1. Scottish Improvement Skills
Prioritisation

2. System of Profound Knowledge
Deming 2000

3. Prioritisation By the end of this session you will be able to:
use a 2 x 2 matrix (eg Difficulty vs Impact) to prioritise change ideas or drivers
Identify opportunities to use Pareto charts, and analyse Pareto charts to generate and prioritise change ideas.

4. Prioritisation
Impact/difficulty matrix
Pareto chart

5. Prioritisation
Impact/difficulty matrix
Pareto chart

6. Matrix: impact vs difficulty
High
Low
Easy
Hard
Difficulty

7. Driver diagram Aim 1 Driver 2 Driver Change ideas
A new healthier me!
Lose 7 pounds by end July 2015
Leisure activity
Calories in meals
Calories in drinks
Calories in alcohol
Work activity
Calories in snacks
No alcohol Monday to Thursday
Max 1 x juice or soft drink per day
Reduce portion size
Cook evening meals from scratch
Replace biscuits/cakes with fruit
Keep to shopping list
Get up from desk to talk, instead of phone or
Use stairs not lift
Walk to a daily step target
Swim at least twice a week
Calories in
Calories out

8. New, healthier me! Impact High Low Easy Hard Difficulty
Easy
Hard
Difficulty
Reduce portion size
Swim twice / week
No alcohol Mon – Thurs
Keep to shopping list
Cook from scratch
1 soft drink / day
Increase steps
Replace biscuits with fruit
Use stairs at work

9. Matrix: impact vs difficulty
High
Low
Easy
Hard
Difficulty

10. Prioritisation
Impact/difficulty matrix
Pareto chart

11. What is a Pareto chart?
80:20

12. When to use a Pareto chart
When you can categorise items that have the potential to contribute to the improvement you are considering
When you want to analyse data about the frequency of problems

13. Access to primary care

14. Primary care practice X: reasons given by patients for not attending

15. Primary care practice X: reasons given by patients for not attending
Number %
cumulative %
Unable to contact to cancel 35
24%
Forgot 26
18%
43%
Unaware of appointment 23
16%
59%
Confusion about appointment time 19
13%
72%
Inconvenient day 12 8%
80%
Other 9 6%
87%
Unwell 6 4%
91%
Inconvenient time 4 3%
94%
No value in appointment
97%
Working 3 2%
99%
No transport 1 1%
Unable to afford time off work
100%
Total
143

16. Primary care practice X: reasons given by patients for not attending

17. Primary care practice X: reasons given by patients for not attending

18. Central Hospital Ward F: Percentage of meals returned, by meal type (2013)

19. Ward X: Adverse drug events - causes

20. Hospital X: SAB cases by ward (SAB = Staphylococcus aureus bacteraemia)

21. When to use a Pareto chart
When you can categorise items that have the potential to contribute to the improvement you are considering
When you want to analyse data about the frequency of problems
When you have at least 30 observations across the categories (vertical axis)
Consider: measure, period, existing data

22. Pareto chart examples
For this project, what data could a Pareto chart be used with?
Which driver(s) or change idea(s) is this Pareto chart related to?
Which categories would you focus your improvement efforts on?
What action would you take based on this chart?

23. Project work: prioritise
Would a Pareto chart be useful for your project?
If so, what data would you need, and how could you get it?
Use the Impact vs Difficulty matrix to identify your top priority for change.

24. Prioritisation: summary
Impact/difficulty matrix
Pareto chart

25. References and further resources
Pareto chart