triage of abnormal vital science Lewis is.
Meredith Rodriguez: Part of another initiative that's going to feed into this pediatric readiness quality collaborative call the national pediatric readiness quality initiative which has some more.
Meredith Rodriguez: measures and metrics based around pediatric readiness and we could talk about that a little bit I can make this time let's have a little bit further if you'd like to but those are some options to sustain your efforts.
Meredith Rodriguez: And of course we read we, we will still be it will still be here, so you could always email us and we will be happy to keep coaching you through the past beyond the end of of your project, but really the idea here is to get you set up to the side i'm.
Meredith Rodriguez: kind of think about the get your get your project in place and get the wheels moving.
Meredith Rodriguez: Does that answer your question.
Greg Edwards: yeah but does and i'm.
Greg Edwards: As i'm developing my smart smart aims and the rest i'm working on my on my face to survey, right now, I assume that that's fluid So if I submit something it's really for y'all to get a good idea what direction we're thinking and we're going, but it can change right every time.
Meredith Rodriguez: Yes, no it's definitely worth reiterating you are not locked into anything you put on the fees to registration form it's it's a it's just yeah really give us an idea for planning purposes as we think about what coaches are going to wear.
Meredith Rodriguez: For face to you, but other than that, no, it can completely change it, it probably will, as we get more into it.
Greg Edwards: Okay, great thanks.
Louis Gonzales: meredith could I add on to that last question, I think, is a really good question.
Louis Gonzales: In terms of of not being able to implement during that time, it certainly makes makes sense.
Louis Gonzales: it's not reasonable to be able to do all these things in that period of time, especially because there are many steps to actually doing implementation, however, another way to look at this is that it's it's learning the process and gaining skills in in utilizing.
Louis Gonzales: The the eye to eye child model for improvement and kind of process so that's really what what.
Louis Gonzales: What we're doing here is kind of doing two things one is helping to refine or build your skill and doing that, so that you can apply it to all kinds of improvement efforts in the future.
Louis Gonzales: But to learn something and I think most of you would probably agree this is just hearing about it doesn't really necessarily teach me things I need to kind of do things to really learn how to.
Louis Gonzales: learn more about it so by walking through this with us coaching you through those different steps it's helpful.
Louis Gonzales: And so, as an example of one way that it things could be done since you can actually implement maybe or you may not be able to implement is to for those particular stages is to maybe create some.
Louis Gonzales: You know fictitious kind of data afterwards, to be able to go through and practice, how do I do the last few steps of this process and using you know kind of some.
Louis Gonzales: yeah so so the latter part of the pdsa cycle, you know kind of going through that with maybe some fictitious kind of data to get to this point of making decisions about where do I go from here, which is very helpful.
Louis Gonzales: In terms of how to learn that, because then it determines whether you go to cycle to or What do you do in cycle to.
Louis Gonzales: So it's really kind of teaching you that process and helping helping you along with that, and it may be that we have to use again fictitious data to be able to get to that point, since you can implement quickly.
As a PC.
Meredith Rodriguez: So here's kind of a quick snapshot of what you'll be putting together for each of the sessions have them split apart by date so for our first one in March same thing.
Meredith Rodriguez: You know, like I said i'm a registration for me, we have these questions, but you don't necessarily have to have an answer, yet um.
Meredith Rodriguez: And so, come in just the affiliate whole hobby fill out each one of these so you're going to take you know, in general, what is the problem you're really trying to solve, how is that a global and and how can we take that and make it into a smarting.
Meredith Rodriguez: And we've touched on this these concepts, a little bit throughout the course of the collaborative as we hit on different aspects of July, hopefully, a smarty this isn't the first time, you heard smarting.
Meredith Rodriguez: or seen a key driver diagram I think those are two that we've really worked hard on to familiarize you with us during phase one, there will also be an accompanying.
Meredith Rodriguez: guide, which is actually the focus area guide for our last focus area which is quality improvement and so we're going to go over these concepts again and again, so if you're a little bit unsure of how to get from a global aim to a smarting.
Meredith Rodriguez: that's okay you don't have to know that, right now, and you don't even have to come to this session this first session with knowing that.
