SLIDE 1
Quality Improvement Methodology
Beth Hickerson Quality Improvement Advisor September 18, 2017
Quality Improvement Methodology Beth Hickerson Quality Improvement - - PowerPoint PPT Presentation
Quality Improvement Methodology Beth Hickerson Quality Improvement - - PowerPoint PPT Presentation
Quality Improvement Methodology Beth Hickerson Quality Improvement Advisor September 18, 2017 WHAT IS QUALITY IMPROVEMENT? What is Quality Improvement? Quality Improvement is systematic and continuous action that lead to measurable
SLIDE 2
SLIDE 3
What is Quality Improvement?
3 Value Driven.Health Care. Solutions.
Quality Improvement is systematic and continuous action that lead to measurable improvement in: Outcomes Cost Efficiency Experience
SLIDE 4
What Quality Improvement is NOT
4 Value Driven.Health Care. Solutions.
Quality Improvement is NOT Quality Control Quality Improvement Quality Control Better Perfect “What could we do?” “What should we do?” Real, messy world Controlled environment
SLIDE 5
How does it relate to GLPTN?
Milestone 19 PCP/ 14 SPEC of the PAT “Practice uses an organized approach (e.g. use of PDSAs, Model for Improvement, LEAN, Six Sigma) to identify and act on improvement opportunities.” Phase 2 – The practice is beginning to incorporate regular improvement methodology to execute change ideas but the methodology has not been implemented in all areas. Phase 4 – The practice fully incorporates regular improvement methodology to execute change ideas.
5 Value Driven.Health Care. Solutions.
SLIDE 6
How does it relate to GLPTN?
Milestone 20 PCP/ 15 SPEC of the PAT “Practice builds QI capability in the practice and empowers staff to innovate and improve.”
Phase 2 – Practice is actively building QI capability within the practice through approaches such as including QI skills in
- rientation for all new staff and ensures that all staff participate in
QI training. Phase 3 – Practice has developed QI capability within the practice and empowers staff/providers to participate by allocating time for QI activities, including QI within defined job duties, recognizing and rewarding innovation and improvement.
6 Value Driven.Health Care. Solutions.
SLIDE 7
WHY IS QUALITY IMPROVEMENT METHODOLOGY IMPORTANT?
SLIDE 8
Quality Improvement gone wrong
8 Value Driven.Health Care. Solutions.
SLIDE 9
QUALITY IMPROVEMENT PRINCIPLES
SLIDE 10
The Building Blocks
10 Value Driven.Health Care. Solutions.
SLIDE 11
“Where there’s a WILL there’s a way.”
11 Value Driven.Health Care. Solutions.
No will = the hard way
SLIDE 12
Resistance to Change is Human
The greatest reason for resisting change is the human need for certainty. Change brings uncertainty, which leads to anxiety. Anxiety suggests that my existing paradigm is in danger. Our paradigms create our reality and we feel safe there. Source: www.derekhendrikz.com
12 Value Driven.Health Care. Solutions.
SLIDE 13
Building (Good) Will
Start with leadership (aka YOU!) Explain what – problem and vision Explain why – make the status quo uncomfortable and the possible attractive Identify and acknowledge objections Share WIIFM Clarify expectations Avoid punishment Acknowledge effort Reward innovation Share achievements
13 Value Driven.Health Care. Solutions.
SLIDE 14
The QI Secret
14 Value Driven.Health Care. Solutions.
SLIDE 15
“IDEAS come from curiosity.” –Walt Disney
Ideas Thoughtful conversation Most powerful tool in QI
15 Value Driven.Health Care. Solutions.
=
SLIDE 16
16 Value Driven.Health Care. Solutions.
Why you need a QI Team
Create good will and ownership with team members Team members become “buy-in” ambassadors “No decisions about me without me.” (not just for patients!) Many minds are better than one “Out of the box” ideas usually come from outsiders Good leaders know when to delegate Engage your “changers” Minimize discomfort on your “maintainers” Minimize and spread the work of execution
SLIDE 17
“EXECUTION is everything.” –Jeff Bridges
17 Value Driven.Health Care. Solutions.
SLIDE 18
Step I – What needs improvement?
18 Value Driven.Health Care. Solutions.
SLIDE 19
Step II – How can we improve it?
19 Value Driven.Health Care. Solutions.
SLIDE 20
Small Tests of Change Framework
20 Value Driven.Health Care. Solutions.
SLIDE 21
Adopt, Adapt or Abandon
21 Value Driven.Health Care. Solutions.
SLIDE 22
Repeat as Needed
22 Value Driven.Health Care. Solutions.
SLIDE 23
Smaller is Better
Small test change cycles are short:
- A single patient encounter
- An hour
- A day
- A week
Small tests of change increase the speed and impact
- f improvement work
- People are less resistant to “testing” than “changing”
- Fewer logistics and people to manage
- Problems can be corrected earlier and easier
23 Value Driven.Health Care. Solutions.
SLIDE 24
Record your Progress
24 Value Driven.Health Care. Solutions.
SLIDE 25
SUMMARY – IMPROVE THE WAY YOU IMPROVE
SLIDE 26
Change is hard…when it’s done wrong
OLD WAY NEW WAY Rush to solve Question the problem Leadership decides on solution Team discusses issue Run with first logical solution Gather ideas and analyze options Throw $ at the problem Invest time in a solution Spend as little $ as possible Research pros and cons Rollout full (theoretical) solution Run small tests of change Course-correct immediately Pause and learn from failure Throw baby out with bathwater Run, pause, learn, repeat Revert to original state Implement new solution
26 Value Driven.Health Care. Solutions.
SLIDE 27
Final Thoughts
Improvement can be a game rather than a burden
- Promotes communication, collaboration, problem-solving
Blame processes, not people
- Every system is perfectly designed to achieve the results
it achieves
Always better, never perfect
- “Perfection is the enemy of progress” – Winston
Commit to the process, not the outcome
- Avoid the tyranny of the urgent
Improvement is a journey, not a destination
- You can rest, but you can’t stop
27 Value Driven.Health Care. Solutions.
SLIDE 28
QUESTIONS? COMMENTS?
SLIDE 29
Contacts
Beth Hickerson, Quality Improvement Advisor
- bhickerson@medadvgrp.com
29 Value Driven.Health Care. Solutions.
SLIDE 30
NEXT MONTH
Creating Joy in the Workplace
October 17, 2017 at 11:30 a.m. at Soin Hospital, Kumar Conference Center