Transcript Quality Management - BVCOG

Using PDSA Cycles for
Quality Management
Brazos Valley Council of Governments
July 2010
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The PDSA Cycle
 Using information from the Data Review
Activity, or an example from your own agency,
identify a quality issue needing improvement.
 What improvement should be made?
 How will you implement these changes?
 How will you know the changes were
effective/brought about the change you wanted?
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The PDSA Cycle
The PDSA Cycle
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Plan
1. Clarify your Objective
2. Make a prediction
• Formulate theory
• Objective +
specificity
3. What is to be done
• Who
• What
• Where
• When
• How
The PDSA Cycle
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Plan: a New Adherence Screening Tool
 Objective: Determine how we can screen HIV patients
for issues that might affect their ability to adhere to their
medication regimen, in a way that won’t disrupt patient
flow
 Prediction: Adding a screening tool will allow us to
document % adherence rate for all patients, while adding
only 5 minutes to the average patient visit.
 Steps: Joanne and Sally researched and identified
possible tools that were reviewed by Sally and Dr. Smith.
They selected one tool for Dr. Smith to use with at least
three patients in the clinic on Thursday
 Necessary tasks: 1. Identify tool. 2. Copy tool and place
in patients' charts. 3. Dr. Smith will review instructions
for using tool. 4. Explain tool to patient. 5. Use tool
The PDSA Cycle
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Do
1. Carry out the plan
2. Document your
observations
• Expected
• Unexpected
3. Begin analysis
The PDSA Cycle
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Do: What Happened?
 Tool was used on
one patient
 Administration took
5 pages
 Added 35 minutes
to documentation
The PDSA Cycle
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Study
Complete
Analysis
Compare to
Predictions
Summarize
Results
The PDSA Cycle
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Study: Our Results (vs. Our
Prediction)
 Theory still holds
 Need to test more tools to
identify one that will work in
our clinic
 Therefore…
The PDSA Cycle
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Act
1. Adjustments
•
•
•
Changes to previous
test?
What adjustments?
Expand last cycle?
2. New cycles
•
•
The PDSA Cycle
What are you planning?
What are you going to
test?
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Act: What Will We Do (Based on
What We Learned)?
We will test two
different tools, each
with three patients,
by next Wednesday.
The PDSA Cycle
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Key Points
The PDSA cycle:
 Helps “test your
hunches”
 Adapt these changes to
your own environment.
 Start small
 Lead to more complex
cycles
Key Points
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References and Resources
 National Quality Center, Quality Academy
http://www.nationalqualitycenter.org/QualityAcademy/
 Texas Department of State Health Services, AA Review Tool
http://www.dshs.state.tx.us/hivstd/fieldops/EvalTools.shtm
 Institute of Medicine, Crossing the Quality Chasm: The IOM
Health Care Quality Initiative, http://www.iom.edu/CMS/8089.aspx
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