1. Plan−Do−Study−Act! Using the PDSA Cycle to Improve Your Performance Improvement Projects
March 18, 2014
Presenter:
Christi Melendez, RN, CPHQ Associate Director, Performance Improvement Projects Health Services Advisory Group, Inc.

2. Performance Improvement Principle
Your current systems and improvement strategies have resulted in your current outcomes.
What you’re doing is getting you the results you have.
To GET different results, you have to DO something different.

3. What changes can you make that will
Selecting Changes
While all changes do not lead to improvement, all improvement requires change.
What changes can you make that will
result in improvement?

4. PDSA Cycle

5. Identifying Barriers
Conduct an initial barrier analysis to identify possible barriers.
Brainstorming and the “Five Whys”
Fishbone Diagram
Key Driver Diagram

6. Prioritizing Barriers
Request data related to identified barriers.
Evaluate whether data support barriers’ relevance.
Rank barriers—from highest to lowest priority.

7. Development of Interventions
Plan Interventions
Development of Interventions
Avoid “Passive” Interventions
Mailers
Reminder letters
Newsletter articles
Postcards, flyers, and brochures
Updating Web site/portals
Robot calls

8. Plan Interventions (cont.)
Develop “Active” intervention(s) that directly address prioritized barriers and will impact indicator outcomes.
Face-to-face education efforts (enrollee and provider)
Outreach events—“boots on the ground”
Policy/process changes
Performance report cards
Incentive programs (enrollee and provider)

9. PDSA Cycle Develop a strategy to implement the interventions.
Develop a plan to test the intervention (Who? What? When? Where? What data need to be collected?)

10. It’s better to do a few interventions well!
PDSA Cycle (cont.)
Try the intervention on a small scale.
Carry out the intervention as designed.
It’s better to do a few interventions well!

11. PDSA Cycle (cont.) Evaluate the effectiveness of the intervention.
Analyze your results.
What did you learn?
What were the results compared to your prediction?

12. PDSA Cycle (cont.) Use what you learned from the evaluation/analysis.
Refine or revise.
Determine next steps.
If successful, how will the intervention be rolled out on a larger scale?
If unsuccessful, repeat the cycle.

13. What It Takes to Get Improvement
Improvement will not happen without these components:
Will
Ideas
Execution

14. Setting Goals
What are you trying to accomplish? The goal should be “S-M-A-R-T”. Specific Measurable Attainable Relevant Time-bound

15. Important Dates DATE TASK March 21, 2014
Non-clinical PIP topics due to the Agency for Health Care Administration (AHCA) contract managers
May 20, 2014
Quarterly Meeting—Tallahassee
May 21, 2014
On-site, one-on-one technical assistance, as requested
August 1, 2014
PIPs due to AHCA with first six activities completed (Study Design)

16. Questions