"Qi Project Tracking Sheet" - Colorado

Qi Project Tracking Sheet is a legal document that was released by the Colorado Department of Public Health and Environment - a government authority operating within Colorado.

Form Details:

  • Released on January 21, 2016;
  • The latest edition currently provided by the Colorado Department of Public Health and Environment;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Public Health and Environment.

ADVERTISEMENT
ADVERTISEMENT

Download "Qi Project Tracking Sheet" - Colorado

919 times
Rate (4.4 / 5) 55 votes
QI Project Tracking Sheet
Title:
Project Dates:
/
/
through
/
/
Steps of PDSA
Approach
Key Elements
Notes
P
Identify area, problem, or opportunity for improvement
Step 1
L
Estimate and commit needed resources
Getting Started
Obtain approval (if needed) to conduct QI
A
Identify and assemble team members (including customers
N
and/or stakeholders)
Discuss problem or opportunity for improvement
Identify team member roles & responsibilities
Step 2
Establish initial timeline for improvement activity and
Assemble the
schedule regular team meetings
Team
Develop Aim Statement
− What are we trying to accomplish?
− How will we know that a change is an improvement?
− What change can we make that will result in
improvement?
Examine the current approach or process flow
Obtain existing baseline data, or create and execute data
Step 3
collection plan to understand the current approach
Examine the
Obtain input from customers and/or stakeholders
Current
Analyze and display baseline data
Approach
Determine root cause(s) of problem
Revise Aim Statement based on baseline data as needed
Identify all potential solutions to the problem based on the
Step 4
root cause(s)
Identify
Review model or best practices to identify potential
Potential
improvements
Solutions
Pick the best solution (the one most likely to accomplish
your Aim Statement)
Develop a theory for improvement
− What is your prediction?
Step 5
Develop an
− Use an “If . . . . Then” approach
Improvement
Develop a strategy to test the theory
Theory
− What will be tested? How? When?
− Who needs to know about the test?
D
Carry out the test on a small scale
Step 6
O
Collect, chart, and display data to determine effectiveness
Test the Theory
of the test
QI Project Tracking Sheet
Title:
Project Dates:
/
/
through
/
/
Steps of PDSA
Approach
Key Elements
Notes
P
Identify area, problem, or opportunity for improvement
Step 1
L
Estimate and commit needed resources
Getting Started
Obtain approval (if needed) to conduct QI
A
Identify and assemble team members (including customers
N
and/or stakeholders)
Discuss problem or opportunity for improvement
Identify team member roles & responsibilities
Step 2
Establish initial timeline for improvement activity and
Assemble the
schedule regular team meetings
Team
Develop Aim Statement
− What are we trying to accomplish?
− How will we know that a change is an improvement?
− What change can we make that will result in
improvement?
Examine the current approach or process flow
Obtain existing baseline data, or create and execute data
Step 3
collection plan to understand the current approach
Examine the
Obtain input from customers and/or stakeholders
Current
Analyze and display baseline data
Approach
Determine root cause(s) of problem
Revise Aim Statement based on baseline data as needed
Identify all potential solutions to the problem based on the
Step 4
root cause(s)
Identify
Review model or best practices to identify potential
Potential
improvements
Solutions
Pick the best solution (the one most likely to accomplish
your Aim Statement)
Develop a theory for improvement
− What is your prediction?
Step 5
Develop an
− Use an “If . . . . Then” approach
Improvement
Develop a strategy to test the theory
Theory
− What will be tested? How? When?
− Who needs to know about the test?
D
Carry out the test on a small scale
Step 6
O
Collect, chart, and display data to determine effectiveness
Test the Theory
of the test
QI Project Tracking Sheet
Document problems, unexpected observations, and
unintended side effects
S
Determine if your test was successful:
− Compare results against baseline data and the
T
measures of success stated in the Aim Statement
U
− Did the results match the theory/prediction?
Step 7
D
Study the
− Did you have unintended side effects?
Y
Results
− Is there an improvement?
− Do you need to test the improvement under other
conditions?
Describe and report what you learned
A
If your improvement was successful on a small scale test it
on a wider scale
C
Step 8
− Continue testing until an acceptable level of
T
Standardize the
improvement is achieved
Improvement
− Make plans to standardize the improvement
or Develop a
If your change was not an improvement, develop a new
New Theory
theory and test it; often several cycles are needed to produce
the desired improvement
Celebrate your success
Communicate your accomplishments to internal and
Step 9
external customers
Establish
Take steps to preserve your gains and sustain your
Future Plans
accomplishments
Make long term plans for additional improvements
Conduct iterative PDSA cycles, when needed
Last updated: 1/21/2016
Adapted from
Sedgwick County Health Department (KS)
Page of 2