2. TOPIC WORKSHOP: DATA AND MEASUREMENT Identifying, defining and collecting measures from PDSAs Early Years Collaborative: Learning Session 5

3. The aim of any improvement project is to make services and processes better. That might be: safer (less errors) more effective (using evidence) more efficient (less waste) more person-centred (fitting with family requests) equitable timely

4. Measurement for improvement asks questions like: What does "better" look like? How will we recognise better when we see it? How do we know if a change is an improvement?

5. Discuss with the colleagues at your table what “better” would look like for the improvement project you’re working on.

6. Without change we won't make improvements. Without measurement we won't know if we have improved.

7. In order to plan and implement measurement for improvement you need a measurement strategy (including a measurement plan).

8. AIM (How good? By when?) Concept Measures Operational Definitions Data Collection Plan Data Collection Analysis PDSA The Quality Measurement Journey Source: R. Lloyd. Quality Health Care: A Guide to Developing and Using Indicators. Jones and Bartlett, 2004.

9. AIM (How good? By when?) Concept Measures Operational Definitions Data Collection Plan Data Collection Analysis PDSA The Quality Measurement Journey Source: R. Lloyd. Quality Health Care: A Guide to Developing and Using Indicators. Jones and Bartlett, 2004. Our focus for today

10. # MEASURE NAME Type Measure Description Reporting Start Date Reporting Frequency Category Numerator Name Numerator Description Denominator Name Denominator Description Sampling Plan

11. Design an initial Measurement Plan There are three objectives at this stage: Turn the concepts of quality into actual measureables (counts, values, percentages or rates) Define each measure (for each measure a clear and unambiguous description, in quantifiable terms, of what to measure and the steps to measure it consistently) Develop a data collection plan

12. Turn the concepts of quality into actual measureables (counts, values, percentages or rates) What will we count or measure to be able to demonstrate improvement? Number Percentage Rate Days between Cases between

13. Turn the concepts of quality into actual measureables (counts, values, percentages or rates) Do we have a balanced family of the vital few measures including: Process measures Outcome measures Balancing measures

14. # MEASURE NAME Type Measure Description Reporting Start Date Reporting Frequency Category Numerator Name Numerator Description Denominator Name Denominator Description Sampling Plan Count Percent Rate per 100 Rate per 1000 Days between Cases between Daily Weekly Monthly Quarterly Yearly Outcome Process Balancing

15. # MEASURE NAME Type Measure Description Reporting Start Date Reporting Frequency Category Numerator Name Numerator Description Denominator Name Denominator Description Sampling Plan Uptake of 27-30 month child health review Percent Percentage of children who turned up for their 27-30 child health review 9 June 2014 Weekly Process Number of children who had a review Count of the number of children who had a 27-30 month child health review completed each week Total number of children who should have had a review Count of the total number of children who were expected to have a 27-30 month child health review during each week All children each week Or Random sample of 5 children each week

16. Table Exercise What are the vital few “measures” that are useful for the improvement project you’re working on?

17. Feedback from Tables

18. Thank you for a great session!