Before Implementing A Solution and Changing Your Service

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Before implementing a solution and changing your service, it is essential to understand

your current system by mapping the process, collecting and analysing the service data,
along with asking patients and staff for their views, in order to determine where
improvements can be made.

Five step improvement approach A five step improvement approach has been defined to
provide a systematic framework from the beginning to the end of your improvement
project which will give your project a greater chance of sustainable success. • Preparation
• Launch • Diagnosis • Implementation • Evaluation

The preparation phase incorporates everything you need to do before the official start of
your project. This includes defining your project aims and objectives, collecting baseline
data for your service,

understanding what you are going to accomplish, identifying a core team to undertake
the work and a team to support the direction of the work along with identifying
patients and carers to be involved. W ork should be aligned to both local and national
objectives together with structured plans to measure improvements. The launch phase is
the official start of the project. The team should be formed; project plans, communication
plans and data collection plans should be in place and an executive sponsor identified
to support the project. The diagnosis phase is about understanding the current process,
dispelling assumptions, using data to define the problem and to build upon the baseline
data. The implementation phase tests and measures potential solutions using a plan, do,
study, act (PDSA) cycle (chapter 9), implements the best solution and introduces standard
work and mistake proofing for a quality sustainable process. The final phase is
evaluation where achievements are celebrated, learning and principles are captured and the
improvement becomes the norm.

The framework, which was developed by a team at the Institute for Healthcare
Improvement in the USA, includes three key questions to ask before embarking on a
change programme, supported by a process for testing change ideas using plan, do,
study, act (PDSA) cycles.

A good aim statement should include: • What we are trying to achieve • For whom •
How much • By when • Compared to what • And why?

100% of patients on our list with a confirmed diagnosis of COPD will have a
comprehensive review and will have an individualised care plan developed with the lead
GP or practice nurse by M arch 2013. This will ensure that they are optimally cared for
and better able to manage their condition, thereby reducing the frequency and severity
of exacerbations and

the need for possible future hospital admissions.

Bibliography
Framework.pdf, May 25 2022

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