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Kim Marr & Reitai Minogue General Practice & Service Improvement Integrated Care Branch. The PDSA chronic disease incentive project. The PDSA model for improvement. Evidenced-based Proven & result-oriented Practical approach which allows sustainable changes to be embedded over time
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Kim Marr & Reitai Minogue General Practice & Service Improvement Integrated Care Branch The PDSA chronic disease incentive project
The PDSA model for improvement • Evidenced-based • Proven & result-oriented • Practical approach which allows sustainable changes to be embedded over time • Based on the collaboration methodology – sharing ideas and learning from others
The Improvement Model • Preliminary work • Step 1 • Identify and define the problem • Step 2 • Review data to understand activity and performance • Step 3 • Engage others to be involved in an improvement team • Step 4 • Complete baseline diagnostic work • Use: • Problem solving • Drilling down • System mapping Act to adjust plan for the next cycle Plan the test Do it and document results Study the results
Accumulating information and knowledge ACT ACT ACT ACT PLAN PLAN PLAN PLAN STUDY STUDY STUDY STUDY STUDY STUDY DO DO DO DO ACT ACT PLAN PLAN DO DO Developing improvement with PDSAs Implementing new procedures & Systems - sustaining change Testing and refining ideas Bright idea ! Source: Institute for Healthcare Improvement, USA
Project elements Nov 11 Nov 10 Sep 11 3 PCP Workshops 5 Workshops Sharing ideas & collaborating 4 Action Periods Undertaking rapid cycles of QI
Consistent with PCP program logic & deliverables: Care planning (with GPs) Communication with general practice Service coordination & ICDM survey 2011 Project links to existing PCP requirements
The PCP staff role with agencies Broad as you choose Attendance at 3 PCP & 5 workshops for project participants Workshop role Facilitation of 1-2 workshop activities Informal reporting of PCP activities and issues Action period facilitation role Leadership Coach vs consultancy Problem solving Motivating local participants Information channel Link between agencies & project team Informing future directions of the project Assisting link between PCPs Reality check
Department of Health role • Provision of three facilitation workshops (Nov, Feb & April) • Project support & coaching through action periods • Spread lessons across the state • Data analysis & provision of results