Table of Contents
- Leaders' Guide
- Methods
- Tools
- Teams and Other Human Factors
- Philosophy
- Definitions
High Level Overview of CQI Thought Process
GUIDE FOR IMPLEMENTING QI PROJECTS
1. Find an opportunity to work on: first at the state level, then pilot centers enroll, and finally all who are interested participate. Create a statewide and local AIM statement.
2. Organize the effort: leaders and teams. Orient team members to the model for improvement. Include customers and families.
3. Select a MEASURE or set of measures that would be the indicators of improvement. Operationally define the measures.
4. Collect some baseline data on these measure(s) on a Run Chart, before instituting change(s). When the process is stable (all special causes removed or incorporated), establish control limits in a Control Chart.
5. Study the variation in the process. Beyond the run/control charts, two tools are handy here: a Flowchart of the process (what does our process look like now?) and the Cause-and-Effect Diagram (what causes the measure of interest to change?). Both of these guide you to needed changes.
6. Select a CHANGE that will likely cause improvement . This change can come from the statewide Tool Kits or what makes good sense to the QI study team.
7. Begin to conduct TESTS OF CHANGE (PDSA CYCLES). Evaluate the impact of the CHANGE by collecting more data and recalculating the Mean and Control Limits.
8. Collate the data up so we can see how well we have done statewide.
