model for improvement improvement facilitator training session 1 day 2
TRANSCRIPT
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Model for Improvement
Improvement Facilitator Training Session 1 Day 2
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Objectives
• Introduce you to a model that supports quality improvement efforts
• Illustrate the use of the model• Apply the model to ASaP• Anticipate how this model can serve
us when we are working with primary care
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Three little questions can have a big impact!
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What are we trying to accomplish?
– Test … is it specific enough that we will know exactly when we’ve succeeded?
–Would our patients recognize it as a worthy aim?
Aim Statement
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How will we know that a change is an improvement?
• when we want new results for our patients … outcomes
• we have to change our practice behaviours … process
• And watch for any unintended negative effects … balance
Measurement Plan
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There are proven change concepts that have been shown to impact many improvement efforts …
• Review evidence and CPGs• Gather qualitative and quantitative
information to identify gaps in your system
• Successful improvement projects done elsewhere
Change Concepts
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Aim ASaP Example
The Blue Meadow Clinic team will increase offers of selected screening maneuvers to patients targeting strategies on those who don’t self-present for screening. The aim is to increase the rate of patients who receive offers of screening from our current baseline of 70% to 85% by October 31st, 2013.
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ASaP Measures of process; are we changing what we do?
Process 1: Reliability of documentation of offers of screening, daily sample from outreach and/or opportunistic patient charts
Process 2:Reliability of daily huddles that include reminders for opportunistic screening, weekly
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ASaP Measures of Outcome;are we getting the results we want?
Outcome 1: Number of eligible patients seen each week who were offered opportunistic screening.
Outcome 2: Number of eligible patients contacted each week through outreach and offered screening.
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Change principles based on literature and Alberta scan
• Standard documentation • Panel-based care coordination by
team• Continuity of patient-provider
relationship• Enhanced communication
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QI Team Assessment Scale
We will use it to track our team’s progress toward improving their system
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Summary
The model for improvement questions and PDSA cycles, when linked to evidence and team participation, accelerate improvement results.