Building your Projects

Heidi Johns,Quality Leader, BCPSQCApril, 2013

Objectives

• To be able to write a measurable AIM statement.

• Understand how a charter will guide your work

How to begin?

• With any improvement project you will need to know what you are trying to do or improve upon.

• An improvement project will need to have a document for organizing your work.

Which document to use

• There are MANY types of documents [Charters] that can help organize your work.

Improvement Charter Project Name: Sponsor: Team Leader: Team Members:

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Problem Statement: What is the gap in quality this work is going to address?

Aim Statement: includes Topic/Care Area, Outcome Measure (evidence of success), Direction, Timeline,

Numerical Goal – numerical goals are based on baseline and your prediction

Scope and Boundaries:

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Outcome Measures: Current Performance

Goal (prediction)

What is the plan to collect data for

this measure:

Process Measures:

Balancing Meaures:

Improvement Model

What are we trying to accomplish?

How will we know that a change is an improvement?

What changes can we make that will result in improvement?

Plan

Do

Act

Study

AIM statements• Aim statements do the following:

• Define the problem

• The process you are trying to improve

• Articulate a clear message to the team

• The more specific the AIM the better chances the teams will be able to improve

AIM Statements• Align• Make the target for improvement bold and

unambiguous• Include deadline• What is needed to keep the team focused

AIM Include

•What•By how much •By when

“Some is not a number. Soon is not a time”

Donald Berwick, MDInstitute for Healthcare Improvement

Specific

Measurable

Achievable

Relevant

Timely

Components of Aim Statement• Direction

• Boundaries/Process

• Measure

• Timeline

Increase/Decrease

System to be improved (scope, patient population, processes to be addressed)

Defines what success looks like (How good?)

Ensures an urgency to continue (By when?)

Perhaps an unclear aim.

An unclear AIM can leadyou astray! “

AIM statement examplesThrough the implementation of an EMR our patients will get better.

The management of diabetes patients served at Make Believe Clinic will have their health outcomes improve. By May 2013 we will increase the percentage of patients meeting A1C and blood pressure targets from 25% to 70%.

AIM statement examples

By the creation of an interdisciplinary team we will improve specialized cancer care and access by 25%.

The Get Better Outpatient Clinic will reduce patient wait time for all renal consultations from 50 days to 25 days by July 1st, 2013.

AIM statement examplesIncrease the number of AMI patients who receive thrombolytics within 30 minutes of hospital arrival to 95% by March, 2013.

Increase the number of AMI patients receiving aspirin on arrival to 95% by March 2013.

Your Turn

At your table there are AIM statement which could be missing information, misleading or are brilliant.

Work in partners to re-write the AIM statements; be prepared to share and discuss.

Your AIM statements

Spend the last 15 minutes thinking of your project and write your AIM statements.