1. 1 Quality Improvement Series Session 4- shaping the AIM Windy Stevenson lammersw@ohsu.edu

2. 2 Today’s Agenda 1.Remind you of what you’ve learned

3. 3 Take Home Points Real (sustainable) change comes from changing systems, not changing within systems education alone doesn’t work don’t push the current system to work harder It’s your job to spot the system that isn’t working Be specific about what you want to accomplish, and why; be intentional Focus on patients Start before you think you are ready; don’t get paralyzed Don’t be the donkey

4. 4 Don’t be the donkey!

5. 5 Systems… A system is a set of interdependent parts sharing a common purpose. Every system is perfectly designed to achieve the results it achieves. The parts The interaction of the parts The people

6. 6 The Problem List “System”  What results is our current system designed to produce?  WHY?

7. 7 Where do you start? Problem statement: The DCH ambulatory clinic problem lists are incomplete and inaccurate. BUT WHAT DOES THAT MEAN???

8. 8 Project ideas Operational Clinical