On December 12, 2016, 55 percent of clients have a recovery plan. Do these clients find the recovery plan helpful in meeting their recovery goals?
By June 1 2017, 90 percent of clients will report the recovery plan is helpful in meeting their recovery goals
EQIP Support to the Project
- QI coach: Laura Daly-Trottier
- Data Coach: Alexandra Clement
At CMHA Cochrane Timiskaming, they developed a documentation process called the Domain Oriented Recovery Record. When they were exploring their focus for a QI process, they knew they couldn’t tackle the entire documentation process, so they chose to focus in on the recovery plan (RP). They started by creating a run chart to look at the baseline data of how many clients have a recovery plan. They discovered that RPs were only in place for 55 percent of clients.
They wanted to gain insights from both clients and staff. Clients with RPs were an important part of the process. A survey of 21 clients confirmed that RPs are very important to the client’s recovery process. In fact, 100 percent strongly agreed or agreed that their RP was helping them meet their goals. Clients said things like “Excellent guide!”, “RP helps my anxiety.” “My RP helps me focus.” When a tool like an RP can elicit these kinds of reactions from clients, CMHA Cochrane Timiskaming’s commitment ensuring clients have RPs grew even stronger.
Their parallel process with staff, showed that staff had less confidence in the value and importance of the RP, with just over 60 percent of staff who agreed or strongly agreed that RPs helped clients meet their goals.
CMHA CT used a number of QI tools including the 5 Whys, Fishbone and Pareto, and ultimately identified three root causes:
- Lack of communication in the organization regarding the rationale for a Recovery Plan
- Lack of organizational accountability in ensuring 90 percent of clients have a Recovery Plan
- Lack of staff completing recovery plans.
Their change ideas are focused on supporting staff to consistently complete RPs with each client, and have offered workshops. Their post-recovery plan workshop showed that 30% of staff were still struggling with specific aspects of completing the plan, so the QI team is adding individualized support to address that challenge.
[sidenote]”The impact of this project has extended far and wide at this CMHA branch.”[/sidenote] According to the Kathy King, QI Team Lead, “Our clients play a major role in the development of our change ideas.” The impact of this project has extended far and wide at this CMHA branch. In fact, Clark MacFarlane, the Executive Director, has starting using a QI lens in everything they do, including the little things.
Omer Ducharme, the Executive Sponsor for the EQIP project, summed it up well, “We’ve always had a commitment to quality because we know the better we get, the better the services will be for our clients.” And that’s what it’s all about.