Meredith Rodriguez: Take a stab at it and then we can work, give us something to work with and then as a small group we can play with it, and we can work with it into getting it to a smarty.
Meredith Rodriguez: will ask you kind of who's on your team who are you going to involve within your agency or your ad who's going to help you.
Meredith Rodriguez: Who are you going to go to it and then key stakeholders who do you need to keep informed and hopefully you remember seeing this as well from our last one on communication and collaboration and we talked about i'm really putting together this diagram and really figuring out who.
Meredith Rodriguez: needs to be engaging and at what level so that'll be the first session the next session we're going to talk about measurement and this is following.
Meredith Rodriguez: The ihi model for improvement, where we ask these three questions, what are you want to improve how do you know, in a change over be an improvement and then Lastly, what changes on it.
Meredith Rodriguez: Implement and we're going to take that you all through that whole model on the next training session on march 3 on quality improvement.
Meredith Rodriguez: And so, then when you come to the march 31 30 session, hopefully, you have an idea of what you're going to look at.
Meredith Rodriguez: And we'll talk to kind of but did you have what you do not have you how frequently are going to look at the data will talk about secondary and balanced measures.
Meredith Rodriguez: And it will have you put together a key driver diagram of your own.
Meredith Rodriguez: This is my aim starting, these are kind of the key drivers that will get me there and here's a few change strategies that i'm thinking about.
Meredith Rodriguez: so very much 31st you don't have to know which change strategy going implement just have an idea of maybe a few ideas that would work at your organization.
Meredith Rodriguez: And then come April and it's quick, this is April 7 so it's only two weeks later, but hopefully by that time you've had the ability to kind of VET.
Meredith Rodriguez: A few of these change strategy ideas with your small group and then really come to a decision on which one you're going to really decide to implement.
Meredith Rodriguez: And then make a prediction which you think will happen when you implement this change strategy.
Meredith Rodriguez: Sometimes, and more formal like Q I work as as as your hypothesis of just kind of predict what you think will happen and then we'll talk about your first pdsa cycle and.
Meredith Rodriguez: I know we haven't talked a lot about pdsa cycles, yet we will in March you're going to hit pdsa cycles pretty hard.
Meredith Rodriguez: But it's a plan do study act cycle is also part of the is a model for improvement, but doesn't sound, it was not as complicated as maybe a sounds as an acronym right there it's really is.
Meredith Rodriguez: What are you going to do so plan it out that's the p so let's essential steps that you're going to do to implement this who's going to be involved, what are they going to do when are you going to do it it's kind of like the WHO, the WHO what when where that sort of aspect.
Meredith Rodriguez: And maybe some potential risks that can affect implementation of this so that's going to be April and then may will be kind of.
Meredith Rodriguez: This is where maybe as we just talked about, we might need to get a little creative and maybe add some data that we can play with or some ideas.
Meredith Rodriguez: On what happened to maybe you haven't even got to implementing it so describing you know what happened when you implement in that change and maybe you're not there yet and that's Okay, you can maybe pick.
Meredith Rodriguez: Once again just talk about pretend something happened make something up, but just so you really work through this process.
Meredith Rodriguez: You know, and how did this compare to what you predicted would happen i'm also going to put one of these together.
Meredith Rodriguez: That has an example, already filled out for you, so you get an idea of kind of, and that will be entirely made up, so you can see kind of.
Meredith Rodriguez: How it goes through the process i'm talking about visualizing and presenting your results and then June.
Meredith Rodriguez: And they'll decide what to do next, you know, is this change strategy working I need to tweak it a little bit, am I going to adapt it go to work and then adopted a little better and going to abandon it.
Meredith Rodriguez: Completely and try a different change strategy and then really June June will be the last session and that's really going to talk about kind of.
Meredith Rodriguez: What have you accomplished so far, where do you want to go from here, what else can you do what's your plan, how are you going to sustain this kind of going back to greg's question on high kiki effort, going so.
Meredith Rodriguez: As you may notice it's not super detailed we're not asking you to put patient data here we're not asking you to put anything really specific to your institution So hopefully this seems approachable play it doesn't seem too hard.
