Model for improvement
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Model for Improvement. Improvement Facilitator Training Session 1 Day 2. 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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Model for Improvement

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Model for improvement

Model for Improvement

Improvement Facilitator Training

Session 1 Day 2


Objectives

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


Three little questions can have a big impact

Three little questions can have a big impact!


Aim statement

Aim Statement

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?


Measurement plan

Measurement Plan

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


Change concepts

Change Concepts

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


Aim asap example

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.


Asap measures of process are we changing what we do

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


Asap measures of outcome are we getting the results we want

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.


Change principles based on literature and alberta scan

Change principles based on literature and Alberta scan

  • Standard documentation

  • Panel-based care coordination by team

  • Continuity of patient-provider relationship

  • Enhanced communication


Qi team assessment scale

QI Team Assessment Scale

We will use it to track our team’s progress toward improving their system


Summary

Summary

The model for improvement questions and PDSA cycles, when linked to evidence and team participation, accelerate improvement results.


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