So, you can explain what the letters PDSA mean. Great! (That’s an acronym for Plan-Do-Study-Act, if you didn’t know.) But, are you able to successfully run multiple PDSA tests in one day, know when a change concept is ready for implementation, and then sustain the improvements?
Built around the Model for Improvement (MFI), the
IHI Quick Course: Back to Basics: Building Essential QI Skills will demonstrate how to link the three questions related to aim, measurement, and change concepts to the sequence for success. This course will provide a refresher for those who are stalled in their improvement efforts, and a jump start for those who are new to the quality improvement journey.
This seminar carries a maximum of 6.5 credits for physicians, pharmacists, and nurses.
What is an IHI Quick Course?
An IHI Quick Course offers one-day, low cost, top content from the IHI National Forum. This learning opportunity takes the most sought after content from the IHI 2016 National Forum, and distills it down into a one-day experience.
What You'll Learn
After this IHI Quick Course, participants will be able to:
- Describe the elements of the Model for Improvement
- Identify the necessary elements to charter an improvement project and develop an aim statement
- Develop high-leverage change ideas using driver diagrams and other tools
- Identify a family of measures, including operational definitions, to drive your improvement work
- Develop effective Plan-Do-Study-Act cycles that build from small-scale testing to implementation
- Describe the difference between implementation, scale, and spread and guidance in each stage
Christina Gunther-Murphy, MBA, is an Executive Director at the Institute for Healthcare Improvement (IHI) and oversees IHI’s Person- and Family-Centered Care Focus Area. In this role, she is responsible for designing and executing the overall portfolio strategy, acting as a spokesperson, shepherding the evolution of content, directing results-oriented initiatives, and contributing to the design of large-scale initiatives. Previously, Ms. Gunther-Murphy oversaw operations for IHI’s hospital portfolio, managed key internal transitions, and led internal improvement efforts. She also has experience in spread and scale-up as the manager of IHI’s 5 Million Lives Campaign and advisor for a number of large-scale change programs in the US and internationally, including the 100,000 Homes Campaign. Ms. Gunther-Murphy is a trained Improvement Advisor and has more than 10 years of experience in health care improvement. Prior to joining IHI, she worked at the National Initiative for Children's Healthcare Quality (NICHQ), where she directed a national initiative focused on providing optimal care to prevent, identify, and treat childhood obesity. She holds a Master’s in Business Administration from MIT’s Sloan School of Management.
Michael A. Posencheg, MD, Neonatologist and Medical Director, Intensive Care Nursery, Hospital of the University of Pennsylvania, and Attending Physician, Children's Hospital of Philadelphia, has interests in the areas of quality improvement and patient safety. He completed the Improvement Advisor (IA) and Graduate IA program at the Institute for Healthcare Improvement. His team has made significant improvements in reducing unplanned extubations in ventilated infants, redesigning delivery room care and improving admission temperatures for infants with a birth weight <1250g, and reducing methicillin-resistant Staphylococcus aureus colonization in the Intensive Care Nursery. Dr. Posencheg created a curriculum utilizing simulation technology to improve the teaching of neonatal resuscitation to pediatric residents. The results of this project and the delivery room redesign were published in Pediatrics. Dr. Posencheg is an Associate Professor of Clinical Pediatrics at the Perelman School of Medicine of the University of Pennsylvania.
Workshop Content (8:30 AM–5:00 PM local time)
Please note: Breakfast and lunch are not provided at the Quick Course. Beverages (coffee, tea, decaf coffee, water) will be provided all day. Light snacks will be served during breaks. A variety of nearby restaurant recommendations will be provided by IHI upon enrollment in the Quick Course. All restaurants will be within walking distance.
Morning Session (8:30 AM–12:00 PM)
- Introduction to the System of Profound Knowledge and the Model for Improvement
- Defining your system
- Deming’s System of Profound Knowledge
- Application of profound knowledge to improvement work
- The Model for Improvement and Learning
- What are we trying to accomplish?
- Elements of an improvement project charter
- Aim statement development
- Critique multiple aim statements
- What changes can we make that lead to improvement?
- Methods to generate change ideas
- First order versus second order change
- Driver diagrams
Afternoon Session (1:30 PM–5:00 PM)
- How will we know that a change is an improvement?
- Measurement for improvement
- Moving from concept to measure
- Developing a family a measures (outcome, process, and balancing)
- Operational definitions
- Understanding data over time
- Common cause versus special cause variation
- Introduction to run charts
- Testing Changes and Plan, Do, Study, Act Cycles (PDSA)
- Sequence of change
- Plan, Do, Study, Act Cycles
- Tips for testing
- Building sequential PDSA cycles
- Testing in parallel
- Implementation, sustaining, and spread
- Describe the difference between testing and implementation
- Guidance on sustaining improvement
- Guidance on spread
- Introduction to other tools in the Quality Improvement toolbox