Measurement for improvement Criteria led discharge Samantha Riley

Measurement for improvement - Criteria led discharge Samantha Riley Head of Improvement Analytics 7 th August 2017

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X These are all real

What happens when people see this? 5

A&E Performance Which presentation would lead you to a better discussion and decision?

How many trends do you see in this graph? Spuddle : To make a lot of fuss about trivial things as if they were important Downturn Downward trend Upward trend Turnaround Rebound Downward trend 7

NHSI report : A&E performance St Elsewhere NHS Trust 8

St Elsewhere NHS Trust : A&E performance Most improved ? 9

All improvements involve a change, but not all changes are improvements* Reference: Langley G, Nolan K, Nolan T, Norman C, Provost L, (1996) : a practical approach to enhancing organisational performance, Jossey Bass Publishers, San Francisco *Goldratt 10

Are your efforts making a difference? http: //m. futurehospital. rcpjournal. org/content/4/1/30. full. pdf 11

What do you need to think about? • What is your aim and key area of focus? • What should you measure? • What can be measured? – • Already collected? • Is this data good enough? • (Perfection should not become an enemy of the good enough) – Can I/should I collect additional data? – How will I collect it? What else should I measure? – Might there be unintended consequences? – Qualitative data • How to collect a baseline • Presenting the data in a meaningful way – plot the dots • Use the data! 12

7 steps to measurement 13

Deciding where to focus : 80/20 rule Seven Dwarfs mining defects 1 January to 31 March 2017 300 120% 257 98% 100% 250 100% 90% 80% 200 80% 157 66% 143 150 49% 60% 117 87 100 31% 40% 65 50 20% 15 0 0% Grumpy Happy Sleepy Dopey Bashful Sneezy Doc 14

Discharges by day 15

Evidence of impact 16

An approximate answer to the right problem is worth a good deal more than an exact answer to an approximate problem* * W. Edwards Deming 17

The importance of taking a baseline Intervention made 18

Just because you can measure everything doesn’t mean you should* * W. Edwards Deming 19

The power of story telling 20

Where to go for help……. . • On-line community – Resources – Discussions – Sharing good practice – Virtual support network • Over 300 members • Series of webinars planned • Email me if you would like to join! • Samantha. riley 1@nhs. net 21 @samriley

Useful videos • An introduction to measurement for improvement https: //www. youtube. com/watch? v=Za 1 o 77 j. Anbw • 60 seconds with Kate Cheema – Choosing measures http: //www. haelo. org. uk/films/60 -seconds-of-safetywith-kate-cheema-choosing-your-measures/ – Using data effectively http: //www. haelo. org. uk/films/60 -seconds-ofsafety-with-kate-cheema-using-your-datat-effectively/ – Presenting your data http: //www. haelo. org. uk/films/60 -seconds-of-safety -with-kate-cheema-presenting-your-data/ • How to become an improvement measure expert in 60 minutes https: //prezi. com/3 alg 2 jdmi 5 ea/how-to-become-an-improvementmeasure-expert-in-60 -minutes-final/ • Using your data to drive action https: //www. youtube. com/watch? v=Yq. UIsuz. Jwx 4&feature=youtu. be 22