john leon, rn, mph nursing homes projects specialist, ofmq › sites › default › files ›...
TRANSCRIPT
![Page 1: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/1.jpg)
John Leon, RN, MPH
Nursing Homes Projects Specialist, OFMQ
Building Success with Small Improvements
![Page 2: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/2.jpg)
QAPI Process • QAPI team sets priorities for improvement efforts • Utilize interdisciplinary team to develop the
improvement process • Set a SMART goal to drive efforts
(Specific Measurable Attainable Relevant and Time bound)
“Could your home reduce number of residents that self-report moderate to severe pain from 21.3 to 16.4% in 6 months?”
• Create interventions to achieve your goal (PDSA)
2
![Page 3: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/3.jpg)
3
MDS Facility Level Report
![Page 4: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/4.jpg)
4
Determine Your Improvement
![Page 5: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/5.jpg)
Calculate New Goal
![Page 6: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/6.jpg)
6
New Goal Statement
![Page 7: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/7.jpg)
Tracking QMs
![Page 8: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/8.jpg)
8
Tracking Results
![Page 9: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/9.jpg)
Tracking Pain Management
9
![Page 10: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/10.jpg)
Tracking Pain Management
10
![Page 11: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/11.jpg)
Tracking UTIs
11
![Page 12: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/12.jpg)
Tracking Falls with Injury
12
![Page 13: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/13.jpg)
13
MDS Resident Level Report
![Page 14: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/14.jpg)
The PDSA Cycle for Learning and Improvement
Act Plan
Study Do
![Page 15: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/15.jpg)
PLAN
State the objectives/purpose
Make predictions
Develop a plan to test the change
![Page 16: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/16.jpg)
DO
Carry out the test
Document problems and observations
Begin to study the data
![Page 17: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/17.jpg)
STUDY
Complete the study of the data
Compare the data to predictions
Summarize and reflect
![Page 18: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/18.jpg)
ACT
Adopt-Adapt-Abandon
Determine what modifications need to
be made.
Prepare a plan for the next test.
![Page 19: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/19.jpg)
Small-scale, Rapid PDSA Cycle- Plan
Purpose: Decrease resident pain by
use of whirlpool bath Plan: • Make sure whirlpool is
working • Schedule time for
resident in whirlpool • Have staff available and
able to assist resident
Do: • Resident uses the
whirlpool • Record effects of
whirlpool Study: • What were the effects of
the whirlpool Act: • Adopt-Adapt-Abandon
![Page 20: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/20.jpg)
Repeated Use of the Cycle
Hunches Theories
Ideas
Changes That Result in
Improvement
A P S D
A P S D
![Page 21: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/21.jpg)
TIPS FOR TESTING CHANGE
Always stay one cycle ahead Small scale does not equal small
change Choose changes that do not require
long process of approval Don’t reinvent the wheel
![Page 22: John Leon, RN, MPH Nursing Homes Projects Specialist, OFMQ › sites › default › files › Building Success.pdf · Repeated Use of the Cycle . Hunches Theories Ideas . Changes](https://reader033.vdocuments.net/reader033/viewer/2022053009/5f0cc47a7e708231d4370825/html5/thumbnails/22.jpg)
Tracking to Show Success!
22