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Web Link for Resources: www.ihi.org/ihi/sitemap.aspx. Improvement Plan. A multidisciplinary team was formed to improve care Each step of the care process was reviewed for cost, appropriateness, etc Changes were proposed, unnecessary variation was reduced. - PowerPoint PPT PresentationTRANSCRIPT
Care of the patient having a radical prostatectomy
Koch, M., Smith, J .,Hodge, E.,Brandell, R.
Care of the patient having a radical prostatectomy
Koch, M., Smith, J .,Hodge, E.,Brandell, R.
What are we trying to accomplish?AIM
What are we trying to accomplish?AIM
How will we know that a change is an improvement?Data
(Tools: Surveys, Run Charts)
How will we know that a change is an improvement?Data
(Tools: Surveys, Run Charts)
What changes can we make that will result in an improvement?Process Analysis
(Tools: Flowchart, Cause & Effect Diagram, Pareto Chart, etc.)Decide on changes
What changes can we make that will result in an improvement?Process Analysis
(Tools: Flowchart, Cause & Effect Diagram, Pareto Chart, etc.)Decide on changes
IMPROVEMENT MODEL
Planthe
Improvement
Studythe
Results
Dothe
Improvement
ActAct to keep changeor Abandon and try
another change
PDSA Cycle—Small rapid cycles of changeLangley, Nolan, et al. 1996
P
A D
SWeb Link for Resources: www.ihi.org/ihi/sitemap.aspx
What are we trying to accomplish?
Aim: To develop of a cost-efficient program for radical
prostatectomy
What are we trying to accomplish?
Aim: To develop of a cost-efficient program for radical
prostatectomy
How will we know that a change is an improvement?
Length of hospital stayReduction in OR time
Material and utilizationCharges
Affect on quality of care
How will we know that a change is an improvement?
Length of hospital stayReduction in OR time
Material and utilizationCharges
Affect on quality of care
What changes can we make that will result in an improvement?
Changes Identified
What changes can we make that will result in an improvement?
Changes Identified
PDSA CYCLEPDSA CYCLE
Planthe
Improvement
Studythe
Results
Dothe
Improvement
ActAct to keep changeor Abandon and try
another change
PDSA Cycle—Small rapid cycles of changeLangley, Nolan, et al. 1996
P
A D
S
Improvement Plan• A multidisciplinary team was
formed to improve care• Each step of the care process
was reviewed for cost, appropriateness, etc
• Changes were proposed, unnecessary variation was reduced
From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995
From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995
From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995
From M.O. Koch and J.A Smith Jr.Br J of Urol, 1995 showing a44% decrease in cost per case. (study done at VUMC)