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Room for Improvement: Making QI Work for Your LPS. Mary Annese Kathleen Clanon. Thought Question: Evolution of Terms. QI Principles 1. Use data as a guide, not a grade. Decide to act based on measured data. Most problems are found in processes, not in people.
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Room for Improvement: Making QI Work for Your LPS Mary Annese Kathleen Clanon
QI Principles 1 • Use data as a guide, not a grade. Decide to act based on measured data. • Most problems are found in processes, not in people. • Focus and make big progress on a few important problems, instead of no progress on many.
QI Principles 2 • Changes are most likely to be successful when they meet the needs of those we serve. • Achieve improvement through small steady changes. • Learn from the experience of others. • Making lasting improvements takes planning, time, and investment (infrastructure).
The PDSA Cyclefor Learning and Improvement Act Plan Objective Questions and predictions (why) Plan to carry out the cycle (who, what, where, when) What changes are to be made? Next cycle? Study Do • Complete the • analysis of the data • Compare data to • predictions • Summarize what • was learned Carry out the plan Document problems and unexpected observations Begin analysis of the data
Quality Management Program Balance between Performance Measurement and Quality Improvement Activities
Quality Management Program Imbalance between Performance Measurement and Quality Improvement Activities
Staff/Physician Readiness to Make Change Appropriate Scope for next PDSA Cycle
Sustainability: The Final Frontier • Barriers to QI Work: • Time • Turf • Trust • Turnover • Multiple funders, multiple reporting streams, only one staff…
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