Meredith Rodriguez: Because idea here is really to help you learn this process and help you work through a project it's not this isn't an exam it's not to test you on all of these it's really just to walk through it together.
Meredith Rodriguez: So those are the side look like I said they're here on the website on the right hand side you can download them right here, I will get the example put together and put up here.
Meredith Rodriguez: What else, am I missing incentives so i'm for physicians you're eligible for 25 MLC part four credits I just said MLC part for.
Meredith Rodriguez: who implement a plan and then.
Meredith Rodriguez: For some of our other.
Meredith Rodriguez: positions, this can be used as a clinical on your project, and so we are happy to provide a letter of support or any other documentation that you might need to go to your leadership and use this as a clinical hundred project.
Meredith Rodriguez: So let me.
Meredith Rodriguez: See if there's any more questions.
Meredith Rodriguez: Or, if anyone else for my team has anything to add about these two that i've not had enough and not padded.
Meredith Rodriguez: i'm going to take that as I did an awesome job and everything's crystal clear.
Meredith Rodriguez: You know, think.
Rachael Alter: You did an amazing job.
Meredith Rodriguez: I think Rachel.
Meredith Rodriguez: For those of you who maybe don't have the bandwidth right now to do phase two.
Meredith Rodriguez: march 3 will be the last session of phase one after that, if you're not moving on to phase two, you will get a certificate of completion from us.
Meredith Rodriguez: That doesn't have any you know see earring that's really just for you to show that you've completed it and then you'll also receive a little evaluation to complete for us to really help us learn how we can do better next time we offer this.
Meredith Rodriguez: Collaborative which will be fall of 2023 if everything goes as planned.
Meredith Rodriguez: So we will skip next year, because we have the mental and behavioral health collaborative as well as the disaster networking collaborative and bureaucracy version 2.0 but then in the fall of 2023 we do plan to offer this again.
Adelver Martin, CoSD EMS: Good morning, this is over, Martin.
Adelver Martin, CoSD EMS: When you hear me.
Meredith Rodriguez: Can I see.
Adelver Martin, CoSD EMS: A great answer Tony San Diego EMF time new to the organization, I was wondering if you can drop your email for so I can contact, I see here the p wg see at the Ms see improvements out Center and just click on that and it'll get to be able to receive from my question yep.
Meredith Rodriguez: That sounds right to me.
Meredith Rodriguez: So you are here is i'll put in the chat to see you don't have to do a bunch of please.
Adelver Martin, CoSD EMS: brilliant Thank you so much for that.
Meredith Rodriguez: yeah absolutely.
Making.
Meredith Rodriguez: me put the link to this in the chat too, if you guys want to come here and look click around.
Meredith Rodriguez: Any other thoughts questions it doesn't have to be on face to come just fill in time.
Meredith Rodriguez: can be on anything we've touched on so far in the collaborative or what upcoming collaborative look like and how you stay informed of those.
Meredith Rodriguez: The short answer, there is subscribe to our newsletter impulse newsletter.
Meredith Rodriguez: To think you could opt into and you register for this collaborative so that's where we announce.
Meredith Rodriguez: Any new collaborative coming out, and we also send any information regarding new collaborative still your msc post a program so you may see a partnership manager will.
Meredith Rodriguez: send out information regarding upcoming opportunities as well.
Meredith Rodriguez: Thanks take care.
Greg Edwards: Okay meredith oh i'll ask just another question, if I could sum or really more of a statement just correct me if i'm wrong it.
Greg Edwards: In my in my understanding of developing these the the smart aim and going through the process it it kind of seems to me like there's there's a bit of a little bit of research on on our part where we we go through, and almost develop an argument for.
Greg Edwards: The change strategy, and in doing so I envision that as being a way of.
Greg Edwards: Share sharing with other people, the need for for the change.
Greg Edwards: And even a reason, in a way to argue for maybe even funding from other sources to execute whatever the project is that we're trying to execute.
Greg Edwards: Not only just with this, but moving forward once we get more comfortable with the with the process, I mean, could you would you say yes that's true or.
Meredith Rodriguez: yeah.
