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PDSA

Transcript: P. D. S. A. Presented by Christine Greene PLAN PLAN PROCESS OF CHANGE IMPROVEMENT IMPROVEMENT PATIENT SAFETY AND CARE BEDSIDE REPORTING BEDSIDE REPORTING HOW IT IMPROVES CARE -IMPROVES PATIENT SATISFACTION HOW IT IMPROVES CARE HOW IT IMPROVES CARE - BETTER COMMUNICATION - ABILITY TO ASK QUESTIONS - REDUCES MEDICATION ERRORS - IMPROVES PATIENT SATISFACTION - HOW IT IMPROVES CARE STAKEHOLDERS STAKEHOLDERS -PATIENTS FAMILY MEMBERS -NURSES -PHYSICIANS TIMELINE TIMELINE 2018 WEEK 3 WEEK 2 WEEK 4 WEEK 1 patient satisfaction Label 1 Label 2 Label 3 Label 4 patient satisfaction DO DO STUDY STUDY ACT ACT

PDSA

Transcript: PDSA What is it? The model for improvement provides a framework for developing, testing and implementing changes leading to improvement. It is based in scientific method and moderates the impulse to take immediate action with the wisdom of careful study. Using PDSA cycles enables you to test out changes on a small scale, building on the learning from these test cycles in a structured way before wholesale implementation. This gives stakeholders the opportunity to see if the proposed change will succeed and is a powerful tool for learning from ideas that do and don’t work. This way, the process of change is safer and less disruptive for patients and staff PDSA WHAT IT'S? When to use it When planning any improvement or change to work processes, it is essential to know what you want to achieve, how you will measure improvement and to be explicit about the idea to be tested. You may not get the results you expect so it is safer and more effective to test out improvements on a small scale before implementing them across the board. Text Steps in the PDSA Cycle Steps Step 1: Plan Plan the test or observation, including a plan for collecting data Step 2: Do Try out the test on a small scale. Step 3: Study Set aside time to analyze the data and study the results. Step 4: Act Refine the change, based on what was learned from the test. Increasing confidence An idea is only potential; it could result in positive outcomes or negative ones. Finding flexibility Testing creates time to adapt change to local conditions. Identifying side-effects Every action can have an opposite reaction, and QI work is no different. Minimizing resistance People are creatures of habit and will often resist change, especially if they’re presented with something completely new ADVANTAGES advantages Use the Plan-Do-Study-Act (PDSA) Worksheet to help your team document a test of change. Fill out one PDSA Worksheet for each test you conduct. Your team will test several different changes, and each change will go through several PDSA cycles. Keep a file (either electronic or hard copy) of all PDSA Worksheets for all changes your team tests. directions Directions

PDSA

Transcript: PDSA its an association that help animals that are sick This type of animals need help This association operates on Great Britain This association stops the killing animals that are in extintion and the ones that arent too some questions?

PDSA Powerpoint NU420_LMoore

Transcript: Increase Flu Vaccine Compliance: PDSA Powerpoint STUDY PLAN Survey results: https://docs.google.com/a/smartech-csi.com/forms/d/1oK1SAVizyIcfBur1Obj_pwVI-oje-hHsMhE9OBKre2g/edit#responses Of my 26 responses, exactly 50% got the flu shot last year and only 38.5% have gotten it so far this year. Of those that haven't yet received the shot this year, 40% say that they are planning to. Nearly 70% realize it is covered by insurance yet 55% say they will not be getting the vaccination. I did not ask for names in the survey. This was a mistake in hind-sight because I was left not knowing who had not replied. I received 20 responses the first time I sent it out and an additional 6 more when I resent. When comparing sick time counts between this year and last year, our census was drastically different. Last year we had 52 active employees at year end. Today we have 41. This makes it hard to really know if fewer employees are taking sick time. Aim of this initiative: Gather baseline data on who has and hasn't already gotten the flu vaccine this season Email all employees a survey to determine whether or not they've gotten the flu shot and/or plan to if they haven't already done so. Look up historical data to determine sick time used during the 2015-2016 flu season I predict initially poor compliance and I will need to follow up Increased compliance with flu vaccination for the 2016-2017 season in order to decrease absenteeism and protect our employees and those they come in contact with. Survey Link https://docs.google.com/forms/d/e/1FAIpQLSf_kFSyu6RQyEqI6t7rAYCgYD1BlLYuuAhfuqfHZKB_J73DAA/viewform Sick time used last flu season 10/01/2015 to 03/01/2016: ACT Total of 264 hours DO Adapt - resend the survey and ask for names this time so that I am able to follow up with those that do not comply. Adopt - I am considering sharing the results of the survey and also sharing some more information about the safety of the shot. According to my survey results, there are still some that think the vaccine causes illness. I will send another email offering to pay the cost of the vaccination for any uninsured employees, per management's approval. Received 26 replies to my survey which is 63% of our staff Hung up poster in the breakroom encouraging flu vaccination Received my own flu vaccination in order to set a good example Created a spreadsheet to track active employees that used sick time during the '15-16 flu season Conclusions I learned that there are still many people that do not fully understand the flu vaccine and the benefits of it. I feel more strongly than ever that education is imperative to improve the health of our staff and our company. Being armed with knowledge is the best way to achieve change. By being able to provide management with numbers, they were very willing to back my project. I still have some resources available to me to increase compliance The CEO will cover the cost of the shot for those that are uninsured, if needed. I can look up nationwide clinics that will provide the vaccine in the employee's local area such as Walgreens, CVS, etc.

