What is performance improvement?

2. What is performance improvement? It’s an ongoing effort to find better ways of doing things. Performance improvement is about: Getting better results – The goal is to keep improving the quality of care provided to patients and their families. Involving the whole organization – To meet our improvement goals, all departments must work together. Improving work processes – This helps everyone do their best work.

3. Why should I learn about performance improvement? Because it helps: Patients and their families – Performance improvement helps ensure quality health care. Patients are more likely to enjoy better care and greater satisfaction. You and your co-workers – Continuously improving how you do things can lead to greater job satisfaction and more cooperation among staff. Your department and your organization – Performance improvement helps your department meet its goals and our organization meet its mission. Everyone benefits when our organization improves its performance

4. Some basic principles of performance improvement Customers come first – Customers may be external, such as patients and their families or internal, such as staff from other departments. Teamwork is essential– Performance improvement projects usually require cooperation among different departments. Learning to communicate and work well as a team can help projects go more smoothly. Every employee should be involved– Performance improvement depends on the participation of all staff. Performance improvement efforts are ongoing– A commitment to quality means always striving to make things better. The Joint Commission (TJC) has standards that require organizations to make ongoing efforts to improve performance. Ask your supervisor any questions you may have about Joint Commission standards.

5. Performance Improvement Model There is a planned, systematic approach to PI which is used throughout the entire organization. SEH uses the PDSA Methodology Plan- Develop your improvement project/study Do- Collect the data Study- Analyze the results of the data Act- Create action plans to improve the results PLAN DO ACT STUDY

6. PLAN • Things to consider: • Who are your patients/customers? • Why do they come to your department? • What processes do you use to generate results for your patients/customers? • Who are your competitors and what makes you better • (or worse)? • What topics were discussed at staff meetings?

7. DO • Things to consider: • Are your indicators worded concisely? • Have you set a goal for each indicator? • Is it based upon a rationale-Standard, benchmark, • past results, etc.? • Is your sampling technique adequate? • Are you reporting in percents? • Is your staff involved in data collection?

8. STUDY • Things to consider: • Explain and evaluate in ordinary terms what the overall results told to you. • What are the lessons you learned? • Compare your results to your goal. • Where will you be this time next year if you continue at this rate?

9. ACT • Things to consider: • What would have to happen for this problem to be solved today? • How can you eliminate variation and standardize processes?

10. The “Cost” of Quality Did you know that the expense of doing things the right way is typically 3-4%, but, the price associated with doing things wrong can account for a 20-35% reduction in revenues!!

11. SUPPORT THE MISSION, VISION, VALUES, AND STRATEGIC PLAN, ETC. ST. ELIZABETH HEALTHCARE’S PI INITIATIVES SUPPORT OUR MISSION, VISION AND VALUES AND………. Mission • PI Plan • Strategic Plan • Patient Safety Plan • Plan for Pt. Care • Patient Satisfaction • Physician Satisfaction • Staff Satisfaction • Internal/External Benchmarking • Required Measure Sets • Educational Needs Assessment • Joint Commission/CMS Standards • Policies, Procedures, Protocols • Scope of Care & Services Values Vision

12. You will learn more about specific performance improvement studies that you will be involved in from the manager of your department. If you have questions, please contact your manager or the Quality Management Department at 301-3857.