The document outlines the Value Summary 2.0 standardized improvement framework developed by Brittany Patterson of the University of Utah Health, focusing on the Lean 6S PDSA methodology. It emphasizes five key steps: project definition, baseline analysis, improvement design, implementation, and monitoring, highlighting the importance of SMART goals and continuous data monitoring. Additionally, it provides guidelines on when the framework should not be utilized, such as in cases of simple problem-solving or when there are no plans for change.

1. Value Summary 2.0
Standardized Improvement Framework
Presentation developed by Brittany Patterson, University of Utah Health 2017

2. Lean
6s
PDSA
Project Definition
Problem & Goals
Baseline Analysis & Investigation
Improvement Design & Implement
Monitoring & Impact
1
2
3
4
5
Value Improvement Framework
U of U Health Value Methodology

3. Use Improvement Science
Why Use the Value Summary
Concise – avoids death by PowerPoint
Methodology – promote improvement that works
Measurement – track work at project & enterprise level
Transparency – self-service visibility to value work
Communication – standardize review of value work from director to staff

4. 5 Steps of Value Methodology
using the Value Summary
1 2 3 4 5

5. Project Definition
5
1

6. 6
Problem & Goals
Specific, Measurable, Attainable, Relevant, & Time-bound
2

7. Specific - How specific is based on your judgment.
“Poor communication” and “inefficiency” are not specific. “Readmission rates for ileostomy
patients” is specific enough.
Measureable - Define with an actual number.
Some, more, many are not numbers. “20% increase,” is a number you can track concretely.
Attainable - Is your goal realistic?
Chasing unrealistic goals is demoralizing.
Relevant - This area is another judgment call.
Time-bound – Set the date when you want the goal met.
Problem & Goals
SMART Goals
Source: http://healthsciences.utah.edu/accelerate/blog/2017/01/the-smart-way-to-keep-your-new-years-resolutions.php

8. 8

9. 9
Baseline Analysis &
Investigation
3

10. Baseline Analysis & Investigation
Tools to Examine + Document Process
What does the
process tell you?
Describe your major
findings from each tool.
Attach related Documents.

11. Baseline Analysis & Investigation
Tools to Analyze Data
What does the data
tell you?
Describe major findings
from each analysis.
Data collection can be:
 Manual e.g. tally sheet, survey
 Automated e.g. data warehouse
Attach related documents
(no VDO/cost data).

12. Baseline Analysis & Investigation
Tools to Benchmark
What did you learn
from others?
Describe what best
practices you learned
from peers.
Attach any related
documents.

13. Improvement Design
& Implement
4

14. Improvement Design & Implementation
How to Improve a Process
 Make it Reliable e.g. Standard Work
 Make it Simple e.g. Workplace Organization
 Make it Visible e.g Visual Management
 Make it Flow e.g. Eliminate Waste
There is no one-size-fits-all solution; find what works for your team.

15. Monitoring & Impact
5

16. Monitor & Impact
Measure Elements
Numerator & Denominator
Local
Meaningful
Transparent
Providing results to individuals can engage team members in their
ability to contribute to the improvement. This is often done outside of
Value Summary reporting and monitoring.

17. Monitoring & Impact
What Gets Measured Gets Managed
Monitor data continuously
Monitor process (Goals/Gemba)
Reflect on effectiveness &
adjust design, if needed.
At least 1 year of monitoring is
recommended; 2-3 years to
ensure sustainability.
Is it working?

18. Its Not for Everything
When NOT to Use Value Summary
 Known problem & troubleshooting the cause is simple
simple problem-cause-solution will suffice
 Analyses with no plans to implement change
(e.g. evaluate variation in Radiology)
If you don’t have real SMART goals, you may not need a value summary

19. How to access the Value Summary 2.0
http://pulse.utah.edu/go/valuesummary
© University of Utah Health 2017 | only accessible to our internal audience.