Tab	Things you can learn...	Resources	Resources Zip File
Introduction to Quality Improvement	Overview of Quality Improvement Successful measurements of improvement	Problem Assessment Form
Thinking of the Process: Waste, Process & Root Cause Analysis	Different types of waste in systems How to identify waste Mapping processes Lean Six Sigma How to perform a Root Cause Analysis (RCA) How to use a 5 Whys Form	Waste Walk Check-sheet Project Design & Evaluation Guide RCA Worksheet 5 Whys Form A3 Form
Selecting & Evaluating Solutions	Identifying solutions Leveraging teams to improve solution implementation Incremental change using the PDSA cycle	PICK Chart PDSA Form PDSA Summary

Introduction to Quality Improvement
Thinking of the Process: Waste, Process & RCA
Selecting & Evaluating Solutions

Introduction to Quality Improvement

Module Overview
📚 Reading - 1 Total	60 minutes
📽️ Video - 1 Total	17 minutes
🛠️ Resource - Problem Assessment Form	60 minutes

💡 Learning Objectives

1. Describe the history of performance improvement.
2. Recognize data that drives performance improvement.
3. Display data so it drives improvement.

📚 Reading

Institute for Healthcare Improvement. (2019). Successful Measurement for Improvement. Retrieved from Institute for Healthcare Improvement: http://www.ihi.org/resources/Pages/ImprovementStories/SuccessfulMeasurementForImprovement.aspx

📽️ Video

Introduction to Improvement Science - Jordan Peck, PhD

🛠️ Resource - Problem Assessment Form

In order to begin to narrow down what that project will be, you will be refining the project and beginning to work on it. Begin by considering, what are major issues in your organization? Choose one and use the Problem Assessment Form to refine the problem further. In the metrics section pay special attention towards answering the following questions:

What is a list of data elements desired that would let you know if this is really a problem and if it is getting better as you work on it?
How will you display these elements in order to draw conclusions about the work?
What do you want to learn from these elements?

Thinking of the Process: Waste, Process & Root Cause Analysis

Identifying Waste in the Healthcare System

Process Thinking

Root Cause Analysis

Section 1: Identifying Waste in the Healthcare System
📚 Readings - 2 total	45 minutes
📽️ Video - 1 total	17 minutes
🛠️ Resource - Waste Walk Check-sheet	60 minutes

💡 Learning Objectives

1. Be able to define a waste walk.
2. Complete a waste walk in your own organization.

📚 Readings

Black, J., & Miller, D. (2008). Eliminating Waste Will Transform American Healthcare. In The Toyota Way to Healthcare Excellence (pp. 13-26). Chicago, Illinois: Health Administration Press.

Macfie H, Leo J. IHI Leadership Alliance. Call to Action: Reduce Waste in the US Health Care System and Return the Cost Savings to Patients and the Economy. Boston: Institute for Healthcare Improvement; 2019. (Available at www.ihi.org)

📽️ Video

Introduction to Value and the 8 Wastes - Ghassan Saleh, DMD, MS

🛠️ Resource - Waste Walk Check-sheet

Use the template provided here to complete a waste walk of your own. You may use the waste categories as guidelines to find problems. Feel free to talk to employees but don't distract them. Look for what is and not what should be. If you think it is waste write it down.

🤻Jump back to Module Topic Areas

Section 2: Process Thinking
📚 Readings - 2 total	60 minutes
📽️ Video - 1 total	19 minutes
🛠️ Resource - Project Design & Evaluation Guide	60 minutes

💡 Overall Goal

1. Be able to define a process in the context of your own organization.

📚 Readings

Carboneau, C., Benge, E., Jaco, M., & Robinson, M. (2010). A lean Six Sigma team increases hand hygiene compliance and reduces hospital-acquired MRSA infections by 51%. Journal for Healthcare Quality, 32(4), 61-70.

Little, K., & Barbati, M. (2015, October 1). 5 Steps for Creating Value Through Process Mapping and Observation. Retrieved from Institute for Healthcare Improvement: http://www.ihi.org/communities/blogs/5-steps-for-creating-value-through-process-mapping-and-observation

📽️ Video

Introduction to Process Thinking - Jordan Peck, PhD

🛠️ Resource - Project Design & Evaluation Guide

Project Design & Evaluation Guide (Retrieved from Institute for Healthcare Improvement)

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Section 3: Root Cause Analysis
📚 Reading - 1 total	20 minutes
📽️ Video - 1 total	29 minutes
🛠️ Resource - 5 Whys Form	30 minutes
🛠️ Resource - A3 Form	30 minutes

💡 Overall Goal

1. Be able to define a root cause.
2. Apply the 5 Whys root cause tool in a QI project of your own.

📚 Reading

Root Cause and Systems Analysis Summary Sheet (Retrieved from Institute for Healthcare Improvement)

📽️ Video

Root Cause Analysis, Ghassan Saleh, DMD, MS

🛠️ Resource - 5 Whys Form

Using the 5 Whys Form, analyze your project problem or piece(s) of it to drill it down into the root cause(s). You may choose to analyze more than one piece of your project's problem and end up with multiple completed 5 Whys Forms.

🛠️ Resource - A3 Form

To assist you in your project work, use this A3 Form with the left-hand columns completed (Problem/Impact Statement, Scope, Goal/Objective, Baseline Metrics/Current State & Root Cause Analysis). Keep in mind that you may need to update this form as your project evolves.

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Selecting & Evaluating Solutions

Selecting Solutions

Plan-Do-Study-Act (PDSA)

Section 1: Selecting Solutions
📚 Readings - 2 total	45 minutes
📽️ Video - 1 total	23 minutes
🛠️ Resource - PICK Chart	60 minutes

💡 Learning Objectives

1. Identify potential solutions and work with a team to prioritize solutions for implementation.

📚 Readings

Bens, I. (2012). Process Tools for Facilitators. In Facilitating With Ease! Core Skills for Facilitators, Team Leaders and Members, Managers, Consultants, and Trainer (3rd ed., pp. 163-189). San Francisco, California: Jossey-Bass.

Graban, M. (2016). Lean Methods: Visual Management, 5S, and Kanban. In Lean Hospitals (3rd ed., pp. 87-110). New York, New York: Productivity Press.

📽️ Video

Solutions and Consensus Building, Jordan Peck, PhD

🛠️ Resource - PICK Chart

Identify potential solutions to an issue facing your work (from your previous Waste Walk) and apply them to a PICK Chart.

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Section 2: Plan-Do-Study-Act (PDSA)
📚 Readings - 1 total	30 minutes
📽️ Video - 1 total	15 minutes
🛠️ Resource - PDSA Summary & Form	60 minutes

💡 Learning Objectives

1. Describe how to check results of improvement activities.
2. Describe the importance of standardizing best practice.
3. Describe the importance of continuously improving.

📚 Reading

Gorenflo, G., & Moran, J. W. (2010, April). The ABCs of PDCA. Retrieved from Public Health Foundation: http://www.phf.org/resourcestools/Documents/ABCs_of_PDCA.pdf

📽️ Video

Plan-Do-Check-Act (PDCA) - Ghassan Saleh, DMD, MS

🛠️ Resource - PDSA Form

Complete a PDSA Form for your project. See the PDSA Summary for additional guidance on the PDSA (please note: PDSA - plan, do, study, act - is also referred in some instances as PDCA - plan, do, check, act - both refer to the same process.

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