To improve patient experience of care and access to person-centered contraceptive counseling and care, it is important for improvement teams to use a systematic, structured approach. The model for improvement is a tool for change management.1 It is not meant to replace other models that CHCs already use for QI work; rather, it provides a framework for accelerating improvement. The model has two parts:
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Three fundamental questions, which can be addressed in any order:
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What are we trying to accomplish?
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How will we know that change is an improvement?
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What changes can we make that will result in improvement?
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- Plan-Do-Study-Act (PDSA) cycles aimed at testing changes in real work settings. For additional information on how to operationalize PDSA cycles as part of an improvement process, refer to the Improvement Process section of the Clinical Operations category area.
- Engage and encourage the participation of all staff affected by QI work to be implemented as part of this project; those individuals who comprise the QI team and how they are engaged with change is just as important as identifying opportunities and setting goals for improvement.
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Identify process measures and other data and information that can be used to assess whether changes implemented resulted in improvements.
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Assess overlap between this project and other QI efforts at the CHC, both current and past, as strategies used and lessons-learned from other projects might be applicable to this project.
- How to Improve, Institute for Healthcare Improvement: This resource outlines the model for improvement, a framework for improvement work. It includes information on how to form improvement teams, setting aims, establishing measures, and moving through the change process.
http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx - 9 Essential Skills of a Healthcare Quality Improvement Leader: In this article, a nurse leader delineates critical leadership behaviors for QI.
https://www.beckershospitalreview.com/quality/9-essential-skills-of-a-healthcare-quality-improvement-leader.html - The Role of Leadership in Quality Improvement Efforts: The transcript of a podcast interview with a Senior Vice President at Massachusetts General Hospital and Physicians Group and Director of the Edward P. Lawrence Center for Quality and Safety. It is part of the CAHPS podcast series on improving patients’ experiences with care.
https://www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Role_of_Leadership_In_QI-_2011_11_01.pdf - Leadership in Quality Improvement: This article is a reflection on a small QI team effort using IHI’s model for improvement.
https://www.researchgate.net/publication/327935308_Leadership_in_quality_improvement