1. Measurement for improvement - Criteria led discharge
Samantha Riley
Head of Improvement Analytics
7th August 2017
Title slide with embedded images

3. The Aim…………..

4. These are all real X

5. What happens when people see this?
But how many times do we sit in meetings looking at data like this?
Question – could we get people to ‘raise a hand’ somehow if they agree
And all too often we see colour coding like this

6. A&E Performance
Which presentation would lead you to a better discussion and decision?
There are different ways to look at data.
Looking at the first graph what does this tell you
Question : could we get people to write answers in the chat box?
This is the same data presented in a different way. The same two data points are identified.
The second presentation leads you to a very different type of discussion. This is what measurement for improvement is about - looking at data over time

7. To make a lot of fuss about trivial things as if they were important
How many trends do you see in this graph?
Spuddle :
To make a lot of fuss about trivial things as if they were important
Downturn
Upward trend
Turnaround
Rebound
Downward trend
Downward trend

8. NHSI report : A&E performance
St Elsewhere NHS Trust

9. St Elsewhere NHS Trust : A&E performance
This is also St Elsewhere Trust and this is monthly data
Here we can see where they have improved.
But what happened before then?
This is an SPC chart (not going to talk about these in detail in this session). If people want to know more about SPC I have some tips at the end.
Simply by plotting the dots, it is easy to see where performance is changing over time –and to investigate what might have happened and to take action
Most improved ?

10. All improvements involve a change, but not all changes are improvements*
Reference: Langley G, Nolan K, Nolan T, Norman C, Provost L, (1996) : a practical approach to enhancing organisational performance, Jossey Bass Publishers, San Francisco
*Goldratt

11. Are your efforts making a difference?

12. What do you need to think about?
What is your aim and key area of focus?
What should you measure?
What can be measured?
Already collected?
Is this data good enough?
(Perfection should not become an enemy of the good enough)
Can I/should I collect additional data?
How will I collect it?
What else should I measure?
Might there be unintended consequences?
Qualitative data
How to collect a baseline
Presenting the data in a meaningful way – plot the dots
Use the data!

13. 7 steps to measurement
A measurement for improvement community of interest has already been established. Within only a few weeks there are over 200 members.
There are 40 useful resources and some lively discussion forums.
Contact Sam to get involved

14. Deciding where to focus : 80/20 rule

15. Discharges by day

16. Evidence of impact

17. An approximate answer to the right problem is worth a good deal more than an exact answer to an approximate problem*
Be clear about your aim – what question are you trying to answer?
Once you are clear on this talk to an analyst!
* W. Edwards Deming

18. The importance of taking a baseline
Intervention made

19. Just because you can measure everything doesn’t mean you should*
* W. Edwards Deming

20. The power of story telling

21. Where to go for help…….. On-line community Over 300 members
Resources
Discussions
Sharing good practice
Virtual support network
Over 300 members
Series of webinars planned
me if you would like to join!
@samriley
A measurement for improvement community of interest has already been established. Within only a few weeks there are over 200 members.
There are 40 useful resources and some lively discussion forums.
Contact Sam to get involved

22. Useful videos
An introduction to measurement for improvement
60 seconds with Kate Cheema
Choosing measures with-kate-cheema-choosing-your-measures/
Using data effectively safety-with-kate-cheema-using-your-datat-effectively/
Presenting your data safety-with-kate-cheema-presenting-your-data/
How to become an improvement measure expert in 60 minutes measure-expert-in-60-minutes-final/
Using your data to drive action
A measurement for improvement community of interest has already been established. Within only a few weeks there are over 200 members.
There are 40 useful resources and some lively discussion forums.
Contact Sam to get involved