Meredith Rodriguez: Oh, and when you're present absolutely and I guess yeah the way we've structured besides me kind of.
Meredith Rodriguez: Maybe jumped over that a little bit, but it's crucially important is to get buy in from your leadership and the rescue team on really what you hope to achieve and what really the need for it is.
Meredith Rodriguez: We have, I think, Kate and Rachel talked about this on the last training session is really about that communication and collaboration and really advocating for pediatric readiness and really, what can you use, and I think.
Meredith Rodriguez: You know, maybe you could put together, like a good one pager on on sort of the pediatric readiness.
Meredith Rodriguez: Evidence that's out there, that you can really pull to and point to like hey you know, only this percentage of kids that have.
Meredith Rodriguez: think it was like a long bone fracture you know actually get analgesics and so have you know, we need to really think about how we treat patients, how we treat our kids and do can we do better, and we talked about using a baby.
Meredith Rodriguez: Case example from within here says, but it's really about and Lewis is super good at this, I may let you talk about this a little bit about.
Meredith Rodriguez: How you really get gather support gained by in before you really and really assemble your team before you jump into kind of.
Meredith Rodriguez: What change, do we want to do, and you can have an idea, but I think that's really important part of having a team is that, together, you can really work on advocating for why this is important and why we need to do it.
Meredith Rodriguez: Absolutely step number one and then kind of evolving from there.
Louis Gonzales: um i'll add some some things Greg if you have a really good question up but it's actually.
Louis Gonzales: gets us into a broader area everything you spoke about this spot on and it's actually what most of us referred to you more as a.
Louis Gonzales: Part of a project charter, where you define a statement of work and a proposal.
Louis Gonzales: of gaining support for your particular project and then, once you define that, then you move into what we're talking about now, which is this specific improvement project so you're you're way ahead of us, but you're you're spot on.
Louis Gonzales: There are different ways of doing that they're fairly simple things that i've used before like one of them, you can research is pretty easy a Google it's.
Louis Gonzales: called an A4, which is a one pager that defines, why does this need to be done, and so you do a little research it's it gets its name from the fact that it's a specific.
Louis Gonzales: got which I page format format.
Louis Gonzales: keeps it to a very small portion of a page it's just so many words, you can put on it, but it allows you to do a real quick.
Louis Gonzales: Statement of work and proposal to give to those who are the decision makers.
Louis Gonzales: To then say yes, move forward with that and then you can move into a improvement project like like this if that's what you're defining in that so that's one way of doing it, but you're right, you have to do a bit of legwork to be able to.
Louis Gonzales: sell it and get some approval, because that's pretty typical in an organization is getting some approval, but there are different ways of doing that project charter is is is later step, but an A4 is one many people use.
Louis Gonzales: To do exactly what you just said so, if you need that approval that's a good way to do it.
Meredith Rodriguez: anyone else on the call is done that have you really know what tips and tricks, have you used to really garner support for a change i'm going to implement a project.
Michelle Moegling: You guys have incident reports or airports, but those are a great.
Michelle Moegling: place to start if you don't have a place where you can start if you have any pediatric patients and you guys have had a case come in the staff struggled sometimes that's a really good starting point to look at some of those.
Michelle Moegling: Looking at your equipment even doing just the national pediatric readiness checklist and seeing where do you have opportunities and looking at your pediatric volumes as well.
Meredith Rodriguez: This is should say to a few maybe unsure and where to start as Michelle mentioned pediatric readiness assessment is a great one to start a great place to start in a really.
Meredith Rodriguez: You don't know what that is is this national assessment that.
Meredith Rodriguez: We just rolled out last well there was a first generation in 2013 but the second iteration is filled out last August to closed last summer.
Meredith Rodriguez: And what that is is it's a national assessment of most of the country's emergency departments and What it does is takes you through a series of questions for you.
Meredith Rodriguez: check with maybe what you do and you don't have an idea, and you get what we call a pediatric readiness score and along with that score, if you took it back in August before the official close of this assessment, and you receive that was called a gap analysis and that really.