PDSA

Transcript: 1. Test the plan. 2. Monitor outcomes. 3. Examine success. 4. Look for new lessons or problems to solve. PDSA Board Examples PDSA Presented by: Stacey, Kathy, & Laura What is PDSA? 1. What teaching methods need to be adjusted? 2. What do we need to learn more? 3. What can we do to better meet our goal? Plan 1. Plan activities to meet the goal. 2. Carry out the activities. 3. Plus/Delta: Determine what worked and what didn't work with each activity. 1. Identify purpose and goals 2. Define measures of success and how to measure them Examples Do Owning Your Learning Examples Examples Examples Act Study Mission Statement Going through the steps of the cycle is how we help students reach the mission statement. Plan... Do... Study... Act...

PDSA

Transcript: Problem: Sophie jumps on Kattie when Kattie gets home from work Aim statement: Kattie will test different interventions including; avoidance, reward and punishment to help Sophie contain her excitement to less than 1 jump per week when Kattie comes home with inital results by April 3rd 2013. 1:1:1 When Measurement Adopt What Who Adapt Abandon Where

PDSA

Transcript: PDSA Do Instructor: Heather Rabanus Act Plan Classroom introductions/what you hope to learn today. Go over objectives of PDSA Today's Schedule 8:00 a.m. Introductions 8:15 a.m. Objectives 8:30 a.m. PDSA Video Example of a proposed problem Collaboration time 11:30 a.m. Break/Lunch 12:30 p.m. Individual time-work on your proposed problem 2:00 p.m. one-on-one help if needed 2:30 p.m. Charrette of your PDSA Agenda What do you expect to learn today? Study PDSA Video: https://www.youtube.com/watch?v=jsp-19o_5vU 1. Plan Intial Conditions Define the Problem Study the current situation Analyze the causes Overview of PDSA Process-Plan Overview of PDSA Process-Plan 2. Do Select and develop a theory for improvement Implement the theory for improvement Overview of PDSA Process-Do Overview of PDSA Process-Do 3. Study Study the results, learn from them Overview of PDSA Process-Study Overview of PDSA Process-Study 4. Act Standardize the improvement Reflect and establish future plans Overview of PDSA Process-Act Overview of PDSA Process-Act Group Practice Example: Overcrowding of parent pick-up at front door. Task: Work in a group of 3-4 As a team you will be required to choose one resource from the Langford's toolkit to complete each step of the plan and Do process. You will complete each step on chart paper. Upon completion of the task: your group will share their findings to the class. Task: Work in a group of 3-4 As a team you will be required to choose o... Task #2 Identify a problem that needs improvement. You will have the remainder of the day to work on the Plan and Do process using the Langford toolkit. Be prepared to share your proposed problem along with the tools you used to complete the Plan and Do step. On your Own Come join me at the back table for a mini lesson on PDSA. Do You Need Help? Do You Need Help? Are you Finished with your task? Feel free to join me at the back table to provide assistance. Finish your problem by completing the Study and Act steps. Email me (Heather.Rabanus@isd194.org) your PDSA results in two weeks of this PD lesson. You have the option of videotaping your results or creating a PowerPoint. Assignment Assignment Write at least one comment on a Post-it note that you found beneficial about today's PDSA lesson. Post it on the board before you leave today. Reflections Reflections

PDSA

Transcript: Try it out... 78% of students in 4th grade are proficient on the FAST fluency screener. 12% of students in 4th grade are "At Risk" 10% of student in 4th grade are "Persisently At Risk" Listen-Read-Discuss Teachers picked engaging Super Science magazines to use. Think-Alouds Students use question stems and children's literature to be in the lead for this grouping. Summarizing Students use Thrively to discover their interests and summarize passages with teacher support. PDSA Study and Act? Analyze Causes Mission: During PLC time, teachers develop interventions for students that are "at risk" or "persistently at risk" as defined by the FAST reading fluency screener. Drivers: Assess Current Situation Current Reality: "At Risk" and "Persistently At Risk" students receive targeted interventions. Proficient students are given busy work. Analyze Causes The 4 essential questions that drive PLC's: 1. What do we want students to learn? 2. How will we know if they've learned it? 3. What will we do if they didn't learn it? 4. What will we do if they already know it? Key Measures: FAST screener, Easy CBM comprehension assessment, common formative assessment developed during PLC by grade level team April 6-20: Planning April 23-May 11: 3 week intervention cycle May 18th: Study the results Share successes/improvements Plan for changes for next year PDSA 30 minute time span Space Quality of instruction 5 teachers: Intervention specialist for 10% that are "PAR" Gen Ed Teacher for 12% that are "At Risk" 3 Gen Ed Teachers focused on research based strategies for the 78% proficient. Students are grouped based on FAST screener results and EasyCBM data. Jessica Goodenow EDL 271 PDSA PDSA Define the System Restrainers Research based strategies for the 78% that need fluency enrichment: Listen-Read-Discuss Think-Alouds Summarizing Define the System Problem: 4th grade students proficient in reading fluency have limited enrichment during intervention time.

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