Facilitators play a key role for successful M&M rounds by organizing and moderating rounds for your clinical group and sharing information post-rounds.

The role of a facilitator is just as important post-rounds. Facilitators help to effect change by sharing bottom-line summaries with the participants at the rounds, your identified Clinical Governance structure, this may be a local-level clinical governance and/or C.A.R.E. network structure, and with the M&M Working Group.

Sharing issues and recommendations helps the organization to prioritize and action change, a concern identified locally may be echoed across the organization. Every voice counts.

How to Facilitate M&M Rounds

Follow these steps to get started.

Step One: Read the Island Health M&M Overview Guide for detailed instructions on how to facilitate rounds for your clinical group.

Step Two: Optional Schedule an onboarding session to review the overview slides and ask questions. These sessions will be offered as a 1:1 with the potential for future calendar sessions if there is interest from multiple groups. Contact MedStaffQI@islandhealth.ca to schedule your onboarding session.

Complete the Terms of Reference template and find a name for your group.

Step Three: Bring the M&M model to your group for discussion and review of the Overview Slide Deck.

Step Four: Schedule rounds and include inter-professional and multidisciplinary representation.

Step Five: Identify a presenter and provide guidance and support.

Step Six: Host the session, facilitating discussions, setting the tone for a blame-free environment, and fostering psychological safety for participants and the presenter.

Step Seven:  Collect bottom-line slides from the presenter and review/edit as necessary based on what was discussed during rounds. Have the original presenter review.

Step Eight: Share the final, de-identified bottom-line summaries with group members, nursing, allied health, and senior management.

Step Nine: Share what you would like to see happen and the final bottom-line summaries directly with your designated Clinical Governance structure (local-level and/or C.A.R.E. Network structure).

Step Ten: Aim to obtain feedback on the bottom line slide and recommendations from the Clinical Governance structure within 3 months. Please provide this feedback to your group at the next rounds.

Repeat Steps Four through Ten. M&M Rounds are required 3 times per year, but frequency will vary by group. 

	Resources for Facilitators: The Island Health M&M Overview Guide – for facilitators. Presentation Template M&M Overview Slides Morbidity and Mortality Rounds: Terms of Reference template
	M&M Rounds for Facilitators Infographic Island Health M&M Rounds: A Cycle for Change  M&M Rounds: What happens next?

Looking for additional information about M&M Rounds at Island Health? Navigate to one of our sub-pages to learn more.

	Return to the main Morbidity and Mortality Rounds webpage
	Visit the M&M Rounds Page for Presenters
	Visit the M&M Rounds page for What Works Rounds
	Visit the M&M Rounds Page for Attendees
	Visit the M&M Rounds at Island Health Resources page for quick links to supporting materials