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Scottish Improvement Skills

Learn how to use a 2x2 matrix and Pareto chart to prioritize change ideas or drivers. This session covers the Prioritisation Impact/difficulty matrix and how to analyze and generate change ideas using Pareto charts.

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Scottish Improvement Skills

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  1. Scottish Improvement Skills Prioritisation

  2. System of Profound Knowledge Deming 2000

  3. Prioritisation • By the end of this session you will be able to: • use a 2 x 2 matrix (eg Difficulty vs Impact) to prioritise change ideas or drivers • Identify opportunities to use Pareto charts, and analyse Pareto charts to generate and prioritise change ideas.

  4. Prioritisation Impact/difficulty matrix Pareto chart

  5. Prioritisation Impact/difficulty matrix Pareto chart

  6. Matrix: impact vs difficulty

  7. Driver diagram Aim 1 Driver 2 Driver Change ideas A new healthier me! Lose 7 pounds by end July 2015 Cook evening meals from scratch Calories in meals Reduce portion size Calories in Calories in snacks Keep to shopping list Calories in drinks Replace biscuits/cakes with fruit Max 1 x juice or soft drink per day Calories in alcohol No alcohol Monday to Thursday Calories out Get up from desk to talk, instead of phone or email Work activity Use stairs not lift Leisure activity Walk to a daily step target Swim at least twice a week

  8. New, healthier me! Reduce portion size Swim twice / week No alcohol Mon – Thurs Keep to shopping list Cook from scratch 1 soft drink / day Increase steps Replace biscuits with fruit Use stairs at work

  9. Matrix: impact vs difficulty

  10. Prioritisation Impact/difficulty matrix Pareto chart

  11. What is a Pareto chart? 80:20

  12. When to use a Pareto chart • When you can categorise items that have the potential to contribute to the improvement you are considering • When you want to analyse data about the frequency of problems

  13. Access to primary care

  14. Primary care practice X: reasons given by patients for not attending

  15. Primary care practice X: reasons given by patients for not attending

  16. Primary care practice X: reasons given by patients for not attending

  17. Primary care practice X: reasons given by patients for not attending

  18. Central Hospital Ward F: Percentage of meals returned, by meal type (2013)

  19. Ward X: Adverse drug events - causes

  20. Hospital X: SAB cases by ward(SAB = Staphylococcus aureusbacteraemia)

  21. When to use a Pareto chart • When you can categorise items that have the potential to contribute to the improvement you are considering • When you want to analyse data about the frequency of problems • When you have at least 30 observations across the categories (vertical axis) • Consider: measure, period, existing data

  22. Pareto chart examples • For this project, what data could a Pareto chart be used with? • Which driver(s) or change idea(s) is this Pareto chart related to? • Which categories would you focus your improvement efforts on? • What action would you take based on this chart?

  23. Project work: prioritise • Would a Pareto chart be useful for your project? • If so, what data would you need, and how could you get it? • Use the Impact vs Difficulty matrix to identify your top priority for change.

  24. Prioritisation: summary Impact/difficulty matrix Pareto chart

  25. References and further resources Pareto chart http://www.ihi.org/resources/Pages/Tools/ParetoDiagram.aspx

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