1. Data Driven Quality Improvement: Tools to Identify and Apply the Best Countermeasure to Facilitate Successful Change
Grant M. Greenberg MD, MA, MHSA
Jennifer L. Johnson, MSHS
Michael D. Mendoza, MD, MPH, MS

2. Disclosures None of the typical kind but…
We like to lead change and improvement

3. Structured Problem Solving

5. Project Timeline Example
“If I had an hour to solve a problem, I would spend 55 minutes thinking about the problem and 5 minutes thinking about the solution.” --Albert Einstein

6. The problem with problem solving: Our Natural Human Tendency

7. 3 common problems in problem solving
Assuming you know what the problem is without seeing what is actually happening.
Assuming you know how to fix a problem without finding out what is causing it.
Assuming you know what is causing the problem without confirming it.
In other words - not grasping the situation.

9. Think/Pair/Share
Reflect on a process improvement effort that you led or participated in that did not work:
List the reasons it did not work

10. Problem Solving Technique: 5 Whys
Ask Why x 5 (deceivingly simple)

11. Problem Solving Technique: Fishbone

13. Problem Solving Technique: Flow Charting

14. Think/Pair/Share
Using the same example you used before, briefly diagram the root causes using either:
5 whys
Fishbone
Flow Charting

15. Finding a Problem is Necessary, but not Sufficient
Should you fix it?
What is the anticipated benefit?
How hard will it be to do so?
Do you have adequate time, resources?
Is the problem in an area under your management?

16. Pareto Chart
Technique to determine most significant cause of a problem

18. Final Thoughts
What happens if you solve the wrong problem? What if it is not clear where responsibility lays for a particular problem? What is your role in problem solving?

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