Outcome Measures Flashcards
What is the PDSA cycle?
- Plan - Do -Study - Act
Describe a Henrico Dolfing stakeholder map
Size of the circle- how much power/ influence does the stakeholder have.
Position of the circle- how you need to manage the stakeholder
The X axis measures whether the stakeholder is for/against the change
The Y axis measures how involved they are in implementing the change
The size of the circle indicates the amount of power/influence that stakeholder has
What is the purpose of implementing change?
- Identify meaningful change for the person accessing the services
- Evaluate the effects of interventions
-Demonstrate the impact of the service - Identify areas for imporvement
- Benchmark against other services/ standards
What are the different types of stakeholder on the Henrico Dolfing diagram?
The enemy: takes every opportunity to undermine your efforts (medium involvement/ against)
The cynic: fires cheap shots to test resolve (low involvement/ against)
The fence sitter: not engages, seeing how it goes (low involvement/ not for or against)
Willing helper: anxious to lend a hand (medium involvement/ for)
Change Champion !!: takes personal responsibility for ensuring success (high involvement/ for)
Dont even know???
Out come measures- effects of healthcare status ????
What are the difference measures:
- Outcome measures: directly access the impact of your project on patient outcomes
- Process measures: Help to monitor the implementation of the intervention and adherence to best practice
- Balancing measures: identify unintended consequences
How can you display and analyse results?
Excel spreadsheet
- Week of project
- Calculate percentages
- Calculate median percentage in each phase
- Plot percentages referred and median on a line chart
What is a shift when describing run chart data?
A shift- 6 or more consecutive data point to above/ below the median
- Use 8 data points if there are 20+ data points total
- Don’t count points on the median
What is a trend when describing run chart data?
A trend- 5 + sequential points all going up/down
- If there 20+ total data points then use 6
-If 2 have the same value count, only count one
- Can cross the median
What is a run when describing the run data chart?
A run- 2 or more consecutive points on the same side of the median
- Circle and count the number
- Compare to expected number
What is the astronomical point on a run chart?
Astronomical point- data points that stand out as outliers
- highly unusual
What are common causes for variation on run charts?
- Inherent in the design process
- Due to regular, natural or ordinary causes
- affects all outcomes of a process
- result in stable/ predictable processes
What are special causes of variation in a run chart?
- Due to irregular or unnatural causes that are not inherent in the design process
- Affect some but not all of the aspects of the process
Results in an unstable unpredictable process
What is the statistical control process?
- a way to monitor variation in a process
- the variation that lives in the process
- predict how the process will perform
- if our improvement strategies had the desired effect
- determine if an improvement strategy has sustained the gains
