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Referral Reduction: Minor Health Issues

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Elvia Flores

on 6 December 2013

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Transcript of Referral Reduction: Minor Health Issues

Reflection (The Process)
Collaboration on all levels is key!
1. Identify a problem
2. Develop possible causes
3. Take the problem to the job floor
4. Obtain feedback/input from the experts (e.g., survey)
5. Focus in/think small
6. Re-evaluate the problem with new insight create
7. Driver diagram to birth the aim.
8. Narrow the focus
9. Take it back to the job floor
10. Create balance measures
11. Start the PDSA cycles
Referral Reduction: Minor Health Issues
Driver Diagram
PDSA Cycle 1
PDSA Cycle 2
Before Yard Supervisor Intervention:
2 referrals due to Band-Aids
After Yard Supervisor Intervention:
1 referral due to Band-Aids
Root Cause Analysis
1. Outcome measure -Office health referrals and instructional time lost before change idea was implemented.
a. results indicated that when 62 children were referred to the office for minor health referrals the average time lost was 12 minutes
2. Process measure- Supplies to replenish in the classroom. Keep track of referrals and type/needs of referrals.
a. process measure allowed us to see which minor health referrals could be eliminated by supplying teachers/staff with first aid supplies so student health needs could be met in the classroom
3. Balance measure: Infographic: Do teachers have guidelines to know when to keep kids in class and treat kids in class, and when to send them to the office? Monitor parent complaints. Parents will voice concerns if student is not getting needs met.
a. provide band-aids for teachers of grades K-2 with an accompanying note that said, “For your convenience, we are providing you with band-aids. Our hope is that this step may reduce loss of instructional time do to small cuts that simply require students to wash their hands with soap and water and application of a small band-aid”
Before K-2 Intervention:
5 referrals due to Band-Aids in K-2
After K-2 Intervention:
1 referral due to Band-Aids in K-2
What We Learned
We learned the importance of establishing the balance measures, as they would guide the PDSA cycles.
Our prediction allowed us to know if our improvement measure was working.
Also, explicitly keeping track of data before and after the intervention was implemented was key in determining if our change failed or succeeded.

Too many instructional minutes were being lost when students are sent to the office.
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