4 Introducing New Policy? Strategy AStrategy BForm the committee of expertsSpend at least 6 months and many hours developing the perfect solutionEducate all the staff over 2-3 daysImplement house-wide tomorrowLook for it in 12 months!“Stack the deck”1 doc, 1 nurse, 1patient, one PDSAReassess and learn from initial testRepeat, progressively increasing confidence in solution then….Test under varying conditions before….Spread
5 The Centers for Medicare & Medicaid Services QI is a "set of related activities designed to achieve measurable improvement in processes and outcomes of care. Improvements are achieved through interventions that target health care providers, practitioners, plans, and/or beneficiaries."6,7The Centers for Medicare & Medicaid ServicesQuality Improvement aims at “raising the bar” taking performance to a new improved levelPatient Safety aims at raising existing standards of care improving safety and process that already existThe focus need be on both ends
6 How do we know change is an improvement? “You can’t fatten a cow by weighing it”- Palestinian ProverbImprovement is NOT just about measurement……but you can’t improve something without measuring it!
7 The Improvement Skeleton Engaging CliniciansThe Model for ImprovementData Collection and AnalysisUnderstanding VariationReliable Design