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Quality Improvement: Putting It All On Paper --Small, Baby Steps--

Quality Improvement: Putting It All On Paper --Small, Baby Steps--. Candi Ramos, MPA/MHA candi.ramos@hsc.utah.edu, 801-585-6480 Quality Improvement Specialist, UPIQ. What is Quality Improvement?. Quality Improvement is an approach that enables clinicians affect changes in their

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Quality Improvement: Putting It All On Paper --Small, Baby Steps--

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  1. Quality Improvement: Putting It All On Paper --Small, Baby Steps-- Candi Ramos, MPA/MHA candi.ramos@hsc.utah.edu, 801-585-6480 Quality Improvement Specialist, UPIQ

  2. What is Quality Improvement? Quality Improvement is an approach that enables clinicians affect changes in their practices. The aim of Quality Improvement narrows the gap between what clinicians know and what they do.

  3. What is Quality Improvement? Every system is perfectly designed to give you exactly the results you get from it. In order to get better results that are sustainable, we must change the system.

  4. Act Plan Study Do Model for Improvement AIM What are we trying to accomplish? How will we know that a MEASUREMENT change is an improvement? What change can we make that will result in improvement? CHANGES

  5. Plan-Do-Study-Act (PDSA) • Test ideas that you think may create an improvement • Begin with a well-defined, manageable AIM statement (goal/objective) • Medical record reviews (chart audits) are an integral part of PDSA use in clinical practice • Become integrated into clinical practice

  6. A A A A A A A A A A A P P P P P P P P P P P S S S S S S S S S S S D D D D D D D D D D D RapidCycle Improvement A series of Plan-Do-Study-Act (PDSA) cycles … over time Things may get worse before they get better. Don’t give up! April 18th March 28th

  7. Start small…don’t take on everything at once SMALL, BABY STEPS Be Practical What Gets Measured Gets Done

  8. P P P P A A A A D D D D S S S S S S S S D D D D A A A A P P P P A A A A P P P P S S S S D D D D P P P P A A A A D D D D S S S S Multiple PDSA Cycles… can occur at the same time … and on … ! Referrals Medical Home Coordinator Family Partner Meetings &Huddles

  9. Remember to start with… SMALL, BABY STEPS

  10. A A A A A A A A A A A P P P P P P P P P P P S S S S S S S S S S S D D D D D D D D D D D Now let’s go to work making a plan for your newly created vision! April 18th March 25th

  11. In Quality Improvement we often talk about… Making a change by next Tuesday!!

  12. Act Plan Study Do Developing Changes – PDSA Cycles • Plan • Questions & Predictions • Who, what, where, when • Measurement • Do • Just do it! • Document problems and unexpected • observations • Study • What worked? What didn’t? • Compare data to predictions • Summarize what was learned • Act • Note what to do differently in the next cycle • Next steps

  13. A A A A A A A A A A A P P P P P P P P P P P S S S S S S S S S S S D D D D D D D D D D D RapidCycle Improvement A series of Plan-Do-Study-Act (PDSA) cycles … over time Things may get worse before they get better. Don’t give up! April 18th March 28th

  14. Make a change by next Tuesday!!

  15. Site Visit Schedule

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