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Using Data for Real

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The King's Fund
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Theory Burst Using Your Data for Real Joanne Watson Faculty member The Hospital Pathways Programme A partnership between The King’s Fund Point of Care and The Health Foundation
Engaging Heart & Minds ‘ If you want to build a ship do not gather men together and assign tasks. Instead teach them the longing for the wide endless sea’. (Saint Exupery, Little Prince)
Run Charts & the Principles of Statistical Process Control How do you know that a change is an improvement?
 
Data for Improvement, Accountability and Research in Health Care “ The Three Faces of Performance Measurement: Improvement, Accountability and Research.” Solberg, Leif I., Mosser, Gordon and McDonald, Susan Journal on Quality Improvement . March 1997, Vol.23, No. 3. Aspect Improvement Accountability Research Aim Improvement of care Comparison, choice, reassurance, spur for change New knowledge ,[object Object],[object Object],Test observable No test, evaluate current performance Test blinded or controlled ,[object Object],Accept consistent bias Measure and adjust to reduce bias Design to eliminate bias ,[object Object],“ Just enough” data, small sequential samples Obtain 100% of available, relevant data “ Just in case” data ,[object Object],[object Object],Hypothesis flexible, changes as learning takes place No hypothesis Fixed hypothesis ,[object Object],Sequential tests No tests One large test ,[object Object],[object Object],[object Object],Run charts or Shewhart control charts No change focus Hypothesis, statistical tests (t-test, F-test, chi square), p-values ,[object Object],[object Object],Data used only by those involved with improvement Data available for public consumption and review Research subjects’ identities protected
Clinical Research Study
Clinical Research Study Sample
Improvement Study
Improvement Study Sample
Two fundamental questions that data can help answer ,[object Object],[object Object]
Cycle time results for units 1, 2 and 3
Cycle time results for units 1, 2 and 3 Unit 2 Unit 1 Unit 3 Unit 2
Dynamic View of a Process ,[object Object],[object Object],[object Object],Spread Centre Sequence
Control Chart ,[object Object],[object Object]
Control Chart ,[object Object],[object Object]
Two types of variation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Cause Variation ,[object Object],[object Object]
Special Cause Variation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reading Run Charts ,[object Object],[object Object]
Shift - 6 or More Consecutive Data Points All Above or All Below the Median
Trend - 5 or More Consecutive Points Up/Down
 
HPP
 
 
 
 
 
 
 
 
 
 

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Using Data for Real

Editor's Notes

  1. It is messy in there- sometimes mess is fun and sometimes it makes you nervous. Embrace it!
  2. The challenge-how do we start to use accountability data for improvement? Data for improvement, accountability and research are different Go thru slide We are focusing on harvesting learning from accountability data to help us with our improvement work
  3. First graph is the effect of training on JW 10 k race time whoopee! Second graph the Nikkei Index before & after 11 March 2011
  4. Apology- can’t format X axis correctly- won’t take % alone