IHI QI 102 Improving the model for improvement NEW EXAM UPDATE REVIEW 2022

IHI QI 102 Improving the model for improvement NEW EXAM UPDATE REVIEW 2022 Model for improvement - developed by a group called Associates in Process Improvement, begins with three fundamental questions: What are we trying to accomplish? (You ask this to establish your aim.) How will we know a change is an improvement? (You ask this to establish your measures.) What change can we make that will result in improvement? (You ask this to determine the changes you will test.) Next: PDSA cycle — Plan, Do, Study, Act. This four-phase process was originally developed by our old friend Walter Shewhart PDSA: way to quickly test changes on a small scale, observe what happens, tweak the changes as necessary, and then test again Essential elements for systems improvement - The model for Improvement is the Engine of execution Alternative Frameworks to model for Improvement - Six Sigma Lean The Six Sigma Improvement Model - Six Sigma focuses on reducing variation, or the defect rate, measured by Sigma level, or "Defects per Million Opportunities." The Six Sigma improvement framework consists of five basic steps, known as "DMAIC": •*Define* the problem in detail. •*Measure* defects (in terms of "defects per million," or Sigma level). •*Analyse* under what conditions defects occur by using process measures, flow charts, and defect analysis. •*Improve* by defining and testing changes aimed at reducing defects. •*Control* your results by determining what steps you will take to maintain performance. The Lean Framework - Lean focuses on improving value from the customer's point of view, by reducing waste of time and resources. The basic steps for Lean include: •Specify the value desired by the customer. •Identify the value stream for each product providing that value and challenge all of the wasted steps currently necessary to provide it. •Make the product flow continuously through the remaining value-added steps. •Introduce pull between all steps where continuous flow is not possible. •Manage toward perfection so that the number of steps and the amount of time and information needed to serve the customer continually fall. Using the Model For Improvement to improve Care - 1. *Set an aim*. A general statement — something like, "We will improve our infection rate" — isn't good enough. The aim statement should be time-specific and measurable, stating exactly: "How good?" "By when?" and "For whom?"