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HEALTH CARE SYSTEMS

HEALTH CARE SYSTEMS. Every system is perfectly designed to achieve exactly the results it gets. 133 People to take care of the patient. The Patient. The Healthcare Process. Avedis Donabedian (1919 – 2000). Introducing New Policy?. Strategy A . Strategy B. Form the committee of experts

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HEALTH CARE SYSTEMS

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  1. HEALTH CARE SYSTEMS Every system is perfectly designed to achieve exactly the results it gets

  2. 133 People to take care of the patient The Patient The Healthcare Process

  3. Avedis Donabedian (1919 – 2000)

  4. Introducing New Policy? Strategy A Strategy B • Form the committee of experts • Spend at least 6 months and many hours developing the perfect solution • Educate all the staff over 2-3 days • Implement house-wide tomorrow • Look for it in 12 months! • “Stack the deck” • 1 doc, 1 nurse, 1patient, one PDSA • Reassess and learn from initial test • Repeat, progressively increasing confidence in solution then…. • Test under varying conditions before…. • Spread

  5. How do we know change is an improvement? “You can’t fatten a cow by weighing it” - Palestinian Proverb Improvement is NOT just about measurement… …but you can’t improve something without measuring it!

  6. The Improvement Skeleton Engaging Clinicians The Model for Improvement Data Collection and Analysis Understanding Variation Reliable Design

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