1. Share Our Selves Community Health Center Mary Ann Huntsman, PharmD, BCACP, CDE

2. Continuous Quality Improvement Mission Statement We are servants who provide care and assistance to those in need and act as advocates for systemic change. CQI Committee Goal To improve the staff and patient experience To improve the overall health of the patient population we serve To delivery quality health care in a cost effective manner

3. CQI Plan Plan is submitted annually for Board approval Measures (Collecting Data for Improvement) Quality Measures (Meaningful Use, HEDIS, NQF, UDS, HRSA) Patient and Employee Satisfaction Surveys Utilization Review of factors that effect health care costs Projects Bigger than PDSA cycles Identified from PICK Chart Involves Team Work

4. Simple Tools to Accelerate Improvement The A3 Process for Problem Solving: 9 steps that include identification of gaps and moves to resolution of the problem through team work PDSA cycles: Small tests of change as a model for continuous improvement PICK Chart: Quick process to organize, prioritize opportunities for improvement Including: Lean Process for Improvement, 5S (Sort, Straighten, Shine, Standardize, Sustain), IHI Improvement Model, Root Cause Analysis

5. A3 Process for Problem Solving 9 Step Process What is The Problem Current State Target State Gap Analysis Strategy for Solution Brief Experiments Plan Confirm Insights Collaborative Tool

6. PDSA: Small tests of change PDSA Cycle for Learning and Improvement Implementation of Changes: Repeated Use of the PDSA Cycle

7. PICK Chart : Quick process to organize and prioritize opportunities for improvement How to use the PICK Chart Purpose: To identify the most useful ideas Organize sticky notes into a Queue Team evaluates for impact and effort Possible, Implement, Consider, and Kick Out Keep It Simple Just Do It

8. Resources Model for Improvement: https://www.youtube.com/watch?v=SCYghxtioIY https://www.youtube.com/watch?v=SCYghxtioIY Introduction to Driver Diagrams: https://www.youtube.com/watch?v=A2491BJcyXA https://www.youtube.com/watch?v=A2491BJcyXA P-D-S-A Cycles: http://www.youtube.com/watch?v=_- ceS9Ta820&feature=youtu.be and http://www.youtube.com/watch?v=eYoJxjmv_QI& feature=youtu.be http://www.youtube.com/watch?v=_- ceS9Ta820&feature=youtu.be http://www.youtube.com/watch?v=eYoJxjmv_QI& feature=youtu.be

9. Why : We are servants who provide care and assistance to those in need and act as advocates for systemic change.