data for learning and improvement david m. williams, ph.d. institute for healthcare improvement
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Data for Learning and Improvement David M. Williams, Ph.D. Institute for Healthcare Improvement. Murder rate down compared to this time last year. Celebration. Despair. Three Considerations. Data Definition Date Collection Data Display. Data Definition. % child receiving assessments. - PowerPoint PPT PresentationTRANSCRIPT
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Data for Learning and ImprovementDavid M. Williams, Ph.D.
Institute for Healthcare Improvement
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Murder rate down compared to this
time last year.
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Celebration
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Despair
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Three Considerations
• Data Definition• Date Collection• Data Display
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Data Definition
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% child receiving assessments
Wait times
% of mom’s receiving pre-natal vitamins
% children in one clinic receiving assessment
# of books read% of meals with veg
Number of double smiles
PDSAs per week % parents rating 7 or greater for confidence
% of Mom’s screened for unhealthy habits
# of huddles per week
% Team members rate promise level
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Data Definition
How will you know a change is an improvement?
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Count =
Percentage = Rate =
Count
CountTotal 100
CountTotal Pop
100,000 population
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Data Collection
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Safety Cross
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Case Study
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Data Display
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Elements of a Run Chart
Se-ries1
160
180
200
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240
260
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300
320
LOS
(min
utes
)
2/16/11 3/16 4/13 5/11 6/8 Week
Mea
sure
Time
X (CL)~The centerline (CL) on a Run Chart is the Median
IG p.435
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Low Tech – Hand Written – Tester Owned
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% antenatal bookers eligible for Healthy Start in Leith (self report)(n=410; source Maternity Trak)
Monthly data
release
Monthly data
release
Leith Pioneer site work
started 3 March
Universal enquiry re HSComplete form
at booking appt
Team meeting
Leith Survey Monkey
Team meeting
and survey results
Focus on Trak docu-mentation
“Shift” on run chart (6+ points above median)
Median
Annotated
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Change Made Between Weeks 7 & 8
Before Change (Measure on Week 4) After Change (Meaure on Week 11)0
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5
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8
3
Del
ay ti
me
(hou
rs)
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Case 1
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9
10
Weeks
Del
ay ti
me
(hou
rs)
Cha
nge
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Case 2
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Weeks
Del
ay ti
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(hou
rs)
Cha
nge
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Case 3
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Weeks
Del
ay tm
e (h
ours
)
Cha
nge
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Case 4
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Weeks
Del
ay ti
me
(hou
rs)
Cha
nge
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Case 5
1 2 3 4 5 6 7 8 9 10 11 12 13 140
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9
Weeks
Del
ay ti
me
(hou
rs)
Cha
nge
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Case 6
1 2 3 4 5 6 7 8 9 10 11 12 13 140
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Weeks
Del
ay ti
me
(hou
rs)
Cha
nge
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Change Made Between Weeks 7 & 8
Before Change (Measure on Week 4) After Change (Meaure on Week 11)0
1
2
3
4
5
6
7
8
9
8
3
Del
ay ti
me
(hou
rs)
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Radar or Spider Diagram
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Radar or Spider Diagram
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10
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10
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Aggregate vs. Stratified
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Chinese Restaurant Demand Collection
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Monday Tuesday Wednesday Thursday Friday0
5
10
15
20
25
30
Tables per Day
Lunch Dinner
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Monday Tuesday Wednesday Thursday Friday0
5
10
15
20
25
30
Tables per day - Lunch
Monday Tuesday Wednesday Thursday Friday0
5
10
15
20
25
30
Tables per day - Dinner
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Breaking Down Data
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Final 2 Slides
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# of Run Charts per Storyboard
CPP Storyboards
# of
PD
SA C
hart
s
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Case Study – Improvers in action
https://www.youtube.com/watch?v=iWYIWE7SKcM