HLSC 3P93 Lecture Notes - Lecture 4: Project Charter, Quality Management, Project A
4 Nov 2016
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Department
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HLSC 3P94 Lecture 4
Quality Improvement Part 2
Midterm
• 50 MC
• Primarily lecture (some modules, little bit readings)
• First 20 questions are scenario based
• Some T/F
• Important stats from reading were talked about in lecture
• Specific details about who does hat…do’t eed to ko
Recaps
• Key takeaways from our first lecture on HC quality and safety
• Methodologies for improvement→total quality management, lean, model for
improvement
• Lean=reducing waste, creating efficiency
• Six sigma=get rid of defects, making more
• Connect HC quality and the improvement methodologies to a high-performing HC
system
• Should always be looking to improve, apply different methodologies when
needed (structure guides improvement)
• Need for clear roles and responsibilities
Model for Improvement
• Simple yet powerful framework for structuring any QI project
• Recall key components:
• Three question:
• What are we trying to change?
• How will we know the change is an improvement
• What changes can we make to achieve the improvement
• Rapid cycles of iproeet PD“A’s
• Involves a series of actions including:
• Assembling the team
• Defining the aim (1st question in Model for Improvement—what are we trying to
do?)
• Defining the changes
• Implementing and evaluating rapid cycle improvements (ex. PDSA)
• Plan=hypothesis
• Do=run experiment
• Study=check results, see if prediction was verified
• Act=change plan if necessary based on findings
• Ca take a PD“A’s efore ou get it right, ost theories o’t ork
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• Testig ultiple hages at oe, o’t let ou ko hat led to the change
• The sequence for improvement
• Theory and prediction
• Test under variety of conditions
• Make past of routine operations
• Spread change to other locations
The Project Charter
• Helpful staring point and guiding tool throughout the project
• What are we trying to achieve?
• Why are we trying to achieve this?
• What could we do that will result in improvement?
• Ho ill e ko e’e ad a iproeet?
Project Charter: Defining the Aim
• What is the improvement goal for your project?
• By how much?
• By when?
• “hould read as …fro X to Y )
• Example
• Reduce the 7-day CHF readmission rate for patients with a primary diagnosis of
CHF by 5% to 6.75 by March 2016.
Project Charter: Defining the Changes
• What could we do that result in changes?
• Example
• What could prevent CHF readmissions?
• Change ideas:
• Achieve balance of standardized ad personalized care
• Order sets, clinical pathway, teach-back
• Improve patient confidence in self-management of condition
• Teach back, discharge action plans (teaching and having them repeat back
their care plans for themselves)
Project Charter: what change can we make that will result in an improvement?
• What already exists out there?
• Best practice
• Good evidence based on approaches
• Good research evidence to support ideas
• Context considerations
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Midterm: 50 mc, primarily lecture (some modules, little bit readings, first 20 questions are scenario based, some t/f. Important stats from reading were talked about in lecture: specific details about who does (cid:449)hat do(cid:374)"t (cid:374)eed to k(cid:374)o(cid:449) Involves a series of actions including: assembling the team, defining the aim (1st question in model for improvement what are we trying to do?, defining the changes. Chf by 5% to 6. 75 by march 2016. Project charter: defining the changes: what could we do that result in changes, example, what could prevent chf readmissions, change ideas, achieve balance of standardized ad personalized care, order sets, clinical pathway, teach-back. Improve patient confidence in self-management of condition: teach back, discharge action plans (teaching and having them repeat back their care plans for themselves) How will we know the change is an improvement: outcome measures, what is the end goal we are trying to achieve, reflects your aim statement, ex.
