Clear-Cut Home Improvement Strategies - An Insightful Examination
Getting Started with Quality Improvement: CLeAR Kick-Off Event
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Transcript of Getting Started with Quality Improvement: CLeAR Kick-Off Event
GETTING STARTED WITH QUALITY IMPROVEMENT
CLeAR Kick Off Event October 2013
Improvement Basics
• Know your system – map it out
• Collect baseline data – how much of a problem is this?
• Get leadership awareness and approval – use data
• Form a multidisciplinary team – people in the process
Improvement Basics
• Use the Improvement Model to find out what works – SMALL TESTS of CHANGE
• Communicate widely your learning
• Spread proven changes/change principles to other areas
• Never stop learning and improving
Know Your System – How?
• Collect baseline data• Complete a process map with your
team • Understand your resident population
– Diagnosis – Behaviors – Others?
• Ask those you work with where are the biggest areas of concern?
Team Members• Identify team members–Process map • Who is a part of the process you are working to
change/improve?–Roles and Responsibilities–Don’t forget about the resident/caregiver!• Valuable insight and input
–Mental Health team
Team Members
Model for Improvement
What are we trying to accomplish?
How will we know that a change is animprovement?
What changes can we make that will result in improvement?
Act Plan
Study Do
Thinking
Doing
The Improvement Guide, 2nd ed.
Model for Improvement
What are we trying to accomplish?
How will we know that a change is animprovement?
What changes can we make that will result in improvement?
Act Plan
Study Do
Thinking
Doing
The Improvement Guide, 2nd ed.
AIM
CLeAR’s Aim Statement
To achieve a reduction in the number of seniors in residential care on antipsychotic medications
by 50% across BC by December 31, 2014 through a province-wide, voluntary initiative that
supports participating sites.
Model for Improvement
What are we trying to accomplish?
How will we know that a change is animprovement?
What changes can we make that will result in improvement?
Act Plan
Study Do
Thinking
Doing
The Improvement Guide, 2nd ed.
AIM
Measures
Model for Improvement
What are we trying to accomplish?
How will we know that a change is animprovement?
What changes can we make that will result in improvement?
Act Plan
Study Do
Thinking
Doing
The Improvement Guide, 2nd ed.
AIM
Measures
Test Ideas
“Plan Do Study Act” Cycle
• Power of the model – learning in action
• Trial and learn format• Small test of change• Increases degree of belief• Helps prevent resistance
PDSA• Plan– Be innovative– Develop ideas– Make predictions
• Do– Test the idea– Involve front-line staff• Use the 1:1:1 rule – one provider, with one
resident, on one day• Failure IS an option!
PDSA
• Study– Was the outcome as expected?– What did you learn?
• Act– Adopt, Adapt or Abandon
• Leads to implementation of successful ideas
Examples
• Test a transfer Medication Reconciliation form with the next resident who is sent to the ER
• Have an RCA attend a care review
• After an incident with harm – try a debrief on one case
Why Develop an AIM Statement?• Helps everyone to think through all
aspects of the work• Helps in team selection to make the
improvements• Keeps team efforts focused
What Makes a Good AIM Statement?
• Clear and Concise• Results oriented• Align aim with organization goals• Set numerical targets• Deadline• Include what will keep the team focused
Components of an AIM Statement
Direction
Process
Measure
Timeline
Focuses the team on improvement
Keeps the team on topic
Defines what success looks like
Ensures an urgency to continue
Examples
• Decrease the number of residents on a regularly scheduled antipsychotic by 50% by December 31, 2014.
• Decrease the % of residents on an antipsychotic to a target of 30% by December 31, 2014.
Information YOU Need – Setting Your AIM
• Understand your local facility/unit resident population– Diagnosis – Who it may be “appropriate” to be on
antipsychotics• Baseline % of residents who are on
antipsychotic (tied to CLeAR measures)
Questions?
After the Break:Your Team…Your Turn…Take Aim and Charter Your Course!