Core Resource Teams
Core Resource Teams (CRT) served as the project management and governance council for the quality improvement initiative. As the group primarily responsible for leading organization-wide improvement, the CRT was a prestigious and highly visible role.
The CRT was responsible for developing policies and procedures to codify changes, as well as providing the internal training of front line clinicians, staff, and managers to ensure effective implementation and sustainability of changes. Monthly training sessions covered an INLP teaching topic (e.g. communication, project management), as well as a progress review of the quality improvement initiative and development of next steps to keep the project moving forward. During these sessions, the CRT reviewed test data, helped to design additional ways to test change, and assigned specific tasks. Through these activities, the Resource Team became the key link in embedding quality changes into standard hospital policy and everyday practice.
Finally, the Core Resource Team identified individual staff members to serve on the Unit-Based Deployment Teams. Resource Team members worked with the deployment teams to test innovation, perform process redesign, and embed changes in standard practice at the unit level.
Each CRT was comprised of 7-10 members, including:
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1-2 senior leaders
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1 data analyst
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3-5 front line clinicians (e.g. nurse, physician, pharmacist)
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Others as identified by each hospital
CRT Regular Sessions:
Regular, on-site sessions were held monthly, with at least 80% attendance rate. Regular session were 60 minutes and included:
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Data review by unit
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Organizational response to needs of the unit
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Decision making based on data
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Shorter sessions included only the CRT
CRT Expanded Sessions:
Expanded session were 1-2 hours:
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Each UTL reported out on successes, innovations, obstacles, needed resources or support
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Special Education Session (ad hoc)
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Organizational response to needs of the unit based on data
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Update data dashboard
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Conduct debrief
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Expanded session included the UTLs from all INLP units
Key CRT functions
Oversee Units:
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Direct and support Unit Teams (UT), and Unit Team Leads
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Assist UT with creating improvement on each unit
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Each CRT adopts a unit to “coach”
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Provides all resources as necessary to UTLs to make improvements on each unit
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Conducts regular (weekly) visits to each unit for “executive walk arounds”
Data Management:
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Collect bi-monthly data per unit
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Collect all related minutes per unit
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Collect at least 2 Tests of Change per unit per month
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Ensure data imported into excel data file
Project Leadership:
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Educate other members of the hospital
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Set tone and pace of improvement
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Day to day leadership of overall program
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Create a culture of honest sharing and truth seeking
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Advocate for INLP
