Model for Improvement

Improvement Facilitator Training Session 1 Day 2

Objectives

• Introduce you to a model that supports quality improvement efforts

• Illustrate the use of the model• Apply the model to ASaP• Anticipate how this model can serve

us when we are working with primary care

Three little questions can have a big impact!

What are we trying to accomplish?

– Test … is it specific enough that we will know exactly when we’ve succeeded?

–Would our patients recognize it as a worthy aim?

Aim Statement

How will we know that a change is an improvement?

• when we want new results for our patients … outcomes

• we have to change our practice behaviours … process

• And watch for any unintended negative effects … balance

Measurement Plan

There are proven change concepts that have been shown to impact many improvement efforts …

• Review evidence and CPGs• Gather qualitative and quantitative

information to identify gaps in your system

• Successful improvement projects done elsewhere

Change Concepts

Aim ASaP Example

The Blue Meadow Clinic team will increase offers of selected screening maneuvers to patients targeting strategies on those who don’t self-present for screening. The aim is to increase the rate of patients who receive offers of screening from our current baseline of 70% to 85% by October 31st, 2013.

ASaP Measures of process; are we changing what we do?

Process 1: Reliability of documentation of offers of screening, daily sample from outreach and/or opportunistic patient charts

Process 2:Reliability of daily huddles that include reminders for opportunistic screening, weekly

ASaP Measures of Outcome;are we getting the results we want?

Outcome 1: Number of eligible patients seen each week who were offered opportunistic screening.

Outcome 2: Number of eligible patients contacted each week through outreach and offered screening.

Change principles based on literature and Alberta scan

• Standard documentation • Panel-based care coordination by

team• Continuity of patient-provider

relationship• Enhanced communication

QI Team Assessment Scale

We will use it to track our team’s progress toward improving their system

Summary

The model for improvement questions and PDSA cycles, when linked to evidence and team participation, accelerate improvement results.