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HLST 3400 Lecture 3: IHI QI103 Summary

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School
York University
Department
Health Studies
Course
HLST 3400
Professor
Liane Ginsburg

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Document Summary

Qi 103: testing and measuring changes with pdsa cycles (visit www. ihi. org/education/ihiopenschool/courses to learn more. ) Lesson 1: how to define measures and collect data. Measuring for improvement requires selecting and tracking a family of measures, consisting of outcome, process, and balancing measures. Lesson 2: how to use data for improvement. The purpose of measuring for improvement is to: keep track of what you"re learning during plan-do-study-act (pdsa) testing, answer the second question in the model for improvement, how will we know that a change is an improvement? . Because improvement happens over time, static displays of data are not helpful; you need a dynamic way to display the data, such as a run chart. A run chart is a graph that helps teams effectively interpret and communicate variation in data by showing change over time. Classifying and separating data according to specific variables, a practice called stratification, is another helpful way to understand the story the data is telling.

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Related Questions

note: Working managers may complete this exercise based on the practices of their own organizations. Students may complete this exercise based on the practices of a current or previous employer. Instructions 1. Select and describe the boundaries of the system of interest; the term “organization” will be used to refer to this selected system. You may select a team, a department, a small organization (e.g., an office practice), or an entire organization. 2. To familiarize yourself with the criteria, review the section called “Category and Item Descriptions” in the Baldrige Criteria for Performance Excellence available from: www.nist.gov/baldrige/ publications/hc_criteria.cfm 3. The Organizational Assessment Worksheet provides a general description of the criteria category followed by selected questions from the respective 2011–2012 Health Care Criteria for Performance Excellence category. 4. Based on the system selected in question 1, write a brief reply to the selected questions. Briefly describe your organization, including its services; size; geographic community; key patient or customer groups; and current facilities, equipment, and technology, as well as the number of patients or clients it serves. Briefly describe your organization’s key challenges and your organization’s current performance improvement system. How do senior leaders deploy your organization’s vision and values through your leadership system, to the workforce, to key suppliers and partners, and to patients and stakeholders as appropriate? How do senior leaders encourage frank two-way communication throughout the organization? How does your organization conduct strategic planning? Summarize your organization’s action plans, how they are deployed, and key action plan performance measures or indicators. How do you identify patient, stakeholder, and market requirements for service offerings? How do you build and manage relationships with patients and stakeholders to meet their requirements and exceed their expectations at each stage of their relationship with you? What are your key organizational performance measures? How do you use these data and information to support organizational decision making and innovation? How do you assess your workforce capability and capacity needs, including skills, competencies, and staffing levels? How do you address workplace environmental factors to ensure and improve workplace health, safety, and security? How do you design and innovate your work processes to meet all the key requirements? How do you improve your work processes to improve healthcare outcomes, to achieve better performance, to reduce variability, and to improve healthcare services? Provide data for one key measure or indicator of healthcare outcomes that is important to your patients and stakeholders. Provide data for one key measure or indicator of patient or stakeholder satisfaction. Provide data for one key measure or indicator of financial performance. Provide data for one key measure or indicator related to operational performance. Provide data for one key measure related to achieving legal, regulatory, and accreditation requirements. Prioritizing Improvement Opportunities 1. Review the responses to the organizational assessment questions. 2. Note any questions for which you could not provide a response (i.e., the organization does not have a defined process or approach to address the topic of the question). 3. Review the organizational performance results data. 4. Select one or more measures that demonstrate less than desirable results. 5. Select one item from question 2 or 4 as the performance gap for the performance improvement exercise .

To complete the scenario section of the final, choose a scenario and paste it where indicated below. You may delete the other scenarios from the body of the exam. Answer the questions regarding the study you designed, giving the answers following each of the questions. If one of the questions isn’t applicable to your study, respond N/A after the question. Any additional information about the study you’ve designed can be added at the end of the required questions and will likely generate some extra points.

Design an epidemiological study for only ONE of the 6 scenarios below and provide at minimum the following information about your study:

Scenario 1: A new vaccine (NoBola) has been developed to prevent Ebola. Design a study that will indicate whether or not NoBola is associated with a reduction in Ebola cases in parts of the world where Ebola is endemic.

Please answer the above questions

1• Describe how you will recruit or identify study participants to best represent the target population

2• Describe the risks and benefits of participating in the study

3• Provide a case definition (e.g. in a cohort study, how will you diagnose those who become ill, in a case-control or cross-sectional study, what characteristics does the participant need to have to be considered a case)

4• Describe exposures or risk factors and how you will measure them

5• Describe exclusion criteria (e.g. in a prospective cohort study, a person who tests positive for illness at or near baseline must be excluded)

6• Describe how you will collect data for your study (survey, medical records, laboratory tests, etc.)

7• Divide subjects as appropriate for your study design (i.e. exposed/unexposed, case/control)

8• Describe outcome measure for study, how it’s calculated, and how it’s to be interpreted (you don’t need to actually do calculations, but provide the equations and give an example of how they’re interpreted): For example: RR=a/(a+b) interpreted as the risk of lung cancer in smokers is X times greater (or less) than it is in non-smokers

9• Give justification for your study design (tell why you chose that particular study design, why it is appropriate, and what you hoped to learn from doing the study)

10• Brief discussion of study strengths and weaknesses including a discussion of causal hypotheses and biases as they relate to your study design

To complete the scenario section of the final, choose a scenario and paste it where indicated below. You may delete the other scenarios from the body of the exam. Answer the questions regarding the study you designed, giving the answers following each of the questions. If one of the questions isn’t applicable to your study, respond N/A after the question. Any additional information about the study you’ve designed can be added at the end of the required questions and will likely generate some extra points.

Design an epidemiological study for only ONE of the 6 scenarios below and provide at minimum the following information about your study:

Scenario 1: A new vaccine (NoBola) has been developed to prevent Ebola. Design a study that will indicate whether or not NoBola is associated with a reduction in Ebola cases in parts of the world where Ebola is endemic.

Please answer the above question

1• Describe exclusion criteria (e.g. in a prospective cohort study, a person who tests positive for illness at or near baseline must be excluded)

2• Describe how you will collect data for your study (survey, medical records, laboratory tests, etc.)

3• Divide subjects as appropriate for your study design (i.e. exposed/unexposed, case/control)

4• Describe outcome measure for study, how it’s calculated, and how it’s to be interpreted (you don’t need to actually do calculations, but provide the equations and give an example of how they’re interpreted): For example: RR=a/(a+b) interpreted as the risk of lung cancer in smokers is X times greater (or less) than it is in non-smokers

5• Give justification for your study design (tell why you chose that particular study design, why it is appropriate, and what you hoped to learn from doing the study)

6• Brief discussion of study strengths and weaknesses including a discussion of causal hypotheses and biases as they relate to your study design