4Introducing 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
5The 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
6How 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!
7The Improvement Skeleton Engaging CliniciansThe Model for ImprovementData Collection and AnalysisUnderstanding VariationReliable Design