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ACT
PLANSTUDY
DO
Plan Continuous
Improvement
Define the System
Standardize Improvement
Study the Results
Assess Current Situation
Try Out Improvement
Theory
Analyze Causes
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Purpose:
•Describe the characteristics of the system to be studied
•Prepare for gathering data
•Purpose is always to meet the students’ need
Outcome:
•Complete Description of the system
•Project Statement/Goal
•Data Gathering Plan
Pgs 66-90
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What is the problem? Why are we selecting it? What is the current way this process is done? What are the key measures for these
processes? What is important about this process? The purpose of this strategy is to improve
__________ as measured by ____________.
What is the problem? Why are we selecting it? What is the current way this process is done? What are the key measures for these
processes? What is important about this process? The purpose of this strategy is to improve
__________ as measured by ____________.
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Flow Chart (Picture of the current process)
Process Diagram
Measures (To determine current level of performance and gauge
future improvements)
Data Gathering Plan
Check Sheet
Run chart
Flow Chart (Picture of the current process)
Process Diagram
Measures (To determine current level of performance and gauge
future improvements)
Data Gathering Plan
Check Sheet
Run chart
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Purpose:
•Have current and ongoing knowledge of the system’s performance
•Understand the patterns and trends in baseline data
Outcome:
•Analysis of baseline data
•Identification of special causes of variation
Pgs 92-100
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How big of a problem is it? What data do I have that shows the
current level of performance (baseline data) of the area I’m trying to improve?
What does the data tell us? New insights from the data?
How big of a problem is it? What data do I have that shows the
current level of performance (baseline data) of the area I’m trying to improve?
What does the data tell us? New insights from the data?
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Why Collect Data?Why Collect Data? Gain a better understanding Track progress Analyze gaps Set, monitor and evaluate goals Make decisions based on fact
Why Collect Data?Why Collect Data? Gain a better understanding Track progress Analyze gaps Set, monitor and evaluate goals Make decisions based on fact
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Affinity Diagram Cause & Effect – Fishbone Pareto Diagram
(Identify key culprits of the problem) Charts using data collected from data
gathering plan: control chart, bar chart, histogram, run chart
Affinity Diagram Cause & Effect – Fishbone Pareto Diagram
(Identify key culprits of the problem) Charts using data collected from data
gathering plan: control chart, bar chart, histogram, run chart
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Purpose:
• Identify & verify possible common causes of variation in the system being studied
• Generate improvement theory
Outcome:
• Improvement theory
If we…
Then we…..
As measured by….
Pgs 102-106
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What are the root causes that are producing the results I’m getting- as evident in the baseline data?
What are the root causes that are producing the results I’m getting- as evident in the baseline data?
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Cause and Effect Diagram (Focusing on Key Culprits)
Fishbone DiagramRelations DiagramPareto Diagram
Cause and Effect Diagram (Focusing on Key Culprits)
Fishbone DiagramRelations DiagramPareto Diagram
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Purpose:
• Test the Improvement Theory
Outcome:
• A test of the research-based theory
• New data collected after the theory has been tried
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If we do this … (improvement theory based on root causes)
Then we… (expected results)
As measured by… (data gathering plan- results will be compared to baseline data collected in “Define the System”)
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• How will I test the theory?• What will I do differently?• What actions will be carried out?
• Based on the root causes, what can I do differently to produce more positive results?
• How will I test the theory?• What will I do differently?• What actions will be carried out?
• Based on the root causes, what can I do differently to produce more positive results?
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• Force Field Analysis (To anticipate road blocks or barriers of the proposed change)
• Action Plan (Road Map to carrying out plan)
• Run Chart, Scatter, Bar Chart (to collect data)
• Force Field Analysis (To anticipate road blocks or barriers of the proposed change)
• Action Plan (Road Map to carrying out plan)
• Run Chart, Scatter, Bar Chart (to collect data)
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Purpose:
• Check to see if the Improvement Theory worked
Outcome:
• A data-based decision to act on (standardize) or abandon the actions taken to improve the system.
• An explanation of why the results turned out the way they did (positive or negative)
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• Did my improvement theory work?• Was the theory effective in raising
performance? • How does this new data compare
to the baseline data?• What data do I have that shows the
new level of performance?
• Did my improvement theory work?• Was the theory effective in raising
performance? • How does this new data compare
to the baseline data?• What data do I have that shows the
new level of performance?
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• Tools to compare the data collected (after the improvement theory was implemented) to baseline data
• Charts to display the results• Implementation notes• If results were favorable, discuss
how to standardize
• Tools to compare the data collected (after the improvement theory was implemented) to baseline data
• Charts to display the results• Implementation notes• If results were favorable, discuss
how to standardize
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• If the results were favorable in “Study the Results” it is time to standardize
• Create a new flow chart that represents the new way the system should operate
• Communicate changes in the system to all stakeholders
• If the results were favorable in “Study the Results” it is time to standardize
• Create a new flow chart that represents the new way the system should operate
• Communicate changes in the system to all stakeholders
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• Display the PDSA story board that shows how the system was improved
• Ensure all stakeholders understand the new way the system is to operate
• Create a data gathering plan to ensure that the system continuous to work effectively
• Look for another aspect of the same system to improve (look back to the Pareto Diagram to select the next “culprit”
• Display the PDSA story board that shows how the system was improved
• Ensure all stakeholders understand the new way the system is to operate
• Create a data gathering plan to ensure that the system continuous to work effectively
• Look for another aspect of the same system to improve (look back to the Pareto Diagram to select the next “culprit”
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Susan Leddick
An Organizer and IntegratorAn Organizer and Integrator
Plan
Leadership
Student Needs
Processes
Results/Goal
Faculty & Staff
Measures/Data Analysis/Knowledge Management