Select a Strategy Determine the major cause(s) of the ethics quality gap and draw a or other “fishbone” cause-and-effect diagram: From multi-voting, the team determined the top cause(s) and rank order them based on those that contribute most to the ethics quality gap as identified by the team from the cause-and-effect diagram: Delay in process within Social Work is due to having to find a social worker to complete the consult. Delineation is unclear on who is to determine if patient wants information on updating or completing an advance directive (e.g., several staff ask patient same questions). Information provided to patient has a large amount of variation. Brainstorm possible strategies to address top cause(s): For each of the contributing top causes, the team identified 2 or 3 top strategies to address the gap: Delay in process within Social Work Identification of social worker Appoint social workers to specific primary care clinics Develop coverage schedule for primary care clinics Have clerk rotate consults throughout all social work staff Unclear delineation on who is to determine if patient wants information on updating or completing an advance directive Assign to clerk at check-in Med tech or nurse to address prior to provider Provider include this aspect with advance care planning conversations Information provided to patient has a large amount of variation Develop training tools (e.g., checklists) for social workers and others to use with patients and families Provide training for social workers or others so everyone has the same level of knowledge and skill.
Select a Strategy Determine the major cause(s) of the ethics quality gap and draw a “fishbone” or other cause-and-effect diagram: From multi-voting, the team determined the top cause(s) and rank order them based on those that contribute most to the ethics quality gap as identified by the team from the cause-and-effect diagram: Delay in process within Social Work is due to having to find a social worker to complete the consult. Delineation is unclear on who is to determine if patient wants information on updating or completing an advance directive (e.g., several staff ask patient same questions). Information provided to patient has a large amount of variation. Brainstorm possible strategies to address top cause(s): For each of the contributing top causes, the team identified 2 or 3 top strategies to address the gap: Delay in process within Social Work Identification of social worker Appoint social workers to specific primary care clinics Develop coverage schedule for primary care clinics Have clerk rotate consults throughout all social work staff Unclear delineation on who is to determine if patient wants information on updating or completing an advance directive Assign to clerk at check-in Med tech or nurse to address prior to provider Provider include this aspect with advance care planning conversations Information provided to patient has a large amount of variation Develop training tools (e.g., checklists) for social workers and others to use with patients and families Provide training for social workers or others so everyone has the same level of knowledge and skill.
advance_dir_storyboard_06162014.docx