How to develop a smart aim

1. BCM FC QI CURRICULUM
Session 2
SMART AIM WORKSHOP
What are we trying to accomplish?
11/1/2016

2. SMART Aim
Measures
Changes

3. Aim Statements
 What are we trying to accomplish?
 Establish an Aim Statement
 Improvement starts with a goal/aim
 Important to keep a team on track
 An Aim Statement should…
 Clearly state the goal/aims
 Include a specific numeric goal
 Include a timeframe
 Include information about the systems to be improved
and the patient population
Involve Key
Stakeholders!

4. Aim Statement Tips
 Start with an action verb (increase, improve, reduce,
complete, conduct, achieve, etc.).
 Make it measurable (how much, how many, how good,
how much better, how much faster, etc.).
 Answer “by when” (daily, monthly, by March 1, by end of
first quarter, etc.).
 Describe target population/scope (unit, patient type,
disease, process, etc.)
 Include approach for change (implementing, creating,
re-designing, etc.)

5. SMART Criteria
 Specific: What will the goal accomplish? How and why?
Who are the target population?
 Measurable: How much change? Increase? Decrease?
How will you measure whether you reached the goal?
 Attainable/Achievable: Is it possible? Others have
done it? Do you/your team have the skills/resources?
Can you finish by the time you propose?
 Relevant: Is your goal meaningful? In line with overall
goals/vision/mission? Passes “So What” test?
 Time-Bound: What is your target date to accomplish
your goal and is it feasible?

6. Suggested Template
 BY: (studying-measuring-surveying-reporting) A
PROCESS
 WE WILL: (be able to change-reduce-increase-affect-
improve) SOME PART OR ALL OF THE PROCESS
 WHICH WILL RESULT IN THESE OUTCOMES:
(Medical, functional, service, patient satisfaction,
provider satisfaction, or cost)
Source: QI and Costs Presentation (Tom Luerssen, MD) 5/7/10

7. SMART Aim Example
 By Feb 2017, there will be a 50% increase in the
number of adult heart failure and transplant
patients at the outpatient clinic at TCH with an
advance directive documented in the EMR.

8. SMART Aim Example
 To reach optimal dosing of
piperacillin/tazobactam for 85% of
orders for this agent by June 1, 2016
among inpatients at TCH

9. SMART Aim Example
 By implementing new guidelines between August
2015 and January 2016, we will manage more
than 80% of oncology patients with low-risk fever
and neutropenia (LRFN) in the outpatient setting
using oral antibiotics. This will result in more
available inpatient beds, significant cost saving
and patient satisfaction.

10. Don’t Forget Additional Resources
 Liza Bonin – Marni Axelrad - Psychology
 Behavioral health expertise if patient (or family)
behavior/well-being is component of planned improvement
project
 Provide perspective on people side of change / systems
thinking
 Curtis Kennedy - PICU
 Promotion of family education / awareness / involvement
by way of handhelds/technology
 Experience in decision support, modeling (prediction),
automation, and time series analysis
 Jessica Casas – Daniel Mahoney– Palliative Care

11. Schedule
2016-2017 Sessions Dates
#1 Intro/Fundamentals 10/7/16
#2 SMART AIM Workshop 11/1/16
#3 Key Driver and Fishbone Diagram Workshop (TCH Auditorium) 11/29/16
#4 Measures/Data Display Workshop (Location pending) 12/01/16
#5 Research vs QI Publications/MOC Credit 12/13/16
#6 Draft Project Presentations
3-4 Sessions 4 groups/session
1/19/2017
1/20/2017
1/26/17
#7 Project Presentations with Results
4 Sessions 4 groups/session
5/30/17
5/31/17
6/6/17
6/7/17

12.  Wiki site – bcmfellowscollege.pbworks.com
 If you don’t have a coach
 pls contact me (Mehmet Okcu)
 Watch your emails
 Pls fill in the evaluations