Data for Leadership

Jason Leitch

Purpose of this session

• Current position of the work so far• Revisit the Science of Improvement • What is your data telling you?• Bringing it all together on the driver diagram • Reflection on your leadership role in all that• Next steps

‘This model is not magic, but it is probably the most useful single

framework I have encountered in twenty years of my own work on

quality improvement’

Donald M. Berwick

The Model for Improvement

Plan Do Study Act

“What will happen if we try something different?”

“Let’s try it!”“Did it work?”

“What’s next? ”

Cycles of Tests Build Confidence

AP D

S

AP

D S

APD

SA P

DS

Proposals, theories, hunches, intuition

Changes that will result in improvementLearning

from data

Sequence for improvement

Develop a change

Test a change

Implement a change

Sustain & spread a change to other locations

Support with data and consideration of people

Theory &prediction

Test under avariety of conditions

Make partof routineoperations

Study

Act Plan

Do

Table time

• How is the CPP organised for quality improvement?

– Leadership meetings– Executive leadership walk rounds/huddles

• How does it feel to lead this collaborative?

A System for Planning: Integrate Planning for Improvement with Other Organisation Planning Processes

Plan to Operate

FinancialPlanning

Developing OperatingBudget

DevelopingCapitalBudget

Operate and improve the Organisation

Plan to Improve

OperationsPlanning

Human Resources Planning

Product/ServiceDevelopmentPlanning

ProjectPlanning

MarketPlanning

Department and Functional Planning

TrainingPlanning

INPUTS FOR PLANING• Purpose of the Organisation• Market Analysis• Customer Research• Supplier Input• Technology Information• Economic Forecasts• Business needs• Regulations

FutureScenarios

StrategicPlanningProcess

BusinessPlanningProcess

• Key measures of the system• Customer feedback• Employee suggestions• Status of plans

Annually

Quarterly

1 to 5 years

Annually1 to 5 years

Setting Priorities: Process Condition and Strategic Impact Diagram

6

5

4

3

2

1

Strategic Impact (total rating)

Pro

cess

Co

nd

itio

n

0 5 10 15

7

8 4 2 5

3 19

16610 12

11

15 14 9

21

18 1

High leverage processes: develop improvement charters to address these

Organising for Quality ImprovementThanks to Edinburgh

Some examples of testing and results

Aim: To improve parent confidence, parent /child interaction and instances of children’s readiness to learn, through the development of regular 1:1 bedtime story reading

• The impact for A has been:• A sits for a focused 20 minutes (maximum) at story time• He expects to have a story and it is very much part of his routine• He likes the actions and the onomatopoeic words and he is responding to

these with laughter • He likes to see the funny faces in the book and examines them further by

turning the pictures upside down• At other times during the day his mother has observed him choosing to look

at a book by himself e.g. his tractor book and turning the pages slowly and focusing in a concentrated way

• At nursery staff have observed him choosing to go to the book corner and look at books by himself. He spends time focusing on the pictures and carefully turning the pages. He will spend considerable time doing this. Sometimes he moves between two books but focusing on each book in turn.

Results for a

child th

at would not si

t

for 30 se

conds…

Incremental gains…thanks to the team in East and Mid Lothian

Wider results and benefits?...Thanks to the team in East and Mid Lothian

East Ayrshire% children read to at night (Story Sack)

Cohort increased to 10.

Stirling – Antenatal bookings by 12 weeks

Use of patient questionnaires

Posters to GP surgeries.

A6 cards to pharmacies. Posters to nurseries and family centres.

Table time

• Where are you in relation to data and results?

• Where are you in relation to your testing plans in each the work stream areas?

• What are the prevailing challenges you are facing?

Early Years Collaborative

Monthly Progress Report

Reporting Month: CPP:

Key Contact (Name): Workstream:

Lead: (Name):

PDSAs in progress

No

Detail (e.g., LAC reviews, healthy vitamins )

Comments (what happened, what did you learn, next steps)

1

2

3

4

5

PDSAs planned

1

2

3

4

5

Challenges Please share any significant challenges you/ your team has faced and provide detail of any support you need from leadership/ Early Years Collaborative team?