Meredith Rodriguez: told you kind of what areas you could improve in and the data from that assessment should be coming out soon so eventually you can look at how you compare to the rest of the nation on certain aspects, and that has been I think a great starting place for a lot of hospitals.
Meredith Rodriguez: There is a pre hospital version of that that is set to launch in 2023 correct me if i'm wrong Rachel.
Meredith Rodriguez: 2024 days point.
Meredith Rodriguez: That will be useful for be hospitals, but you can also go back through the environmental scan worksheets that we did each month.
Meredith Rodriguez: So, along with every learning session there was an environmental scan worksheet that you had a series of yes, no questions that helps you work through that area and identify opportunities for improvement.
Meredith Rodriguez: And the idea being that we did this each month, so that when we got to this point, you could go back and look at those worksheets and really remember what we did back in September and what were some of the areas that you were thinking about improving we're not topic was still fresh.
Meredith Rodriguez: If you want to go through those of you didn't have a chance to go through those now, and you can find them all on the website, let me share that show you ready to get one to look saying.
Meredith Rodriguez: Okay, so once again if you come back to you until you've known page.
Meredith Rodriguez: and come to our home page QA collaborative tech workforce development collaborative and you go here to the focus areas.
Meredith Rodriguez: scroll down, you can go to any of the different focus areas, so you want to go to equipment supplies and medication.
Meredith Rodriguez: can see the day flow diagram you can see, read the background, this was all in that PDF focus area guide as well, but right here on the right hand side and can download the environmental scan worksheet.
Meredith Rodriguez: So it looks like.
Meredith Rodriguez: So it takes you to the same questions that are in this flow diagram as you think about how to work through these I know that was kind of small it's also very good.
Meredith Rodriguez: So you can answer yes, no and then talk about there's some more probing questions here to help you think about each of these areas and more depth, so we need a place to start this is a good one to start thinking about kind of.
Meredith Rodriguez: Maybe what are some areas that you'd like to focus on.
Meredith Rodriguez: My show you can go back to the main page also show you all of the sessions slides and recordings are here with each other, focus areas we wanted to go to equipment supplies and medication and recordings are here, this will take you to YouTube, this is the chat.
Meredith Rodriguez: For all of them, you can download the slides from each session, right here on our website.
Meredith Rodriguez: Right i'm not seeing a whole lot of my questions does anyone have any burning questions they want to ask them not we could probably end a little bit early.
Meredith Rodriguez: don't have much else to share with you guys at this moment of free to remind you that learning session is coming up in a couple weeks next Thursday march third and to join us for our final session on quality improvement but give it a few more minutes if anyone has any questions.
Adelver Martin, CoSD EMS: hi Mary does this adelbert Martin again how do I sign up for that I apologize i'm new to the.
Adelver Martin, CoSD EMS: organization and i'm trying to figure out my way around.
Meredith Rodriguez: Oh sure so um when you registered in our system.
Meredith Rodriguez: All of your responses are tied to that initial registration, so I should have come as an email, and if you click on the link in the email it'll take you to the registration page.
Meredith Rodriguez: But if you email me if you don't see that email or you never got it email me and this PWD cms the improvement that Center and I can resend it to you.
Adelver Martin, CoSD EMS: Okay, I.
Meredith Rodriguez: Hope so good.
Adelver Martin, CoSD EMS: I just registered today so.
Meredith Rodriguez: Let me, I will make I will double check and make sure that it.
Meredith Rodriguez: got to get sent out to you because you want to make sure that it did.
Meredith Rodriguez: I will make i'll check on that.
Adelver Martin, CoSD EMS: Thank you so much for that.
Meredith Rodriguez: mm hmm and this probably feels a little bit overwhelming you didn't realize it kind of brand new so.
Meredith Rodriguez: If you have any questions, we can talk about it, you can even set some time to touch these need to.
Meredith Rodriguez: give you guys a.
Meredith Rodriguez: couple of minutes and, if not give me your day back.
Meredith Rodriguez: Alright well my emails in the chat send me an email, if you have any other burning questions and we can we can get it answered, but I thank you all for your time and joining us today and we'll see in a couple weeks on the quality improvement session.
Meredith Rodriguez: Thank you.