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Plan−Do−Study−Act! Using the PDSA Cycle to Improve Your Performance Improvement Projects. March 18, 2014. Presenter: Christi Melendez, RN, CPHQ Associate Director, Performance Improvement Projects Health Services Advisory Group, Inc. Performance Improvement Principle. - PowerPoint PPT Presentation
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Slide 1
Plan−Do−Study−Act!Plan−Do−Study−Act!Using the PDSA Cycle to Improve Your Using the PDSA Cycle to Improve Your
Performance Improvement ProjectsPerformance Improvement Projects
March 18, 2014
Presenter:
Christi Melendez, RN, CPHQAssociate Director, Performance Improvement ProjectsHealth Services Advisory Group, Inc.
Slide 2
Performance Improvement Principle
• Your current systems and improvement strategies have resulted in your current outcomes.
• What you’re doing is getting you the results you have.
• To GET different results, you have to DO something different.
Slide 3
Selecting Changes
While all changes do not lead to improvement, all improvement requires change.
What changes can you make that will
result in improvement?
Slide 4
PDSA Cycle
Slide 5
Identifying Barriers
• Conduct an initial barrier analysis to identify possible barriers.
– Brainstorming and the “Five Whys”
– Fishbone Diagram
– Key Driver Diagram
Slide 6
Prioritizing Barriers
• Request data related to identified barriers.
• Evaluate whether data support barriers’ relevance.
• Rank barriers—from highest to lowest priority.
Slide 7
Plan Interventions
Development of Interventions
Avoid “Passive” Interventions•Mailers•Reminder letters•Newsletter articles•Postcards, flyers, and brochures•Updating Web site/portals•Robot calls
Slide 8
Plan Interventions (cont.)
Develop “Active” intervention(s) that directly address prioritized barriers and will impact indicator outcomes.•Face-to-face education efforts (enrollee and provider)•Outreach events—“boots on the ground”•Policy/process changes•Performance report cards•Incentive programs (enrollee and provider)
Slide 9
PDSA Cycle
• Develop a strategy to implement the interventions.
• Develop a plan to test the intervention (Who? What? When? Where? What data need to be collected?)
Slide 10
PDSA Cycle (cont.)
• Try the intervention on a small scale.
• Carry out the intervention as designed.
It’s better to do a few interventions well!
Slide 11
PDSA Cycle (cont.)
• Evaluate the effectiveness of the intervention.
• Analyze your results.
• What did you learn?
• What were the results compared to your prediction?
Slide 12
PDSA Cycle (cont.)
• Use what you learned from the evaluation/analysis.
• Refine or revise.
• Determine next steps.
– If successful, how will the intervention be rolled out on a larger scale?
– If unsuccessful, repeat the cycle.
Slide 13
What It Takes to Get Improvement
Improvement will not happen without these components:
WillIdeasExecution
Slide 14
Setting Goals
What are you trying to accomplish?
The goal should be “S-M-A-R-T”.
Specific
Measurable
Attainable
Relevant
Time-bound
Slide 15
Important Dates
DATE TASK
March 21, 2014Non-clinical PIP topics due to the Agency for Health Care Administration (AHCA) contract managers
May 20, 2014Quarterly Meeting—Tallahassee
May 21, 2014On-site, one-on-one technical assistance, as requested
August 1, 2014PIPs due to AHCA with first six activities completed (Study Design)
Slide 16
Questions