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LS0 #CMH50K

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by

Ian Hutchby

on 9 June 2015

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Transcript of LS0 #CMH50K

What Makes a good aim statement?
S
M
A
R
T

pecific
easurable
ttainable
elevant
ime bound

We aim to reduce harm and improve patient safety for all of our internal and external customers.

By Dec of 2013 we will reduce the incidence of pressure ulcers in the critical care unit by 50%.

Our outpatient testing and therapy patient satisfaction scores are in the bottom 10% of the national comparative database we use. As directed by senior management, we need to get the score above the 50th percentile by the end of the 1st Q of 2014.

We will reduce all types of hospital acquired infections.

Reduce the number of bed days used for patients with cellulitis and abscesses from
x
to
y
by 1 July 2013. By reducing presentations and admissions to the inpatient wards by 10%


Our most recent data reveal that on the average we only reconcile the medications of 35% of our discharged inpatients. We intend to increase this average to 50% by 1/1/14 and to 75% by 4/31/14.

Aims exercise -
Create your aim statement
S
M
A
R
T
pecific
easurable
ttainable
elevant
ime bound
Aim statements
To provide self-management support package across Counties Manukau (Localities, PHOs, Middlemore Hospital, Community) for 50,000 people living with long term conditions by 1 December 2016.

A driver diagram is an immensely powerful tool that helps you to translate a high level improvement goal into a logical set of underpinning goals and projects.

It captures an entire change programme in a single diagram and also provides a measurement framework for monitoring progress.

It is your ‘theory’ about how the system you are working in and wanting to improve actually works.
Aim
Primary
Driver
Primary
Driver
Secondary
Driver
Secondary
Driver
Secondary
Driver
Secondary
Driver
Change idea 1
Change idea 2
Far Left depicts aim (or desired outcome)


Moving towards the right shows your theory of what within the system drives that desired outcome
The far right shows key actionable ideas that you believe will have an impact on the drivers and ultimately the aim
Aim: to be 2kgs lighter
Energy In
Energy Out
Walk to work
Exercise
Reduce alcohol intake
Eat less
Pedometer
Gym 3 times per week
Driver Diagram example
Stairs no lift
No pub on weekdays
take packed lunch
low fat evening meals
Play squash
Exercise
Decide which campaign secondary driver your proposal is most aligned to.
Have we missed any potential drivers?
By 1st July 2014, the SMART model (a doctor and pharmacist working together) will be applied to 90% of triage category 2-5 patients presenting to EC who are referred to General Medicine between the hours of 8am and 10pm, Monday to Friday.
Full transcript