Building Bridges to Improvement

1. Building Bridges to Improvement Learning Session 1

2. Learning Objectives • Describe a model to support change and improvement in your ECE program

3. Quality Improvement is ….. What do you think of when you think of Quality?

5. Roger’s Diffusion of Innovation Model

8. Model For Improvement

9. Model for Improvement What are we trying to accomplish? • Goal • Measures • Change Ideas How will we know that a change is an improvement? What changes can we make that will result in an improvement?

10. Plan-Do-Study-Act

11. The PDSA Cycle “What’s happening now? What will happen if we try something different?” “What’s next: Try something else? Explore this further? Implement?” “Let’s try it!” “Did it work?”

12. PDSA Cycle • PLAN • What is your objective for this cycle? • What questions do you have? • What do you predict will occur? • Describe your plan for the test: Who? What? When? Where? • Plan for collection of data: Who? What? When? Where?

13. PDSA Cycle • DO • Carry out the change • Collect data and describe observations, problems encountered, and special circumstances

14. PDSA Cycle • Study • What were your results? • Summarize what was learned

15. PDSA Cycle • Act • Are you ready to adopt, adapt, or abandon the change? • What will you try next?

16. A P S D D S P A A P S D A P S D Repeated Use of the PDSA Cycle Changes That Result in Improvement DATA Hunches Theories Ideas

17. Using Your Data for Change and Improvement

18. Why Test All improvement requires a change, but not all change is an improvement.

19. Why Test • Increase belief the change is improvement • Provide opportunity for “failures” without impacting performance • Document degree of expected improvement

20. Why Test • Learn how to adapt change to local conditions • Minimize resistance upon implementation • Evaluate side-effects

21. Use the PDSA Cycle for • Testing or adapting a change idea • Implementing a change • Spreading the changes to the rest of your system

22. Act Plan Study Do The Sequence for Improvement Make part of routine operations Sustaining improvements and Spreading a change to other locations Test under a variety of conditions Implementing a change Discard, adapt, or adopt Identify a change idea Developing a change

23. Building, Changing, Improving … Quality improvement is what you do every day ….

24. Key Change Concept It is important to remember that it’s not the size of the change that is important … it’s the impact!! The Improvement Guide

25. Key Changes The people you impact are small …. The changes are important and can have a big impact.