IHI QI 102: How to Improve with the Model
for Improvement UPDATED ACTUAL
Exam Questions and CORRECT
Answers
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
Applying the Model for Improvement to the clinic's improvement goal, which of the following is
the most reasonable aim statement? - CORRECT ANSWER - Increase the number of
patients reporting they are "very satisfied" with the clinic's scheduling by 50 percent within six
months.
An aim statement must specify "how good, by when." Improving patient satisfaction with
scheduling is a reasonable goal. Answer D is best described as an opportunity statement, as it
contains no specifics about how much the clinic must improve, nor by when. Answer C is more
of a "change" statement than an aim statement.
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
After assembling a team and working through the three questions of the Model for Improvement,
the orthopedic clinic decides to implement an automated reminder phone call 24 hours prior to
each clinical appointment. The clinic's improvement team hopes that this small change will
improve scheduling.
What is the team's next step? - CORRECT ANSWER - Test their change plan using the
PDSA cycle.
, Once you have worked through the first three questions of the Model for Improvement — the
questions about aims, measures, and changes — it's time to do a small test of change using the
PDSA cycle. The clinic should have already developed their measures, and now is not the time
for a break — because the hard work of improvement is just beginning!
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
The orthopedic clinic plans the change to improve scheduling, and then it carries out a small test
of change with three patients on Tuesday morning.
What's the next thing the clinic's improvement team should do? - CORRECT ANSWER -
Measure to see if the change led to improvement.
The team has planned a test of change and now they've done the test. The team must now study
how the test went (the "S" part of the PDSA cycle). They can look at a mix of process measures
(such as how often appointments started on time) and outcome measures (such as how satisfied
the patients were with the new process).
Lesson 1: The Model for Improvement begins with three questions designed to clarify the
following concepts: - CORRECT ANSWER - Aims, measures, changes
The Model for Improvement begins with three fundamental questions about any given
improvement, designed to address the aim (what are we trying to accomplish?), the measures to
be used (how will we know a change is an improvement?) and the changes to be used (what
changes can we make that will result in an improvement?).
Lesson 1: When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is that: -
CORRECT ANSWER - PDSA cycles provide a mechanism to adjust improvement ideas
as the project progresses.
for Improvement UPDATED ACTUAL
Exam Questions and CORRECT
Answers
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
Applying the Model for Improvement to the clinic's improvement goal, which of the following is
the most reasonable aim statement? - CORRECT ANSWER - Increase the number of
patients reporting they are "very satisfied" with the clinic's scheduling by 50 percent within six
months.
An aim statement must specify "how good, by when." Improving patient satisfaction with
scheduling is a reasonable goal. Answer D is best described as an opportunity statement, as it
contains no specifics about how much the clinic must improve, nor by when. Answer C is more
of a "change" statement than an aim statement.
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
After assembling a team and working through the three questions of the Model for Improvement,
the orthopedic clinic decides to implement an automated reminder phone call 24 hours prior to
each clinical appointment. The clinic's improvement team hopes that this small change will
improve scheduling.
What is the team's next step? - CORRECT ANSWER - Test their change plan using the
PDSA cycle.
, Once you have worked through the first three questions of the Model for Improvement — the
questions about aims, measures, and changes — it's time to do a small test of change using the
PDSA cycle. The clinic should have already developed their measures, and now is not the time
for a break — because the hard work of improvement is just beginning!
Lesson 1: An orthopedic clinic in a busy metropolitan area would like to improve its patient
scheduling process. More specifically, the clinic wants to improve its efficiency and the
satisfaction of its patients.
The orthopedic clinic plans the change to improve scheduling, and then it carries out a small test
of change with three patients on Tuesday morning.
What's the next thing the clinic's improvement team should do? - CORRECT ANSWER -
Measure to see if the change led to improvement.
The team has planned a test of change and now they've done the test. The team must now study
how the test went (the "S" part of the PDSA cycle). They can look at a mix of process measures
(such as how often appointments started on time) and outcome measures (such as how satisfied
the patients were with the new process).
Lesson 1: The Model for Improvement begins with three questions designed to clarify the
following concepts: - CORRECT ANSWER - Aims, measures, changes
The Model for Improvement begins with three fundamental questions about any given
improvement, designed to address the aim (what are we trying to accomplish?), the measures to
be used (how will we know a change is an improvement?) and the changes to be used (what
changes can we make that will result in an improvement?).
Lesson 1: When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is that: -
CORRECT ANSWER - PDSA cycles provide a mechanism to adjust improvement ideas
as the project progresses.
