Data Driven Quality Improvement Tools to Identify and

Data Driven Quality Improvement: Tools to Identify and Apply the Best Countermeasure to Facilitate Successful Change Grant M. Greenberg MD, MA, MHSA Jennifer L. Johnson, MSHS Michael D. Mendoza, MD, MPH, MS

Disclosures • None of the typical kind but… • We like to lead change and improvement

Structured Problem Solving

Project Timeline Example “If I had an hour to solve a problem, I would spend 55 minutes thinking about the problem and 5 minutes thinking about the solution. ” --Albert Einstein

The problem with problem solving: Our Natural Human Tendency

3 common problems in problem solving • Assuming you know what the problem is without seeing what is actually happening. • Assuming you know how to fix a problem without finding out what is causing it. • Assuming you know what is causing the problem without confirming it. In other words - not grasping the situation.

Think/Pair/Share • Reflect on a process improvement effort that you led or participated in that did not work: – List the reasons it did not work

Problem Solving Technique: 5 Whys • Ask Why x 5 (deceivingly simple)

Problem Solving Technique: Fishbone

Problem Solving Technique: Flow Charting

Think/Pair/Share • Using the same example you used before, briefly diagram the root causes using either: – 5 whys – Fishbone – Flow Charting

Finding a Problem is Necessary, but not Sufficient • Should you fix it? – What is the anticipated benefit? • How hard will it be to do so? – Do you have adequate time, resources? – Is the problem in an area under your management?

Pareto Chart • Technique to determine most significant cause of a problem

Final Thoughts What happens if you solve the wrong problem? What if it is not clear where responsibility lays for a particular problem? What is your role in problem solving?

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