Data for Learning and Improvement David M. Williams, Ph.D. Institute for Healthcare Improvement
Murder rate down compared to this time last year.
Celebration
Despair
Three Considerations Data Definition Date Collection Data Display
Data Definition
% child receiving assessments Wait times % of mom’s receiving pre- natal vitamins % children in one clinic receiving assessment # of books read % of meals with veg Number of double smiles PDSAs per week % parents rating 7 or greater for confidence % of Mom’s screened for unhealthy habits # of huddles per week % Team members rate promise level
Data Definition How will you know a change is an improvement?
Count = Percentage = Rate = Count Total 100 Count Total Pop 100,000 population
Data Collection
Safety Cross
Case Study
Data Display
Elements of a Run Chart 2/16/11 3/16 4/13 5/11 6/8 Week Measure Time X (CL) ~ The centerline (CL) on a Run Chart is the Median IG p.435
Low Tech – Hand Written – Tester Owned
% antenatal bookers eligible for Healthy Start in Leith (self report) (n=410; source Maternity Trak) Monthly data release Leith Pioneer site work started 3 March Universal enquiry re HS Complete form at booking appt Team meeting Leith Survey Monkey Team meeting and survey results Focus on Trak docu- mentation “Shift” on run chart (6+ points above median) Median Annotated
Change Made Between Weeks 7 & 8
Case 1 Change
Case 2
Case 3
Case 4 Change
Case 5 Change
Case 6
Change Made Between Weeks 7 & 8
Radar or Spider Diagram
Aggregate vs. Stratified
Chinese Restaurant Demand Collection
Breaking Down Data
Final 2 Slides
Case Study – Improvers in action M