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PDSA

PDSA. Valerie Jackson Quality Program Manager. P. lan. D. o. S. 3. tudy. A. ct. 2. SDSA. 3. Global Aim. 1. Improvement Ramp. A. P. S. D. A. P. D. S. Measures. A. P. Change Ideas. S. D. 1. PDSA. Specific Aim. Global Aim. Theme. Assessment. 2.

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PDSA

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  1. PDSA Valerie Jackson Quality Program Manager

  2. P lan D o S 3 tudy A ct 2 SDSA 3 Global Aim 1 Improvement Ramp A P S D A P D S Measures A P Change Ideas S D 1 PDSA Specific Aim Global Aim Theme Assessment 2

  3. Model for Improvement Act Plan Study Do AIM What are we trying to accomplish? How will we know that a change is an improvement? MEASUREMENT What changes can we make that will result in improvement? CHANGE IDEAS

  4. The PDSA Cycle Act Plan - Objective - Questions and predictions (why) - Plan to carry out the cycle (who, what, where, when) -What changes are to be made? - Next cycle? Change, Keep or Toss? Study Do (small scale) • - Complete the • analysis of the data • - Compare data to • predictions • - Summarize what was • learned - Carry out the plan - Document problems and unexpected observations - Begin analysis of the data 4

  5. Describe objective & specific change Identify possible “upstream/downstream” impact Communicate plan-get everyone in the game Specify where it fits into process flow Who, does what, when, with what tools and training Data collection plan: who measures what and displays how and where Small sample/short period of time P lan D S A 5

  6. Carry out the detailed plan Document problems and unexpected observations Gather the data Provide support Huddle before, midway and after the test of change – keep notes Encourage debriefs end of day D o P S A 6

  7. Debrief at end of test of change What went well? What could be improved? Lessons learned Compare the test results to your predictions Summarize and reflect on what was learned Seek usefulness, not perfection Tracking a few key measures overtime is the single most powerful tool a team can use S tudy P D A 7

  8. A ct P D S Are modifications needed? Yes… • Plan for next test • Adapt what didn’t work • Include a variety of conditions: try changing sample size, testing with different providers, or changing the day of the week that you test No…. • Develop implementation plan and move toward SDSA STANDARDIZE/Do/Study/Act 8

  9. PDSA Cycles A P S D D S P A A P S D A P S D Changes That Result in Improvement DATA Hunches Theories Ideas

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  12. PDSA SDSA Standardize Experiment 12

  13. Team Exercise (60 Minutes) • Assign meeting roles and draft agenda • Review PDSA worksheet and handouts • Draft Plan for Weekly Improvement Team Meetings (PDSA #1) • Discuss ideas (who, when, where, etc.) • Draft Plan • Draft Plan for First Test of Change (PDSA #2) • Discuss change ideas • Agree on one test to try • Plan first test of change • Evaluate the meeting 13

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