HealthcareQualityandImprovement.ppt

Healthcare Quality and Improvement A Primer Part 2 Review key concepts Move on to other QI methods Discuss project development Research vs. QI National patient safety goals Joint commission Objectives Quality problems in health care Define quality Who, what, why and how of quality improvement Tools and methods Key elements of a good QI project Quality improvement vs.. research QI project development National Patient Safety Goals Joint Commission Defining Quality Quality is… A systems-wide issue An individual performance issue rarely Quality is a team sport Quality at CMHHow informed are you? Rate of compliance with hand washing? 90% Central line infection rate? 1.2/1000 cath days-PICU % of codes outside the PICU? 50% % of inpatients with medication reconciliation performed? 70% Quality Improvement A process of innovation and adaptation designed to bring about immediate positive changes in the delivery of health care in particular settings systematic data-guided multidisciplinary Quality Improvementand Data Use data for learning, not judging “Generate light, not heat” Use data to report system attributes Use aggregate not individual data Do not report data on individual performance Improvement MethodsA brief overview Model for Improvement Lean Six Sigma Trigger tools Model for Improvement Flexible improvement framework IHI PDSA methodology Emphasizes Aims and measures Initial small tests of change Widespread testing Implementation and spread Improvement Methods What is LEAN? What is Six Sigma? Identify a trigger tool Lean Management philosophy based on 2 key themes Continuous elimination of waste Respect for people and society Key principles Value is in the eyes of the customer Make value flow without interuptions Improve work flow Standardize work processes Pursue perfection Lean Culture Stop and fix the problem as soon as it is identified Toyota manufacturing culture Process Measure Change Measure Change….. Lean Project“Improve ED Patient Flow” Projec