Transcript Making Improvements 1. What are we trying to accomplish

Process Improvement
Overview
Act
Plan
Study
Do
Key Questions for making
improvements
 What
are we trying to accomplish?
 How will we know a change is an
improvement?
 What changes can we make that will
result in an improvement?
Thomas W. Nolan, IHI
1. What are we trying to
accomplish?? (what is our aim??)
 Must
state a clear purpose or
direction for improvement
 Define when we have reached
Success
P-(Plan)
 Select
Process and identify the
opportunity
 Understand Current Process
 Identify all possible causes of
problem and which would have the
greatest impact
 Develop improvement action plan
Making Improvements
 IHI-4
Phases of improvement: Plan, Do,
Study, Act
 Combine PDSA Cycle of change with 3
questions
– Turns the ideas into actions
– Framework for connecting actions to
learning and thus the Model for
Improvement
2. How will we know a change is an
improvement?
(What are our measures?)
 Is
the change driven from the aim?
 Is the pt population defined?
 Does trending reflect progress?
 Are data available and can it be
measured frequently?
3. What changes can we make that
will result in improvement?
(What are our “actions”?)

Implement simultaneous small tests of change
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Faster improvements
Ability to troubleshoot problems earlier
Enc staff involvement
Lowers resistance to change
Utilizes resources wisely
Helps to make choices for successful process changes
Ultimately allows you to achieve and sustain aims
D-(Do)
 Implement
process changes on a
small scale
 Carryout action plans
 Monitor and report progress
 Collect and report data: Create
charts and diagrams
 Communicate project progress
S-(Study)
 Review
and evaluate the result of the
change
 Revise process as needed;
recommend changes
 Document project progress
A-(Act)
 Reflect
and act on what has been
learned from the pilot
 Communicate to stakeholders
 Revise policies and procedures as
needed
 Train, expand, document, and
celebrate milestones along the way.
100 Day Project Plan
 Commissions
leadership involvement
and support throughout the project
 Helps define goals, roles, and
success
 Helps hold the team accountable for
accomplishing it’s goals in a timely
manner.
100 Day Project Plan Cont.
 Works
on initiating the “spread” of
the project work to other sites
 Helps plan out the monitoring and
maintenance of improvements