U.S.
Department of Health and Human Services
Advisory Committee on Organ Transplantation
Recommendations
to the Secretary
FOCUS-PDCA
Performance Improvement Process
This
is the heart of any Performance Improvement (PI) process. Each letter represents
a piece of the PI puzzle. When all the pieces are put together, positive results
usually occur. The following will take you through this process.
Find
an opportunity to improve. In this stage you identify a process to be improved.
For example, you have identified a process may not be effective. Ask yourself
if the current process is tied to the hospital's mission and priorities? Question
the productivity of the process. Ask yourself if it can be improved and who will
benefit from improvement. Now you are ready for O.
Organize
a team who understands the process. Here, you gather a team of employees who
are closest to, or have ownership in the process. They are the one's on the "front
lines" and really know if something is working or not.
Clarifying
the current knowledge of the process is the next step. In this stage, you
are gathering the "who, what, when, and where" information you need
in examining the issue chosen.
Understanding
the cause of process variation. Here, you ask yourself the "why"
question. In other words, now you know the process by clarifying the elements,
why isn't it working effectively.
You
are at the halfway mark in the process. Now it gets fun.
Select
the process improvement. The team selects the most appropriate solution keeping
in mind the cost and difficulty of implementation. Again, your selection is based
on successfully completing the two previous steps. Rushing to selection will not
improve the outcomes, so before you select an intervention, make sure you have
done the groundwork.
Plan
the improvement. This next step involves deciding how the improvement will
be made. Action plans are developed for how the process will be implemented within
the targeted area. A plan for data collection to monitor the effects of the change
is also addressed at this stage.
You
are now ready to implement the change.
Doing
the improvement is the next step. Here, the focus is on collection of baseline
data and information that will determine how the process performs prior to, and
following any improvement efforts. In this stage, monitor the process closely.
Are there any surprises? If so, why did they occur, and what can the team do about
it?
Checking
the results is the next to last step. Here, you are evaluating to see if the
process changes were actually implemented as planned. The team monitors the effects
of the change, and most importantly, a comparison of predicated results versus
actual changes are analyzed. If results are not as the team hoped, a review of
the prior steps are in order. If everything checks out, you have successfully
modified or changed a existing process for the better, and are at the last step.
Act
to hold the gain. Here, the team creates a strategy for holding improvements
and working toward further improvements.
These
simple steps are to be part of every PI team here at SVMC. Following the process
is crucial in order to have a successful team, as well as not wasting the time
of the folks who are involved. Good luck, and let the process begin!