Discussion 4.1: Change Concept WorksheetPoints: 20 Due: Day 3 and Day 6 A change concept is a general notion or approach
Posted: Thu Mar 31, 2022 7:58 am
Discussion 4.1: Change Concept WorksheetPoints: 20
Due: Day 3 and Day 6
A change concept is a general notion or approach to change that
has been found to be useful in developing specific ideas for
changes that lead to improvement. The ability to develop, test, and
implement changes is essential for any individual, group, or
organization that wants to continuously improve. There are many
kinds of changes that will lead to improvement, but these specific
changes are developed from a limited number of change concepts.
Aim Statement
By September
30th, 2022, 70% of the sepsis detection tool (MEWS) will
be evaluated by the RN within the first 30 mins of the vital signs
being taken to increase the timeliness in the detection of sepsis
in the adult population on acute care settings in Oklahoma
City.
Directions
Now it’s time to generate some good ideas of changes to test.
Use the methods you’ve learned this week to generate your list of
ideas. Use the Project Change Concepts Worksheet (Word) (Links
to an external site.) to assist you in identifying two change
concepts and provide examples of how these concepts apply to your
quality improvement project.
Post your two change concepts and examples by the end of
Day 3. Then, by the end of Day 6,
respond to at least two of your classmates’ posts.
As you provide feedback to two of your peers, consider the
following:
Identify at least one change concept that your peer did not
select from the list that you think may be pertinent to the quality
improvement project.
Change Concepts Worksheet A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. With your QI team, choose a few relevant change concepts from the list of 72 below. For each change concept you select, generate a short list of change ideas related to that general concept. Rank your ideas in order of preference for testing. Change Concepts Ideas Eliminate Waste - What activities or resources don't provide value to your patients or customers? 1. Eliminate things that are not used 2. Eliminate multiple entries 3. Reduce or eliminate overkill 4. Reduce controls on the system 5. Recycle or reuse 6. Use substitution 7. Reduce classifications 8. Remove intermediaries 9. Match the amount to the need 10. Use sampling 11. Change targets or set points Improve Work Flow - How can you change the work flow so that the process is less reactive and more planned? 12. Synchronize 13. Schedule into multiple processes 14. Minimize handoffs 15. Move steps in the process close together 16. Find and remove bottlenecks 17. Use automation 18. Smooth workflow 19. Do tasks in parallel 20. Consider people as in the same system 21. Use multiple processing units 22. Adjust to peak demand Optimize Inventory - How can you reduce costs associated with the maintenance of inventory? 23. Match inventory to predicted demand 24. Use pull systems 25. Reduce choice of features 28. Reduce multiple brands of the same item Change the Work Environment - What would make the environment better able to support improvement? 27. Give people access to information 28. Use proper measurements 29. Take care of basics 30. Reduce demotivating aspects of the pay system 31. Conduct training 32. Implement cross-training 33. Invest more resources in improvement 34. Focus on core process and purpose 35. Share risks 36. Emphasize natural and logical consequences 37. Develop alliances and cooperative relationships The change concepts were developed by Associates in Process Improvement. See The Improvement haide (Langley G!, Nolan KM. Nolan TW, Norman CL Provost LP. San Francisco, California: Jossey-Bass Publishers, Inc.: 2009) for examples of their application in process improvement, both inside and outside of health care H Institute for Healthcare Improvement
CHANGE CONCEPTS WORKSHEET Enhance the Producer Customer Relationship - How can you better understand and respond to the customers' needs? 38. Listen to customers 39. Coach the customer to use a product/service 40. Focus on the outcome to a customer 41. Use a coordinator 42. Reach agreement on expectations 43. Outsource for "free 44. Optimize level of inspection 45. Work with suppliers Manage Time - How can you reduce the time to develop new products, waiting times for services, lead times for orders and deliveries, and cycle times for all functions in the organization? 48. Reduce setup or startup time 47. Set up timing to use discounts 48. Optimize maintenance 49. Extend specialist's time 50. Reduce wait time Manage Variation - How can you reduce the frequency of poor results? 