QUALITY IMPROVEMENT: Clinic Initiatives in Diabetic Care Fred Romm, MD, MPH Sandy Olsen, MS Judy Payne, MS CURE Confer

3. Session Goals Understand five features about quality improvement. Understand a basic Q.I. cycle. Develop three components of a proposed Q.I. Initiative. Understand common strategies for improving outcomes.

4. Quality Improvement Minimizes variation from performance standard. Differs from Quality Assurance. Links process to outcome. Engages those involved in the planning and decision-making. Employs cyclical steps. Features; Link to PDSA; How do you get there!!Features; Link to PDSA; How do you get there!!

5. PDSA Cycle

6. Goal Process focus Plan (short-term) Intervention Measurement Physician roles PLAN

7. Implement the Plan: ...both the Intervention as well as the Measurement components Physician roles DO

8. What did the intervention achieve? Is the intervention sustainable? Other lessons learned? Physician roles STUDY

9. Next steps � ... What changes are to be made re: this process ... Next PDSA cycle Physician roles ACT Discuss� then Transition� what happened at St Mike. Discuss� then Transition� what happened at St Mike.

10. St. Mike�s Example

15. The �P� of PDSA: your assignment

16. You comprise a PDSA team .... indicator - what, who, how, how often improvement strategy: - what, who, resources, how long Tell how much time, turn in worksheets? Will discuss plans after small grp work. indicator - what, who, how, how often improvement strategy: - what, who, resources, how long Tell how much time, turn in worksheets? Will discuss plans after small grp work.