Process Improvement Overview

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Process Improvement Overview
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Key Questions for making improvements

• What are we trying to accomplish?
• How will we know a change is an improvement?
• What changes can we make that will result in an
  improvement?
• Thomas W. Nolan, IHI

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1. What are we trying to accomplish?? (what is
our aim??)

• Must state a clear purpose or direction for
  improvement
• Define when we have reached Success

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P-(Plan)

• Select Process and identify the opportunity
• Understand Current Process
• Identify all possible causes of problem and which
  would have the greatest impact
• Develop improvement action plan

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Making Improvements

• IHI-4 Phases of improvement Plan, Do, Study, Act
• Combine PDSA Cycle of change with 3 questions
• Turns the ideas into actions
• Framework for connecting actions to learning and
  thus the Model for Improvement

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2. How will we know a change is an
improvement?(What are our measures?)

• Is the change driven from the aim?
• Is the pt population defined?
• Does trending reflect progress?
• Are data available and can it be measured
  frequently?

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3. What changes can we make that will result in
improvement?(What are our actions?)

• Implement simultaneous small tests of change
• Faster improvements
• Ability to troubleshoot problems earlier
• Enc staff involvement
• Lowers resistance to change
• Utilizes resources wisely
• Helps to make choices for successful process
  changes
• Ultimately allows you to achieve and sustain aims

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D-(Do)

• Implement process changes on a small scale
• Carryout action plans
• Monitor and report progress
• Collect and report data Create charts and
  diagrams
• Communicate project progress

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S-(Study)

• Review and evaluate the result of the change
• Revise process as needed recommend changes
• Document project progress

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A-(Act)

• Reflect and act on what has been learned from the
  pilot
• Communicate to stakeholders
• Revise policies and procedures as needed
• Train, expand, document, and celebrate milestones
  along the way.

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100 Day Project Plan

• Commissions leadership involvement and support
  throughout the project
• Helps define goals, roles, and success
• Helps hold the team accountable for accomplishing
  its goals in a timely manner.

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100 Day Project Plan Cont.

• Works on initiating the spread of the project
  work to other sites
• Helps plan out the monitoring and maintenance of
  improvements