This session focused on recognizing and addressing the impact of change fatigue on staff, residents, and family members, to reduce the potentially negative effects on quality improvement efforts and the quality of care. Large and small group discussion opportunities allowed participants to explore strategies for building a culture of psychological safety that supports engagement to reduce the risk for change fatigue.

This document offers tools to support proactive ways health care providers can discuss advance care planning with their patients.

This session focused on how leaders can do positive leadership walkrounds and engage staff in similar behaviors to build trust and reduce the impact of change fatigue. Role play, breakout, and case study opportunities were provided for real world experiences that reinforce learning.

This recording discusses how social drivers of health are different in indigenous communities; primary social issues with the highest impact in indigenous communities; steps to take to implement a health equity program; assessing a patient's social needs in a way that is culturally respectful; and how to use EMRs to assess and document social drivers of health.

This session focuses on strategies and resources to help balance new quality improvement projects with others that are nearing completion (entering the sustainment phase). Participants have the opportunity to hear from peers on how they engage staff and medical directors/providers in the QAPI program during roundtable discussions. Also the use of Kamishibai cards to ensure improvements are sustained and for gathering data about sustainment will be introduced.

This session focused on implementation of the Kamishibai Cards (K Cards) to support implementation of new processes, as well as monitoring compliance with process implementation for real-time measurement and daily improvement opportunities. Participants explored how experiences with using K Cards can provide stories to share about their quality improvement journey and how they can provide a motivating vision for continued improvement efforts. Participants also learned and saw how K Cards can demonstrate a facility wide commitment to high quality care, continuous learning and opportunities to engage staff, residents and families in quality improvement.

This session discusses the importance of onboarding; the power of delegation; team building to promote trust, communication and collaboration; professional development activities to promote confidence, satisfaction and enhance performance; and ensuring employee health and wellness in the workplace.

The purpose of this quick guide is to provide facility staff with links to resources, tools and evidence-based practices to support hospitals in patient care across the care continuum.

At Indian Health Service (IHS), safety concerns and events are reported using the IHS Safety Tracking and Response (I-STAR) system. I-STAR is a tool that helps identify and correct system and process issues and unsafe behavior. This offers tips on using the system.

This session focuses on a processes and strategies for documenting the quality improvement journey, which includes maintaining an inventory of performance improvement projects (PIPs) over time and capturing successes and lessons learned during implementation to be shared with staff, residents, and families. Roundtable discussion will provide an opportunity to share and learn between peers about strategies to cultivate stories about the quality improvement journey. Participants will explore various options for celebrating and sharing these stories about their quality improvement journeys.