An introduction to the Model for Improvement Model

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An introduction to the Model for Improvement

An introduction to the Model for Improvement

Model for Improvement The thinking part… The doing part…

Model for Improvement The thinking part… The doing part…

The Model for Improvement: The thinking part If you don’t answer the 3 thinking

The Model for Improvement: The thinking part If you don’t answer the 3 thinking questions before you start your improvement project – be prepared to fail!

The doing part: testing Plan: How will we ‘test’ doing something differently? Do: Let’s

The doing part: testing Plan: How will we ‘test’ doing something differently? Do: Let’s try! Study: Did it work? Act: What’s next? All improvement requires change, but not all change is an improvement.

The Typical Approach Around the table DESIGN In the real world DESIGN APPROVE IMPLEMENT

The Typical Approach Around the table DESIGN In the real world DESIGN APPROVE IMPLEMENT

Quality Improvement Approach Around the table APPROVE DESIGN In the real world IF NECESSARY

Quality Improvement Approach Around the table APPROVE DESIGN In the real world IF NECESSARY TEST & MODIFY START TO IMPLEMENT

The Model for Improvement

The Model for Improvement

What are you trying to achieve? Aim statement • • What? How much? By

What are you trying to achieve? Aim statement • • What? How much? By when? Target group

Our improvement project We work together in a community within Aberdeen City. We have

Our improvement project We work together in a community within Aberdeen City. We have recently engaged with the community to develop the local outcome improvement plan. Write an aim statement One of the priorities identified was increasing • What? physical activity for all age groups in the • How much? community. • By when? We completed a survey and only 20% of respondents said they were doing the recommended physical activity of 30 minutes, five times a week. • Target group

Example: What are you trying to accomplish? Aim statement Support and inspire people in

Example: What are you trying to accomplish? Aim statement Support and inspire people in communities to participate in physical activity by providing the right opportunities and recognising their efforts Increase by 50% the number of people who report undertaking 30 mins of exercise, five times a week in Tillydrone by October 2020

The Model for Improvement

The Model for Improvement

Family of measures Outcome Process Directly linked with the project aim (helps us to

Family of measures Outcome Process Directly linked with the project aim (helps us to understand progress towards our aim) Number of people who report undertaking 30 mins of exercise, five times a week in Tillydrone To assess the key processes which have to be happening reliably to achieve your aim Balancing Makes sure that changes to improve one part of the system are not causing problems in other parts of the system – are there any unanticipated consequences? Number of mental health referrals Number of people attending the sports centre every day Qualitative data is also valuable e. g. ‘We really enjoy the Family Fun activities at the sports centre and we now exercise together as a family every week’

The Model for Improvement

The Model for Improvement

Selecting changes Selecting Changes Where are changes sourced from: • Literature, evidence, experience, hunches

Selecting changes Selecting Changes Where are changes sourced from: • Literature, evidence, experience, hunches and theories • Steal shamelessly and learn from others • Choose the changes you think will have the biggest impact

Model for Improvement The doing part…

Model for Improvement The doing part…

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Testing a change using PDSA • A structured approach for making small incremental changes

Testing a change using PDSA • A structured approach for making small incremental changes to systems • A full cycle for planning, implementing, testing and identifying further changes • A common sense, easy to understand tool for bringing about change • A tool which can reduce anxiety to change

The doing part: testing!

The doing part: testing!

Further resources http: //communityplanningaberdeen. org. uk/ https: //khub. net/group/community-planningaberdeen-improvement-practitionersnetwork communityplanning@aberdeencity. gov. uk Other learning

Further resources http: //communityplanningaberdeen. org. uk/ https: //khub. net/group/community-planningaberdeen-improvement-practitionersnetwork communityplanning@aberdeencity. gov. uk Other learning opportunities: Monthly Project Surgery Quality Improvement Practitioner Programme

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