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Quality Improvement Intervention tracking

February 7, 2018: Coaching Session. Quality Improvement Intervention tracking. Discussion for Today’s Session. Intervention Tracking ---------------------------------- Key Components in the process Develop key interventions to test Monitor and Refine based on what is learned

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Quality Improvement Intervention tracking

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  1. February 7, 2018: Coaching Session Quality ImprovementIntervention tracking

  2. Discussion for Today’s Session Intervention Tracking ---------------------------------- Key Components in the process Developkey interventions to test Monitor and Refine based on what is learned Adoptthe interventions that worked and now ..............Disseminatewhat led to improvement

  3. The Model for Improvement Model for Improvement 1 Establish your Aim Establish your Measures 2 Determine the Changes that you will test 3 Langley, et al., 2009

  4. Plan-Do-Study-Act (PDSA) Plan • Define the objective, questions, and predictions. • Answer the questions who, what, when, where? • Plan data collection Do • Perform the plan • Document problems and observations • Collect data and begin data analysis Study • Complete the analysis of the data • Compare to your predictions • Summarize what was learned Act • Adopt or abandon the change • Plan the next cycle • Decide whether a change can be implemented Langley, et al., 2009

  5. Developing Interventions Interventions are broadly defined as “purposeful efforts to secure positive change.”1 The goal of an intervention is “to improve the health and quality of life of patients or to maintain high standards of quality at lower costs.”2 or “to improve operations and standardize processes.” 1Portela, Pronovost, Woodcock, Carter, & Dixon-Woods, 2015 2Van Bokhoven, Kok, & Van der Weijden, 2003

  6. InterventionsDocumentation: Current State • Inconsistent use of the ‘interventions’ column in Smartsheet • Not used, improvement strategies are only documented in the ‘actions taken by the practice’ column • Inability to aggregate interventions across all plans • By milestone • By metric

  7. InterventionsDocumentation: Proposed State • Consistent use of the ‘interventions’ column with a concise description of the intervention • This may change as work is occurring • Can be updated with final intervention that achieved the milestone/aim of metric • Use the ‘actions taken by the practice column’ to provide specific details related to the process resulting in success • Qualitative account is valuable for learning

  8. Intervention DocumentationExample of Proposed State Collaborative Decision Making

  9. Intervention DocumentationExample of Proposed State Pneumonia Vaccinations

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