1. Other BPR Methods PDSA – Plan, Do, Study, Act Clinical Microsystem Model Talent Profiling 10/10/20141Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow

2. PDSA – Plan, Do, Study, Act Three Questions What are we trying to accomplish? How will we know that a change is an improvement? What changes can we make that will result in improvement? 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow2

3. PDSA – Plan, Do, Study, Act Plan: Who will do the work and when? What equipment or training do they need? How will information for assessing success be collected and recorded? When will progress be reviewed? Do: Do the work according to the plan. Record Observations. Study: Study the information gathered. Was the desired outcome achieved? If not what actually happened? Act: Decide what action is needed; for example: Adopt the change permanently. Abandon the change. Modify and start the next cycle. 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow3

4. PDSA – UW Rheumatology Office Visit Data Collection Cycle 1 - Standardized Database & Dictation Template Cycle 2 - Disease Activity Scoring Cycle 3 – CPT Visit Coding Level Cycle 4 – Full Implementation 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow4

5. PDSA – UW Rheumatology Office Visit Data Collection Improvements More Complete Data 40% Time Savings More Effective Patient/Physician Visit Improved Therapeutic Decision Making Research Study Revenue 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow5

6. Clinical Microsystem Method Smallest Replicable Unit Building Blocks to Larger System 5 P’s - Purpose, Patients, Processes, Professionals, and Patterns Improvements – Transformation of Workforce and Culture Hospital Quality = Quality of Microsystem 1 + Quality of Microsystem 2 + Quality of Microsystem 3 and Microsystem (n) 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow6

7. Talent Profiling Worker rather than Process Right Person – Right Job Important Characteristics to be Successful 10/10/2014Group 4: Farabaugh, John, Katzovitz, Lott, Patki, Pearce, Snow7