IHI.org - A resource from the Institute for Healthcare Improvement
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Organization of Health Care:
Assign Day-to-Day Leadership for Continued Clinical Improvement
    1. Have the senior leader provide time for a day-to-day team leader to manage the initiative.
    2. Have the senior leader identify an enthusiastic and respected clinician to champion the work and the team.
    3. Gain the partnership and trust of the CEO and the Medical Director so that they will formally delegate authority to the team to make change.
    4. Select the improvement team and establish a regular meeting time.
    5. Engage administrative and clinical staff in the improvement project, so that people at all levels are aware of the improvements.
    6. Regularly evaluate the team process.
    7. Make maintaining the progress part of ongoing work.
    8. Consider making the team a "pilot" with plans to train other teams.

Tips
  • Ask the Medical Director to advocate for providing sufficient time for the day-to-day leader's work.
  • Choose a physician champion with the following characteristics:
    • Commitment to improve/change the system
    • Ability to articulate needs of team without alienating others
    • Willingness to be a team member, not the team
  • Have the team leader deal with day-to-day activity, so that the physician champion will not be overloaded.
  • Make support part of and participation in the improvement effort part of the annual evaluation for all staff.
  • Senior leader should set the expectation of spreading to other teams early; staff will be more willing to help because they will want help when their turn comes.