P-D-S-A CYCLES THE ART + SCIENCE OF IMPROVEMENT

P-D-S-A CYCLES THE ART + SCIENCE OF IMPROVEMENT DIANE LIU, MD DIRECTOR, UPIQ UTAH PEDIATRIC PARTNERSHIP TO IMPROVE HEALTHCARE QUALITY U N I V E R S I T Y O F U T A H H E A LT H , PRINCIPLES OF IMPROVEMENT Knowing why you need to improve Having a feedback mechanism to tell you if the improvement is happening Developing an effective change that will result in improvement Testing a change before implementation Knowing when and how to implement change 2

U N I V E R S I T Y O F U T A H H E A LT H , SCIENCE OF IMPROVEMENT - HYPOTHESIS What changes can we make that will result in an improvement? PREDICTIONS! Once you select a change idea, it is time to turn ideas into action and connect action to learning IDEAS ACTION LEARNING

Enter the PDSA cycle! 3 U N I V E R S I T Y O F U T A H H E A LT H , PDSA SHORTHAND FOR TESTING A CHANGE Plan developing a plan to test the change Do carrying out the test Study observing and learning from the consequences Act take action; determining what modifications should be made to the test (source IHI.org) 4 U N I V E R S I T Y O F U T A H H E A LT H , SOURCE:

The Improvement Guide Langley/Provost 5 REMEMBER Improvement is an outcome of the application of (appropriate) knowledge Knowledge is gained sequentially 7 U N I V E R S I T Y O F U T A H H E A LT H , Model for Improvement Breakthrough Results What are we trying to accomplish?

How will we know that a change is an improvement? What change can we make that will result in improvement? d i v E S Theories, hunches, and best practices AP

S D A D e c en ta a &D P g n i

rn a Le DS P A ro p m t n e m ve Wide-scale

implementation of change I d Test new conditions an Follow-up tests Small Scale Testing AP S D Sequential Building of Knowledge with multiple PDSA Test

Cycles Figure 7.2 The Improvement Guide Langley, et al. 2009 THANK YOU! QUESTIONS? [email protected] Diane Liu, MD Director of The Utah Pediatric Partnership to Improve Healthcare Quality 9 U N I V E R S I T Y O F U T A H H E A LT H ,