1 / 19

Quality Improvement Series Session 11 Own it! Windy Stevenson Cindy Ferrell

Quality Improvement Series Session 11 Own it! Windy Stevenson Cindy Ferrell. Today’s Agenda. YOU are relative experts. . Quality Improvement is not magic… It is equal parts skill, timing, luck, and willingness to be deep in the weeds. Just to remind you what you know.

ewa
Télécharger la présentation

Quality Improvement Series Session 11 Own it! Windy Stevenson Cindy Ferrell

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Quality Improvement Series Session 11 Own it! Windy Stevenson Cindy Ferrell

  2. Today’s Agenda

  3. YOU are relative experts. • Quality Improvement is not magic… • It is equal parts skill, timing, luck, and willingness to be deep in the weeds

  4. Just to remind you what you know • What factors will you consider when you select a QI project? Erin’s dog Pablo

  5. Project Selection • Do we have a problem? What is our problem? • Will fixing our problem improve quality? • IOM Dimensions- Safety, Timeliness, Equity, Efficiency, Effectiveness, Patient Centeredness • Is the outcome important? Why do we care? Why? Why? • To providers • To patients or families • Are we likely to be able to overcome foreseeable barriers?

  6. Project Selection, Continued • Is the project meant to improve an actual, observable process? • Is the process relatively stable (not already undergoing other major revision)? • Is it measureable? Numerator AND denominator? • Is it within our scope to make this change? • Is this reasonable? Is it focused enough to make success likely in our timeframe? • Does the cost of effort seem to be in good balance with likelihood of returns? • Are people already passionate or curious?

  7. The things you already know… • Once you pick a project, what model can you use as a guide?

  8. The things you already know… • What is important about your AIM (purpose statement)?

  9. Is your Aim Statement SMART? • SpecificYou are focused and intentional, NARROW. • MeasurableYou can prove you’ve had an impact • ActionableThere are no known insurmountable barriers • RealisticIt’s within your scope • TimelyYou’ll do it within a set time frame

  10. The things you already know… • What do you know about measurement in Quality Improvement?

  11. Measurement • POWER has a different meaning here. Measure just enough to understand and take the next step • Denominators matter, and are harder to capture • Maximize your system, but don’t underestimate the power of paper and pencil

  12. The things you already know… • What’s a PDSA cycle?

  13. PDSA • Plan, Do, Study, Act (over and over and over) • Fail. • What can you do next Tuesday?

  14. The things you already know • What do you understand about the concept of SYSTEMS? • How about Culture?

  15. Let’s say your dog keeps running into the street Changing behavior This works when there is no natural consequence (fence) This works in a system with immediate feedback (treats or shock collar)

  16. How do we create sustainable change? • Make the right thing the easy thing • Education is often necessary, but rarely sufficient • Engage leadership • Plan for ongoing measurement • Use rewards with caution • Maintenance is as importance as launch

  17. Quality Improvement makes the right thing for the patient easy and cost effective. It makes your job easier!

  18. One big PDSA that started last summer • ACGME requires that “residents participate in a quality improvement project” • We hypothesize that residents are crucial to the design and implementation of QI projects (we were right, of course) • Cindy identifies that individual projects are not sustainable • Model evolves to engage entire program in one longitudinal effort, providing noon time sessions to learn QI basics and move forward a project simultaneously

  19. Next Steps • We envision continuing the obesity problem list project until it has run its course • At that point we will either move deeper into this project, or select a new project • In the meantime, please help us get better

More Related