Aberdeen City

Format for Workstreams sessions• Introductions at your table• Improvement Bootcamp overview and other

improvement journeys• Components of a learning system – how does our

work stack up?• Workstream presentations – 30 mins each including

Q&A• Table top reflection on own learning and application

of improvement methodology

The Bootcamp Experience : from this…..

The Bootcamp Experience : to this……

Components of a Learning System 1. System level measures2. Explicit theory or rationale for system changes3. Segmentation of the population4. Learn by testing changes sequentially5. Use informative cases: “Act for the individual learn

for the population” 6. Learning during scale-up and spread with a

production plan to go to scale7. Periodic review8. People to manage and oversee the learning systemFrom Tom Nolan PhD, IHI

Workstream Breakout Day 2 Aberdeen

3rd. largest city in Scotland.

Population = 220, 420.

70, 198 are aged 0-25.

AberdeenThe economy is dominated by the Oil Industry.

Despite the healthy state of Aberdeen’s economy, the gap between the affluent and our most vulnerable citizens is evident.

Current project

Early intervention:

Allocation of Health Plan Indicator by

16 weeks of pregnancy

Why…

A Pathway of Care for Vulnerable

Families(0-3)

Initial Snap ShotTOTAL NO. OF CASENOTES

HPI - YES HPI - NO COMPARISON

Antenatal - 20

 

2 (10%) 18 (90%) Matched prediction

Postnatal - 40 

5 (12%) 35 (88%) Matched prediction

OVERALL TOTAL

7 (12%) 53 (88%) Matched prediction

Key wins in presented areas of workImproved communication

Improved understanding of GIRFEC

Improved social risk assessment in pregnancy

Earlier engagement with women and families

Development of Assessment Tools

Improved quality andCONFIDENCE

Key wins in presented areas of work

Key lessons

Leadership

Ownership from wider team

Workstream Leads capacity

Collaboration has to become the ‘norm’.

We need to grow our own Improvement Coaches

Be brave!

Key lessons

Developing Measurement - Key Wins

The initial snap shot

Real Time Data

Real time picture

Highlights what’s working well

Demonstrates whether the change was an

improvement

Developing Measurement - Lessons Learnt

Make data collection easy

Involve the frontline staff in design

Have a plan and don’t be afraid

Keep it simple!

Developing Measurement - Lessons Learnt

Results do the talking

Builds confidence

Engages others

Encourages ownership and accountability

Small scale delivers results

Testing – Key Wins

Test, Test, Test!

Study & Act QUICKLY

Be focused & persistent!

Invest time to reap rewards

Testing – Key Wins

Stay focussed and understand where

you want to be

Start small – don’t try to solve the worries of

the world

Don’t be distracted by others frustrations

Testing – Lessons Learnt

Test under different conditions

Spread

The ‘so what’ factor

The Next 3-6 Months…..

TABLE DISCUSSION• Who are individuals and/or teams currently

working on in this area? Are they currently using Quality Improvement methods/PDSA cycles to guide their learning?

• Reflecting on the emerging knowledge within this area, what are some potential tests of change you could run that might accelerate your work?