1. Alicia Dixon-Docter, MS, RD Janet L Cady, MN, ARNP
Be the Change: Quality & Process Improvement in Adolescent Health Practice
March SAHM Annual Meeting

2. Objectives
Review examples of QI & PI activities on multidisciplinary teams
Briefly orient attendees to the history and principles of QI & PI
Demonstrate the steps in development of a QI/PI activity- LEAN, CPI, PDSA,
Activity to demonstrate steps in QI/PI plan
Share resources

3. Quality Improvement Triple Aim Goals of QI Reliability matters
Tools for QI
PDSA/PDCA
Examples of QI in practice
Building partnerships for change
Challenges and resistance

4. Process Improvement Customer or patient is the focus
Wastes…overburdening
Systems are the issue, generally not people
Have people doing the work to come up with ideas for change
Work team experiences in Japan
Tools
Design events A3
Kaizen

5. Model for Improvement

6. What are we trying to accomplish?
What do you aim to change?
How good?
By when?
“Hope is not a plan”

7. How will we know that a change is an improvement?
What can you measure?
Outcome Measures
Process Measures
Balancing Measures

8. What change can we make that will result in improvement?
What is one thing we can try?
Who/What/When/Where/How?
Predict outcome
Try it! Keep it Simple!
Collect data
Compare & analyze
What next?

10. Tips for Testing Change
Pick easy changes to try
Avoid technical slowdowns
Reflect on the results of every change
Be prepared to end the test
Stay a cycle ahead
Scale down the scope
Pick willing volunteers
Avoid the need for consensus, 100%, or politics
Don’t reinvent the wheel