quality improvement review food and nutrition learning network july 31, 2007
TRANSCRIPT
Quality Improvement Review
Food and Nutrition Learning Network
July 31, 2007
Quality Improvement Basics
• Quality Improvement– opportunity for improvement exists in every process on every
occasion– requires commitment to improve our operations, processes and
activities– needs measurement-to demonstrate if efforts lead to the intended
change – emphasizes a view of care that focuses on systems not individuals
• HIV Quality Learning Networks to improve the quality of HIV care and services
• Strengthen the quality infrastructure of HIV supportive service providers
• Find ways to accelerate change and improvements in F&N programs
The Model for Improvement
Act Plan
Study Do
What are we trying to accomplish?What are we trying to accomplish?
How will we know that a change How will we know that a change is an improvement?is an improvement?
What changes can we make thatWhat changes can we make that
will result in an improvementwill result in an improvement??
PDSA-First Steps
• Starting point for quality improvement projects
• Forming your quality team-project participants
• Setting your goal/aim• Establishing measures• Selecting changes• Testing changes
PDSA Cycle
• Rapid cycle improvement tool– Need to understand current situation– Trial and learning approach– At beginning, small-scale, short timeframe
• Establish measures ‘want to see increase/decrease in # of clients who…’
• What (who when and where) is to be done– Assign specific tasks
PDSA Cycle-Elements
Plandevelop plan, goals
Dotest changes, measure
Studyanalyze data, compare with plan
Actsystematize changes
Building Knowledge-Using Multiple Cycles of PDSAs
Improve Access to HIV Primary Care
A P
S D
APS
D
A PS D
D SP A
DATAD S
P A
Cycle 1: RD adapts new assessment form & uses with 3 patients
Cycle 2: Revise form and test with all patients Monday.
Cycle 3:
Cycle 4: Test form with all clients for 1 week
Present refined form to all staff and document feedback
Add primary care questionsto assessment form
Ideas, theories, hunches,
predictions
Aim: Ensure that all F&N clients are receiving HIV primary care.
Cycle 5: Implement form for all and monitor results
Food and Nutrition Programs
Improving Performance
• Learning how to make change in your organization is the purpose of PDSA
• Experiment: test on a small scale and build knowledge sequentially
• The cycles build on each other over time as you design a change that will result in improvement
• Reach QI goal to implement change on broader scale or throughout your organization