QI QI & & PDSA f PDSA for or Publ Public c Heal Health - - PowerPoint PPT Presentation

QI QI & & PDSA f PDSA for

• r Publ

Public c Heal Health h

Debra Tews, MA Michigan Dept. of Community Health PPHC Pre-Session Bay City, MI 10/26/2010 Pla Plan Do Study udy Ac Act

 A brief overview of

QI including PH definitions for Quality and QI

 An intro to PDSA

from Michigan’s Quality Improvement Guidebook

 An intro to QI tools

To Today’s Fo Focus

Wha What i is Qua uality in Public He Heal alth?

“Quality in public

health is the degree to which policies, programs, services and research for the population increase desired health

• utcomes and

conditions in which the population can be healthy.”

Public Health Quality Forum

So Ho

• How Ca

w Can n One De e Define Qua uality Imp mprovemen ment for

• r P

Publ blic He Heal alth?

Use of se of a a del delibe bera rate e and and def define ned i improv provement proc process, such such as as Plan an-Do Do-Check eck [ [St Study] dy]-Act Act, which is focused on activities that are responsive to community needs and improving population health. It refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability,

• utcomes, and other indicators of quality in services
• r processes which achieve equity and improve the

health of the community. Accreditation Coalition 2009

Why Why QI i in P n Pub ublic He Health? h?

QI QI Ca Can:

Reduce costs and

redundancy

Eliminate waste Streamline

processes

Enhance ability to

meet service demand

Increase customer

satisfaction

Improve outcomes

Tough

• ugh Econom

conomic Times es Requi equire re a a Differen ent A Approac pproach!

Is it QI or is it QA?

Quality Improvement GOES BEYOND Quality Assurance!

Doing Both?

 QUALITYASSURANCE relates to Monitoring & Compliance.

It GUARANTEES quality. Standards met? Deficiencies corrected? QA is . . . . . reactive!

 QUALITY IMPROVEMENT relates to Learning & Improving.

It RAISES quality. Quality can’t always be assured. Ongoing efforts to identify

• pportunities for improvement are needed. QI relies on

measurement & data-driven decisions to improve outcomes. QI is . . . . . proactive!

Princ ncipl ples es o

• f QI

From the Public Health Memory Jogger Pocket Guide of QI Tools:

 Develop a strong customer focus  Continually improve all processes  Involve employees  Mobilize both data and team knowledge to

improve decision making

Th Thre ree K Key Questions ! !!!

• 1. What are we

trying to accomplish?

• 2. How will we know

that a change is an improvement?

• 3. What changes

can we make that will result in improvement?

Change nge Vs. I Improv

• vem

ement ent

Edwards Deming: Of all changes observed, about 5% were improvements, the rest at best were illusions of progress! To move beyond illusions of progress, a QI method (PDSA) and QI tools are needed. Embracing Quality in Local Public Heath: Michigan’s QI Guidebook explains the PDSA method and suggests tools.

Sna naps pshot: P Plan an-Do Do-Study-Ac Act (PD (PDSA) SA)

Pla Plan Do Study udy Ac Act

Some C Common To Tools o

• f QI

 Process Mapping  Cause and

Effect/ Fishbone Diagrams

 Five Whys  Run Charts  Pareto Charts  Check Sheets

Understand Your Process & Make Sense of Your Data!

QI: A Assembling the he P Pieces

 Listen to LHD customers  Use data to make data-

driven decisions

 Continually improve

processes in your LHD

 Use recognized QI

methods and tools

 Work together; a team

approach is best.

 Ask the 3 Key Questions!

What D Do Users Say?



“We now have staff eager to use the same tools/methods to evaluate performance and make improvements in

• ther areas of our work” MLC-3 LHD



“The PH focus of the Guidebook helps with the application of QI methods; it becomes ‘real’ for participants . . . we can ‘look through our public health windows’” Allegan LHD



“For any PH agency interested in learning QI and how PH can apply these principles/methods, I would recommend they start with this Guidebook” Saginaw LHD



“The Guidebook has been a road map for

• ur team as we navigate our way down

this new path of improving our processes” MMDHD

“I re “I refe fer to to th the Gui uide debo book

• k of
• ften

n ev even en though hough I I know now t the s he steps eps” MI Me MI Mento tor

Th There’s More re . . . . .

 “The Guidebook has been

incredibly useful for QI work, serving as the primary textbook for teaching QI throughout the department” MI Mentor

 “The Guidebook helps with

capacity building . . . it would not be possible to spread QI methodologies easily without it” Muskegon LHD

 “The Guidebook is used in our

QI meetings as an effective discussion and clarification tool; it generates comfort levels” Allegan LHD “The he Guidebook debook is the he gl glue ue that hat hol holds the he whol hole ef effor

• rt

toget ethe her” MI Consul ultan ant

QI Res Resources f es for Pub ublic He Health

www.accreditation.localhealth.net and www.phf.org

Another Resource for r QI To Tools

 http: / / www.langfordlearning.com