1. Data for Learning and Improvement David M. Williams, Ph.D. Institute for Healthcare Improvement

2. Murder rate down compared to this time last year.

7. Celebration

9. Despair

10. Three Considerations Data Definition Date Collection Data Display

11. Data Definition

13. % child receiving assessments Wait times % of mom’s receiving pre- natal vitamins % children in one clinic receiving assessment # of books read % of meals with veg Number of double smiles PDSAs per week % parents rating 7 or greater for confidence % of Mom’s screened for unhealthy habits # of huddles per week % Team members rate promise level

14. Data Definition How will you know a change is an improvement?

15. Count = Percentage = Rate = Count Total 100 Count Total Pop 100,000 population

16. Data Collection

21. Safety Cross

22. Case Study

28. Data Display

30. Elements of a Run Chart 2/16/11 3/16 4/13 5/11 6/8 Week Measure Time X (CL) ~ The centerline (CL) on a Run Chart is the Median IG p.435

31. Low Tech – Hand Written – Tester Owned

32. % antenatal bookers eligible for Healthy Start in Leith (self report) (n=410; source Maternity Trak) Monthly data release Leith Pioneer site work started 3 March Universal enquiry re HS Complete form at booking appt Team meeting Leith Survey Monkey Team meeting and survey results Focus on Trak docu- mentation “Shift” on run chart (6+ points above median) Median Annotated

34. Change Made Between Weeks 7 & 8

35. Case 1 Change

36. Case 2

37. Case 3

38. Case 4 Change

39. Case 5 Change

40. Case 6

41. Change Made Between Weeks 7 & 8

42. Radar or Spider Diagram

44. Aggregate vs. Stratified

45. Chinese Restaurant Demand Collection

48. Breaking Down Data

53. Final 2 Slides

55. Case Study – Improvers in action https://www.youtube.com/watch?v=iWYIWE7SKc M