Process Improvement Concept Overview

1. Process ImprovementConcept Overview Regional Breast Health Improvement Initiative

2. Some Concepts Based in Improvement Knowledge • Every system is perfectly suited to produce the results it produces (Everybody is already doing their best). • All work is a process. • Improvement of processes requires change. • But all change is not improvement.

3. Breast Health MeasuresProvider Teams Current Breast Cancer Screening Rates

4. All Work is a Process:Group ActivityKnow Your ProcessesQuestionnaire

5. Scheduling Referral AppointmentsExample: Block Scheduling • GBMS provider sees PT and records referral into EMR as WAH. • GBMS staff schedules patient for one of the blocked appt slots. • One week prior to blocked slots, GBMS will fax the completed appt list along with the referrals and required documents WAH. • WAH will provide reminder calls 48 hours prior to the appointment. • Following the appointment, WAH will fax the results to GBMS referral site. • No shows will be closely monitored and communicated to GBMS. GBMS will reschedule the appt as appropriate. • GBMS will be responsible for filling out the state application paperwork for diagnostic procedures.

6. Improvement of processes requires changeExample of a Decision Aid

7. Reliable Screening: Identified Best Practices

8. But all change is not improvement:Planning a Small TestPDSA Worksheet

9. The Improvement Guide, 2nd Edition, Langley, Nolan, et.al., Jossey-Bass 2009

10. Sequential Building of Knowledge:Include a Wide Range of Conditions in the Sequence of Tests BreakthroughResults A P Evidence & Data S D A P S D A P S D A P Learning and improvement Theories, hunches,& best practices S D The Improvement Guide, 2nd Edition, Langley, Nolan, et.al., Jossey-Bass 2009

11. Thank you!