Heart failure is complex. To provide an integrated approach the Colloquium created the Four Domains of Heart Failure representing to the entire continuum of care:
By systematically analyzing the each domain individually, an array of strategic and tactical items required for success in each area was uncovered.Â These items were put into logical grouping and arranged in a hierarchical manner. They became the Heart Failure Milestones, discreet areas of achievement required for those hospitals who seek integrate their efforts more fully leading to pre-eminence in their market.
Carrying the analysis further, it was discovered that it was within the overlaps betweens the domains that the key differentiators emerged. This means that in the business of healthcare today, being the reigning expert in any given domain is no longer enough. It is how your organization integrates across all domains that is most important. This gives a decisive advantage to Colloquium members within a market and allows our approach to be flexible enough to for your hospital to tailor an approach that meets local needs and at the same time be rigorous.
A great deal of care goes into understanding milestone priorities leading to the selection process. The result is an accreditation improvement process that is founded not on supposition and speculation, but on a bedrock of thorough analysis and well-informed expert decision-making.
Selecting Your Milestones
The milestone strategy is a potent method that results in a clear vision of the future. Colloquium member hospitals have contributed over fifty Milestones related to heart failure. They represent the combined wisdom of all member hospitals. With the gap analysis complete, priorities established, your heart failure leadership team plans work that includes all four domains and focuses upon the fourteen milestones that best suit your hospital. Two milestones are chosen from each domain and the remainder at large. This high level of flexibility incorporates cross functional integration over all service lines in an unparallel manner. Development of your workplan comes through charter development.
Developing your Charter
All improvement work begins with a charter. Chartered work is extremely effective way to fast track improvement and a known characteristic of highly reliable organizations. The charter grants authority of the chartered group to work within the boundaries of the charter. Chartered work facilitates change in an organized manner. The Colloquiumâ€™s charter tool opens the door to creative problem solving as well as system change when needed. The charter tool funnels the wide ranging opportunity statement into a tightly worded scope of work followed by goal statements that are quantifiable. The charter is rounded out by an Action Plan created together with the coach and leadership team. The action plan included timelines/deadlines and responsibilities /accountabilities. With this level of development completed, the competencies and experts needed to successfully carry out the work become unmistakable. The effort is expanded throughout your hospital and others are added to your team.
Completing your Heart Failure Leadership Team
The HFLT core group can not accomplish everything themselves. A cadre of individuals need to work together to accomplish individual milestones and integration of your heart failure efforts. Providing the proper competencies to accomplish the stated objectives is mission critical. To emphasize the importance of this step each goal and task within the charter is mapped to at least one individual on the Heart Failure Leadership Team that has the competency to carry out the work. Some become members â€“ others are subject matter experts and participate on a prn basis.
Completing your Milestones
Milestone completion takes time. It can be as simple as documenting an existing process in preparation for the accreditation site visit or as complex as launching a new program. Not all milestones require the same amount of effort. The thoughtful and balanced approach during your milestone prioritization and selection process now pays big dividends. Your Colloquium coach is a good source of guidance as you work your way through milestone completion. It is common for small groups or teams to tackle an individual milestone and then integrate with the bigger group as work progress. To date Colloquium member hospitals generally complete the process leading to a site visit in the range of six to twelve months.