18
Organise a team
THE IMPROVEMENT TEAM'S JOURNEY
Identify a topic for
Improvement
Why is this topic important?
Has the topic been worked on previously?
How does this topic fit with the organisations strategic objectives?
Develop an Aim
Statement
Build a Family of
measures
Identify specific
change ideas
Run PDSA tests
The sequence of
improvement
8-10 people with subject matter knowledge
Protected meeting time
Meet every 7-10 days
Identify a team coach or facilitator
Engage doctors
Use data to substantiate the need for improvement
Prepare a run or control chart on the baseline
Common or special cause variation?
Be flexible; learn and adapt
Identify the system to be improved
How good? By when?
Any guidance on issues that could hold the team back?
Outcome
Process
Balancing
Practical and easy data collection plan
Team members collect and own the data
How do you generate new ideas?
Use the change packages as a starting point
Discuss which ideas have the best chance of leading to improvements
What barriers will there be to making improvement?
Teach the team about the PDSA cycle
Run tests daily or weekly
Discuss what was learned
Did the test confirm your predictions?
If no, why not?
What was learned from each PDSA?
Testing
Implementing
Scale-up
Spread
Holding the gains
Obtain baseline
data
©2016 Institute for Healthcare Improvement /R Lloyd ver2
APPENDIX 4