Optional: Add logos

 Foundation of new accreditation program  Results of investment in public health  Getting better all the time

Goal: To provide a foundation for (Insert LHD Name)’s quality improvement efforts Learning Objectives: - Understand the distinction between quality improvement and other, related activities - Understand the phases of a Plan-Do-Check Act cycle - Cite an example of a PDCA cycle undertaken by a local health department

“Quality improvement in public health is the use of a deliberate and defined improvement process, such as Plan-Do-Check-Act, which is focused on activities that are responsive to community needs and improving population health.

“It refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes, and other indicators of quality in services or processes which achieve equity and improve the health of the community.”

This definition was developed by the Accreditation Coalition Workgroup (Les Beitsch, Ron Bialek, Abby Cofsky, Liza Corso, Jack Moran, William Riley, and Pamela Russo) and approved by the Accreditation Coalition on June 2009.

Quality Assurance

       Reactive Works on problems after they occur Regulatory usually by State or Federal Law Led by management Periodic look-back Responds to a mandate or crisis or fixed schedule Meets a standard (Pass/Fail)

Quality Improvement

       Proactive Works on processes Seeks to improve (culture shift) Led by staff Continuous Proactively selects a process to improve Exceeds expectations

Evaluation

    Assess a program at a moment in time Static Does not include identification of the source of a problem or potential solutions Does not measure improvements   Program-focused A step in the QI process

Quality Improvement

      Understand the process that is in place Ongoing Entails finding the root cause of a problem and interventions targeted to address it Focused on making measurable improvements Customer-focused Includes evaluation

Topic Organization-wide Program/unit Improvement System focus Specific project focus Quality Improvement Planning Tied to the Strategic Plan Program/unit level Quality Improvement Goals Approaches Strategic Plan Baldrige Program Organization QI Council Individual program/unit level plans Lean Six Sigma Individual QI Teams Rapid Cycle PDCA

ABCs of PDCA

Plan – Do – Check vs.

Plan – Do – Study – Act – Act

Act Check/ Study Plan Do

Identify and prioritize quality improvement opportunities

www.adesblog.com/category/getting-things-done/

Develop an AIM Statement

    WHAT are we striving to accomplish?

WHEN will this occur (what is the timeline)?

HOW MUCH ? What is the specific, numeric improvement we wish to achieve?

FOR WHOM ? Who is the target population?

Develop an AIM Statement

 Statement #1: “We will improve the number

of hearing tests given by the health department.”

 Statement #2: “Between September 1 and

December 15, 90% of first grade students enrolled in the county’s schools will receive hearing tests.”

Describe the current process

Collect data on the current process

Identify all possible causes

Identify potential improvements

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Develop an improvement theory

IF…THEN…

scipp.ucsc.edu/theory/theoryhomepage.htm

Develop an action plan

 Implement the improvement  Collect and document the data  Document the problems, unexpected observations, lessons learned, and knowledge gained

 Analyze the results: was an improvement achieved?  Document lessons learned, knowledge gained, and any surprising results that emerged.

 Take action:    Adopt - standardize Adapt – change and repeat Abandon – start over  Once you’ve adopted – monitor and hold the gains!



Myth: QI is about weeding out the bad apples

 Truth: QI is about processes - series of steps or actions performed to achieve a specific purpose



Myth: If I don’t achieve my goal, I’ve failed

 Truth: When doing QI, there is no such thing as failure



Myth: All change = improvement

 Truth: All improvement = change

Aim: “Reduce new early syphilis

cases by 25 percent compared to the previous year.”

     Step 1 Step 2 Step 3 Step 4 Step 5 http://robertnoell.com/sales-training-blog/wp content/uploads/2008/12/steps-to-success.jpg