Transcript The Importance of Games in the QI Process

The Importance of
Games in the QI Process
April 16,2015
Kevin Garrett
NQC Senior Manager
Nanette Brey Magnani
National Quality Management Consultant
Jane Caruso
NQC Consultant
National Quality Center
Ground Rules
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Please type your questions into the chat room
Please do not put us on hold
The webinar will be recorded
If you need to leave the webinar for any reason you
can get back in following the same procedure
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Learning Objectives
At the end of this webinar you will:
• Understand the thinking behind the use of games
• Understand various learning theories
• Understand how use a game to illustrate a concept.
• Understand the roles of games in the quality improvement
arena and how to translate the lessons into application
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Let’s talk About Game Types
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Ice Breakers
Process Games
Boasting and Sharing games
Games of Diffusion
Games that teach skills in testing and making changes
Instructional Games: Teaching & Training
Team Building games
Games that teach measurement skills
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Ice Breakers
• Begins the process of building trust and respect if
participants have not worked together as a team
before
• Focus on introducing folks to each other….may
yield info about personal skill sets, past experience
or ice cream flavor preferences
• Promotes initial team cohesion by putting all
participants at ease
• These types of games are key to getting your project
off the ground
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Ice Breaker Example
The Skittles Game
 Respond to a question depending on the color
Skittle/s you get. ie Everyone with a red Skittle
answers the same question.
 Design the questions so they are appropriate to your
group or project, and assign a color to each
question.
 Examples:
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If you could move your facility to any location in the
world, where would it be and why?
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What is your biggest and still unachieved goal in
life/work….?
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Tell me something about yourself that I would never
guess to be true about you!
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Games to Help Understand Process
• Teaches that systems work only as well as they are designed
• These types of games help us understand the importance of
mapping the details in a process
• They help us become mindful of designing plans that are clear,
simply written, and concise, thus avoiding confusion or errors
• They will guide a common understanding of where a process
may bog down and where it works
• The game helps us understand how complex a process can
become
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Peanut Butter and Jelly Game
• Tips:
 Use props
 Divide into teams
 Choose a facilitator
• Remember: Each
system is perfectly
designed to get the
results it gets
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Boasting Games
Share and Highlight Accomplishments
• Use these games to shine your own stars
• These games should be played with several groups
of people, so that each group has the opportunity to
share their own successes and learn about the
successes of others
• These games may help groups realize the depths of
their own accomplishments and help them think
about ways to broadcast them to other audiences
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The Headliner Game
• Played when there are multiple groups or project
teams, or multiple subcontractors
• Ask each group to think of their most significant
accomplishment in quality improvement
• Ask each group to turn their QI accomplishment
into a catchy or attracting newspaper headline
• A representative from each group can come to the
podium, create a quick slide with their headline, and
then share it when everyone has completed their
task
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Examples From Past Headline Players
Like a Good Neighbor, The Cross Part is There!
State HIV Providers Learn From the Best and Share With the Rest
Survival of the Fittest!
Fit HIV residents of the City EMA are living into their 6th healthy decade!
A Diamond is Forever…So is a Collaborative
40 HIV programs statewide, commit to sustainability plan
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Diffusion Games
How Spread Happens
• How do you get new ideas to spread and catch on?
• How do you identify your early adopters and laggards?
• What happens when people consider pros and cons and
make decisions about project implementation?
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The Cell Phone Game: A Human Diffusion Curve
• Goal: Promote Patient Adherence to Medical HIV
Appointments
• I am going to give all of your patients free cells phones so can
call or text them about their appointments.
• Dole out the information on the next slide bit by bit.
• Ask providers to react to the information and move to a place
on the Human Diffusion Curve. Set up numbered areas in the
room such as:
No way this is
happening in my
clinic!
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I’ll watch & wait
until someone
else does it first.
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Hmmm…got to
think about this
a little more!
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OK, I’ll
follow your
lead!
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Woo Hoo!
Can we start
it today?
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Human Diffusion Curve
Provide the info and watch to see who adopts and who
rejects….and then ask WHY!
(Pros)
• The phone also has texting capabilities if you prefer to send your patients text messages.
You can send individual personal texts, OR mass “undisclosed recipient” texts with a date
but no appointment time.
• Comes with 24 hour technical assistance. You or your patient can call for help operating it
at any time and speak immediately to a live person
• Also has an alarm clock feature that can be set to remind the patient about medications
• Also has a GPS chip in it, so that if the phone is “lost” we can locate it or disable it.
(Cons)
• Although the cell phone itself is free, there is a 5 dollar monthly usage charge
• In order to get the phones, you must designate a staff member responsible for
communicating with the patients
• You must designate a staff member to measure how many calls are made and how many
patients come to the appointments, so we have a pre and post activity rate.
• You must have staff member on-call 24/7 to answer the patient’s phone if they have an
emergency
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Teaching and Training Games
If It’s Fun, They Will Come!
• These games are designed to impart information.
• These games should send folks home with an
improved knowledge base.
• Sometimes these games can be used as a pre-test to see
where folks are, and sometimes as a post-test to see
what was learned.
• They should be easy to play and fun!
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Jeopardy!
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Team Building Games
• These games are deigned to promote teamwork
• Completing the game requires input from all team members
• Team members contribute to the finished product or the game solution
according to their skill set
• The value lies in observance. An outsider can watch as natural roles
emerge among the participants:
A “Leader” will start to organize the activity
The “Naysayer” will announce that “its not possible to do”!
A “Cheerleader” will light the spark and flame the fire
A “Facilitator” will make sure everyone has what they need to do their part
A “Recorder” might keep track of activity or take notes or report on
progress
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Team Building Examples
Tower Construction Challenge
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Man on the Moon Game
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Games That Teach Measurement Skills
• Measurement is a critical component of QI. Data should drive
QI activity, so using games to teach measurement concepts is
truly beneficial.
• These games need to include some fun, as many people
struggle with numbers and math.
• These games should not be intimidating, but should teach a
concept applicable to participant’s HIV QI work.
• There are games to teach very basic measurement concepts as
well as games to addresses more complex concepts and higher
learning needs.
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The Red Bead Game
Variation and Causes of Variation
• Divide your group into 4 teams, or use 4 individuals
• The task is to determine the number of white beads in a box
of red and white beads in 5 minutes!.
• TEAM 1: Tries to count every bead in the box
• TEAM 2: Creates an estimate without ANY counting.
• TEAM 3: Pulls 20 beads at random, counts white beads and
projects an estimate for the whole box
• TEAM 4: Pulls 100 beads at random, counts white beads and
projects an estimate for the whole box.
• Report the actual number of beads….Who came closest?
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Games That Teach Skills in Testing & Making
Changes
These types of games may help you:
 Understand the PDSA cycle
 Decide which change to make in a process to improve it
 Understand resistance to change
 Work as a team to solve a difficult problem by developing
and testing a hypothesis
 Develop and expand on pilot tests
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The Tennis Ball Game
• Form groups of 6-8 persons, one of which
will be the QI officer. The rest represent steps in the patient
visit process. The tennis ball is the patient.
• Sitting/standing in a circle, the participants pass the ball to
each other, as different steps in the visit process. The ball
must pass to each participant. Time the process.
• Reflect on way to move the ball/patient thru the
process/office visit more quickly.
• Change the process, time it again.
• Continue to reflect, change, and time until you are sure it
cannot happen more quickly.
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Additional Game Resources
A gazillon available online!
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Additional Questions?
Kevin Garrett
[email protected]
Jane Caruso
[email protected]
Nanette Brey Magnan
[email protected]
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