Qu Quality Imp mproveme ment 2.0: PDS PDSA Cy Cycles in A les - - PowerPoint PPT Presentation

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Qu Quality Imp mproveme ment 2.0: PDS PDSA Cy Cycles in A les - - PowerPoint PPT Presentation

Qu Quality Imp mproveme ment 2.0: PDS PDSA Cy Cycles in A les in Actio tion n Marci Brewer, Breastfeeding Program Manager Anna Corona, Program Manager Louisiana Department of Health Child and Adolescent Health Jennifer Young, Lynda


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Qu Quality Imp mproveme ment 2.0: PDS PDSA Cy Cycles in A les in Actio tion n

Anna Corona, Program Manager Child and Adolescent Health Lynda Krisowaty, Sr. Program Manager Evidence Based Practice Marci Brewer, Breastfeeding Program Manager Louisiana Department of Health Jennifer Young, School Wellness Policy Coordinator Oregon Department of Education Arianna Keil, MD , Quality Improvement Director, WI Department of Health Services’ Family Health Section

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Session Goal and Obje jectives

  • Overarching goal: To use an all teach, all learn

approach to grow our collective understanding of how to apply the model for improvement practically to the work that we do

  • Objectives:
  • Discuss two ways to apply the model for improvement

to our CHW CoIIN work

  • Strengthen the participants’ ability to problem solve

using the PDSA Cycle

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Before we ju jump mp in…

  • What do you remember about

quality improvement from the first Learning Session?

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Focus on quality improvement (QI) methods including rapid-cycle testing of changes and

  • utcomes

Common goals and benchmarks to define and measure changes Collaborative learning across multiple state teams

CoIIN M CoIIN Method

  • dol
  • log
  • gy

y

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Focus on quality improvement (QI) methods including rapid-cycle testing of changes and

  • utcomes

Common goals and benchmarks to define and measure changes Collaborative learning across multiple state teams

CoIIN M CoIIN Method

  • dol
  • log
  • gy

y

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CoIIN Aims ms

Increase by ___ % the number of schools/programs implementing components of the CSPAP model Establish at least ___ (number) new policies or practices that address social and ecological barriers to breastfeeding Innovatively integrate nutrition into Title V MCH Block Grant and other MCH programs

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Focus on quality improvement (QI) methods including rapid-cycle testing of changes and

  • utcomes

Common goals and benchmarks to define and measure changes Collaborative learning across multiple state teams

CoIIN M CoIIN Method

  • dol
  • log
  • gy

y

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Qu Quality Imp mproveme ment and and CoIIN CoIIN

“All improvement is change, but not all change is an improvement.”

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Qu Quality Imp mproveme ment Methods

  • 5 Whys, Fishbone
  • Impact Matrix, Prioritization Matrix
  • PDSA Cycles, Model for Improvement
  • Lean/Six Sigma

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Why Use Imp mproveme ment Cycles?

10 https://www.goodhousekeeping.com/home/craft- ideas/g2638/hilarious-pinterest-diy-fails/?slide=24

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Ra Rapid Cy Cycl cles es of Ch

  • f Change

e

Wide-Scale Tests of Change Hunches Theories Ideas Changes That Result in Improvement

A P S D A P S D D S P A

Very Small Scale Test Follow-up Tests Implementation of Change

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Making Qu Quality Imp mproveme ment Effective

  • Identify root causes

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Making Qu Quality Imp mproveme ment Effective

  • Prepare for the change
  • Collect baseline data before you start
  • Identify QI champions to support the QI process and

any subsequent changes implemented

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Making Qu Quality Imp mproveme ment Effective

  • Document, learn from, and share your process
  • Learn from what doesn’t work
  • Document your process
  • Celebrate successes!

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Making Qu Quality Imp mproveme ment Effective

  • Thinking with the end in mind
  • Long-term process
  • Ensure overall performance is improving

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Hunches Theories Ideas Changes That Result in Improvement

A P S D A P S D D S P A Process and Balancing Measures Outcome Measures Repeated Use of the PDSA Cycle and PDSA Measures: Often qualitative

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All ll Teac each. h. All ll Lear Learn. n.

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PDS PDSA Cy Cycles les

Act Plan Study Do

  • Objective of cycle
  • Questions/predictions
  • Plan to carry out the cycle

(who, what, where, when)

  • Carry out the plan
  • Document problems/

unexpected

  • bservations
  • Begin analysis of

data

  • Complete the

analysis of data

  • Compare data to

predictions

  • Summarize what

was learned

  • What changes are to

be made?

  • Adapt? Or Abandon?
  • Next cycle?
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Ro Robust Testing

  • 4. Implementation

testing

  • 1. Early tests are simple

and designed to learn then succeed

  • 2. Then test over a variety of

conditions to understand scalability and identify weaknesses

  • 3. Later tests are

designed to predict and prevent failures

A P S D A P S D D S P A A P S D D S P A

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PDSA Cycles – – Gr Grou

  • up R

Reflect ection

  • n
  • How did you use PDSA cycles?
  • What changes did you test?
  • What worked well? What didn’t?
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PDSA Cycles – – Gr Grou

  • up R

Reflect ection

  • n
  • Choose one PDSA cycle

you completed

  • What did you hope to

accomplish? (Prediction)

  • What did you learn?
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PDS PDSA EX EXAMPLE MPLE-

  • Br

Brea eastfeed eeding

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www.chawisconsin.org Children’s Health Alliance of Wisconsin

TESTS of CHANGE

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www.chawisconsin.org Children’s Health Alliance of Wisconsin

PLAN (& Predict)

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www.chawisconsin.org Children’s Health Alliance of Wisconsin

DO, STUDY, ACT

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PDS PDSA EX EXAMPLE MPLE-

  • Ph

Physic sical A al Activity tivity

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PDSA

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St Start art with with the the Willing! Willing!

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Rule of 1! Start small!

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PDSA Test Size

Current Situation

Staff Readiness to Make the Change Resistant Indifferent Ready

Low Confidence that current change idea will lead to Improvement

Cost of failure large

Very Small Scale Test Very Small Scale Test Very Small Scale Test

Cost of failure small

Very Small Scale Test Very Small Scale Test

Small Scale Test

High Confidence that current change idea will lead to Improvement

Cost of failure large

Very Small Scale Test

Small Scale Test Large Scale Test

Cost of failure small

Small Scale Test Large Scale Test Implement

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Jus Just t St Start! art!

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Measur Measure e

Useful, not perfect, data

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Ke Keep on ke keepin’ ’ on n

Guide your PDSA’s with Prediction and Scope

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Summa mmary

  • Quality Improvement can look different

in different settings

  • Importance of measurement and

documentation

  • Create a culture of improvement
  • Share seamlessly, steal shamelessly!
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Re References and Re Resources

  • Top 10 Problems Encountered By Quality Improvement Teams. (2010,

December 7). Retrieved from http://www.phf.org/phfpulse/Pages/ Top_Problems_Encountered_By_QI_Teams.aspx

  • Barriers to Quality Improvement. Retrieved from

http://www.cqeacademy.com/cqe-body-of-knowledge/management- and-leadership/barriers-to-quality-improvement/

  • HRSA. (2011, April). Quality Improvement. Retrieved from

https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/ qualityimprovement.pdf

  • Quality Improvement Tool Summary Sheet. Retrieved from

https://www.mchnavigator.org/transformation/documents/QI/ Summary%20of%20QI%20Tools.pdf

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Qu Questions?

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Brain Booster

https://vimeo.com/276993503

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Team m Time me Considerations

  • What is one thing that you can utilize

in your work going forward?

  • What can you test by Tuesday?!

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