Model for Improvement Application: Your Measurement Work Building a Measurement System that Works

Transcription

1 Model for Improvement Application: Your Measurement Work Building a Measurement System that Works Aim What are you trying to accomplish in your measurement for improvement work? RECOMMENDATION: What do the users (customers) of improvement measurement need to help drive better performance for pateitns and families? SUGGESTION: Upgrade measures for your project; use the attribute table to think about your measures. Responsive Valid Comprehensible The measure is sensitive to changes in the system state. When the system improves, the measure says so. The measure aligns with the theory of changes (driver diagram). Improvement in the measure means improvement in the system. The intended audience understands the meaning of the measure for system improvement. Timely Feasible The data are available soon enough to inform improvement decisions (project planning, PDSA testing). The data can be collected with minimum effort and cost, and in a timely fashion. Relevant Consistent Ownership The measure supports problem identification and testing at the appropriate level of management. The measure has a clear definition: it yields consistent results when applied in different places and at different times. Someone is explicitly assigned to monitor the measure on a regular basis, detect problems, and initiate change.

2 Measures (about your measurement system!!) How will you know if a change in your measurement work is an improvement? SUGGESTION: given a measure attribute and a measure from your project, sketch out an operational definition of the attribute. For example, how will you know that your measure is more timely? As you test changes to your measurement system, you will know whether or not the changes lead to more timely measurement. Changes What changes can you make that will result in an improvement to your measurement system? SUGGESTION: given an attribute and a measure from your project, imagine perfect performance. For example, the timely attribute: what would it look like to have instantaneous measurement data, displayed for the people that need it? What changes can you make that will get you closer to the ideal? Plan-Do-Study-Act Sketch a couple of PDSA cycles so you can learn more about your change ideas on a small scale. We advise you to think through two cycles so you don t get stuck.

3 PDSA Worksheet: Your Name: Date: Cycle 1 What are you testing? What do you hope to achieve with this test? Big Aim Context: Improve your Measurement for Improvement Plan Describe your first (or next) test of change (Every goal will require multiple tests of change) be List the tasks needed to set up this test of change (include getting ready to measure) be Predict what will happen when the test is carried out (e.g., if we do x will y happen) Measures to determine if prediction succeeds

4 Do: Describe what actually happened when you ran the test (note any unexpected events or problems) Study: Describe the results and how they compare to the predictions Act: PLAN for your next cycle based on what you learned

5 PDSA Worksheet: Testing Ideas for Change Your Name: Date: Cycle 2 What are you testing? What do you hope to achieve with this test? Big Aim Context: Improve your Measurement for Improvement Plan Describe your first (or next) test of change (Every goal will require multiple tests of change) be List the tasks needed to set up this test of change (include getting ready to measure) 1. be Predict what will happen when the test is carried out Measures to determine if prediction succeeds (e.g., if we do x will y happen) 1. 1.

6 Do: Describe what actually happened when you ran the test (note any unexpected events or problems) Study: Describe the results and how they compare to the predictions Act: PLAN for your next cycle based on what you learned