Capturing Data - Capturing Data - Friend or FoeFriend or Foe

Regional QI Work Group Meeting Regional QI Work Group Meeting #3#3

DateDateFacilitator/Chair personFacilitator/Chair person

A BBC document developed by Orange County RPPC with Title V funding through CDPH/MCAH, 2010.

From Last Month. . .From Last Month. . .

MinutesMinutesDistribution of meeting evaluationsDistribution of meeting evaluations

Hospital QI Team Meeting Hospital QI Team Meeting ReportsReports

Who attended (discipline)Who attended (discipline)Topics discussedTopics discussedWhat went well?What went well?Lessons learned/do differentlyLessons learned/do differentlyNext steps/next meetingNext steps/next meeting

Plan, Do, Check, ActPlan, Do, Check, ActPDCAPDCA

P LAN• Developing a plan involves setting an objective;

identifying actions, responsibilities, timeframes;

and defining the method of and frequency of measurement.

D O• Teams implement or test the changes,

documenting any problems or unexpected observations.

Changes are tested before making widespread modifications to policy, procedures or systems.

C HECK• Teams review measurement results

and summarize the findings. A CT• Teams act based on the results of

the check. Often, another change is tried. Sometimes a change is implementing in a broader setting. The team will continue to monitor to monitor the change in order to determine that the improvement is being sustained.

PowerPower DanceDance

When to use PDCAWhen to use PDCA

As a model for continuous improvementWhen starting a new improvement

projectWhen developing a new or improved

design of a process, product or serviceWhen defining a repetitive work processWhen planning data collection and

analysis in order to verify and prioritize problems or root causes

When implementing any change

Overcoming Challenges in Overcoming Challenges in Collecting Data Collecting Data

Hospital experienceHospital experience

Sharing of Tools of the Sharing of Tools of the TradeTrade

PKU AUDIT FORM Month of ________________ Unit_____________

Medical Record #

Is PKU Complete?

Are Feedings Correct ?

Deficiency?

Today’s Date

Corrective Action

Total Met/not Met =%

Home WorkHome Work

Discuss w/QI CommitteeDiscuss w/QI CommitteeWhat data you will collectWhat data you will collectWhat tools you will useWhat tools you will useHow long you will collectHow long you will collectHow you will inform staff of plan and get How you will inform staff of plan and get

cooperationcooperation

Good Luck!Good Luck!