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Quality Improvement SeriesSession 4- shaping the AIM

Windy Stevensonlammersw@ohsu.edu

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Today’s AgendaToday’s Agenda

1. Remind you of what you’ve learned

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Take Home PointsTake Home Points

Real (sustainable) change comes from changing systems, not changing within systems

education alone doesn’t workdon’t push the current system to work harder

It’s your job to spot the system that isn’t working

Be specific about what you want to accomplish, and why; be intentional

Focus on patients

Start before you think you are ready; don’t get paralyzed

Don’t be the donkey

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Don’t be the donkey!Don’t be the donkey!

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Systems…Systems…

A system is a set of interdependent parts

sharing a common purpose.

Every system is perfectly designed to achieve

the results it achieves.

• The parts• The interaction of the parts• The people

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The Problem List “System”The Problem List “System”

What results is our current system designed to produce?

WHY?

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Where do you start? Where do you start?

Problem statement: The DCH ambulatory clinic problem lists are incomplete and inaccurate.

BUT WHAT DOES THAT MEAN???

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Project ideasProject ideas

Operational Clinical