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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 Powerpoint NU420_LMoore

Transcript: Increase Flu Vaccine Compliance: PDSA Powerpoint STUDY PLAN Survey results: 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 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.


Transcript: Zoom out for more assets Asset library B Affect of change positive/negative C Implement positive changes Key measurement KPI Success/failure A A Monitor outcomes STUDY CHECK Modify/remove negative changes B ACT (A) C B Begin the process again never ending cycle Monitor progress Create a group C DO (D) A Prepare training resources Example: Patient Satisfaction Surveys Cycle 1: Display surveys at checkout, encourage patients to fill them at desk. Cycle 2: Provide surveys and envelopes, encourage home completion over 2 weeks. Cycle 3: Place surveys in exam rooms, ask nurses to introduce them after vitals. A Eficient use of data Best data collection strategies Improved return on failure ratio Clear focus on project Ideas are tested before implementing A Identify the issue Benefits Limitations & Aplications B PLAN (P) PREDICT Poor adaptation to different issues Insufucient data analysis No proper training and investment Incomplete reporting of results B PDSA CYCLE Formulate theory C Testing changes before implementing small/big process Using hypothesis in the process of change Testing changes for improvement Estimating potential for improvement and check effectiveness C Put plan into action References Plan-Do-Study-Act (PDSA) Directions and Examples. (n.d.). Agency for Healthcare Research and Quality. Taylor, M., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., & Reed, J. (2013). Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety, 23(4), 290–298. Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mwelwa, M. M., Wahila, R., Mundia, P., & Carrier, J. (2021). Implementing Evidence Based Practice nursing using the PDSA model: Process, lessons and implications. International Journal of Africa Nursing Sciences, 14, 100261. Rapid cycle Continual improvement process Establish casual relationship Changes-proeesses-outcomes (Plan-Do-Study-Act (PDSA) Directions and Examples, n.d.)


Transcript: PDSA Cycle Amanda Farrell American College of Education ED5023 Assessment Strategies Dr. Lisa Portugal December 12, 2021 Note. ClipartWorld. (2020). Young Teacher Png. Clipart World. Retrieved December 11, 2021, from The PDSA cycle Introduction Students are the primary users of assessments and assessment data (Stiggins, 1994). Teachers should ensure that assessments are designed to aid student learning and progress knowledge. The Plan-Do-Study-Act (PDSA) cycle can be used to improve assessments and reflect upon their benefits and effects on the learning process (American College of Education, 2021). In this presentation, we will use the PDSA cycle to create and analyze a learner-centered assessment in the form of a mathematics portfolio. Plan Plan Portfolio assessments are an effective way for students to demonstrate their progress. They provide a way for students to showcase their understanding of, and reflect upon, learning objectives they have covered over the course of the year (American College of Education, 2021). Additionally, portfolios help teachers know where students are in their learning process and help to guide next instructional decisions. To create their portfolio students will use Google Sites. Components of the portfolio include: Mathematical identity Learning objective Evidence of understanding Self-reflection Student growth portfolios allow students to "become partners with teachers to accumulate the portfolio documentation with the goal of revealing to students, teachers, and families changes in their own achievement over time" (American College of Education, 2021). Implementation Implementation This assessment with be assigned to 7th grade students a in general education mathematics course. 26 students total 3 with IEPs 4 with 504s The portfolio will be introduced at the beginning of the school year. Students will be asked to work on their portfolio once per marking period. Students will be given the opportunity to customize their portfolio to give them ownership over the assessment. Do Students will choose from a list of learning objectives studied throughout the marking period. Students will then select evidence of their understanding of that learning objective (photo of a worked example, video explanation of the achievement descriptor, graded test items, etc.) Students will reflect on their choice and their level of understanding. List of learning objectives: Do Reflection questions Reflection Questions "How did my learning experiences help me to learn something about myself and/or others? What did I learn about myself through struggle, and how can I use this to become a stronger learner? Does the evidence I shared represent how well I understand the concept? How does knowing this guide my approach to learning moving forward? What’s one thing the teacher did for this unit that I really liked? In what ways can I use the concepts I am learning in math to support my understanding of science?" (CHPS, 2021) Study Study In order to understand whether or not students gained insight from completing this assessment, the teacher will hold a student-led conference. "The goal of student-led conferences is for students to reflect on their learning and to set goals for continuous growth and improvement" (American College of Education, 2021). \ Feedback Feedback The instructor will gauge student understanding of learned content through the student-led conference. The focus will be on academic progress. The instructor will provide both verbal and written feedback to the student. The teacher will be able to address any academic concerns with students and seek intervention if necessary. Act Reasons for adjustment: Students have difficulty explaining their evidence in portfolio Students have difficulty speaking about their progress in conferences Feedback from students during conferences Moving forward: Provide talking points for conferences Provide clear instructions on the development of the Google Site Act Conclusion Conclusion The Plan-Do-Study-Act cycle is a valuable tool for continuous improvement. Teachers can use this process to ensure that student needs are being met. In the classroom, formative assessments should be a continuous "feedback loop" with the goal of progressing student knowledge and understanding (American College of Education, 2021). The PDSA cycle allows students and teachers to reflect on learning, assessment, and understanding together (Lewis, 2015). A learner-centered classroom puts students in the drivers seat of their education. The use of a student portfolios and student-led conferences fosters a community of learners working toward a common goal. References American College of Education. (2021). Assessment Strategies: Module 3 [Videos]. Canvas. CHPS.

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