51. Standardization (create a formal process) 52. Stop tampering 53. Develop operational definitions 54. Improve predictions 55. Develop contingency plans 58. Sort product into grades 57. Desensitize 58. Exploit variation Design Systems to Avoid Mistakes - How can you reduce the probability of making an error for a given opportunity? 59. Use reminders 60. Use differentiation 61. Use constraints 62. Use affordances Focus on the Product or Service - What improvements can you make to the design of the product or service? 63. Mass customize 64. Offer product/service anytime 65. Offer product/service anyplace 66. Emphasize intangibles 67. Influence or take advantage of fashion trends 68. Reduce the number of components 69. Disguise defects or problems 70. Differentiate product using quality dimensions 71. Change the order of process steps 72. Manage uncertainty - not tasks The change concepts were developed by Associates in Process Improvement. See The Improvement Grade Langley CJ, Nolan KM, Nolan TW, Norman CL Provost L.P.San Francisco, California Jossey Bass Publishers, Inc., 2009) for examples of their application in process improvement, both inside and outside of health care. M Institute for Healthcare Improvement
Due: Day 3 and Day 6
A change concept is a general notion or approach to change that
has been found to be useful in developing specific ideas for
changes that lead to improvement. The ability to develop, test, and
implement changes is essential for any individual, group, or
organization that wants to continuously improve. There are many
kinds of changes that will lead to improvement, but these specific
changes are developed from a limited number of change concepts.
- Discussion 4 1 Change Concept Worksheetpoints 20 Due Day 3 And Day 6 A Change Concept Is A General Notion Or Approach 1 (92.62 KiB) Viewed 27 times
By September
30th, 2022, 70% of the sepsis detection tool (MEWS) will
be evaluated by the RN within the first 30 mins of the vital signs
being taken to increase the timeliness in the detection of sepsis
in the adult population on acute care settings in Oklahoma
City.
Directions
Now it’s time to generate some good ideas of changes to test.
Use the methods you’ve learned this week to generate your list of
ideas. Use the Project Change Concepts Worksheet (Word) (Links
to an external site.) to assist you in identifying two change
concepts and provide examples of how these concepts apply to your
quality improvement project.
Post your two change concepts and examples by the end of
Day 3. Then, by the end of Day 6,
respond to at least two of your classmates’ posts.
As you provide feedback to two of your peers, consider the
following:
Identify at least one change concept that your peer did not
select from the list that you think may be pertinent to the quality
improvement project.
Change Concepts Worksheet A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. With your QI team, choose a few relevant change concepts from the list of 72 below. For each change concept you select, generate a short list of change ideas related to that general concept. Rank your ideas in order of preference for testing. Change Concepts Ideas Eliminate Waste - What activities or resources don't provide value to your patients or customers? 1. Eliminate things that are not used 2. Eliminate multiple entries 3. Reduce or eliminate overkill 4. Reduce controls on the system 5. Recycle or reuse 6. Use substitution 7. Reduce classifications 8. Remove intermediaries 9. Match the amount to the need 10. Use sampling 11. Change targets or set points Improve Work Flow - How can you change the work flow so that the process is less reactive and more planned? 12. Synchronize 13. Schedule into multiple processes 14. Minimize handoffs 15. Move steps in the process close together 16. Find and remove bottlenecks 17. Use automation 18. Smooth workflow 19. Do tasks in parallel 20. Consider people as in the same system 21. Use multiple processing units 22. Adjust to peak demand Optimize Inventory - How can you reduce costs associated with the maintenance of inventory? 23. Match inventory to predicted demand 24. Use pull systems 25. Reduce choice of features 28. Reduce multiple brands of the same item Change the Work Environment - What would make the environment better able to support improvement? 27. Give people access to information 28. Use proper measurements 29. Take care of basics 30. Reduce demotivating aspects of the pay system 31. Conduct training 32. Implement cross-training 33. Invest more resources in improvement 34. Focus on core process and purpose 35. Share risks 36. Emphasize natural and logical consequences 37. Develop alliances and cooperative relationships The change concepts were developed by Associates in Process Improvement. See The Improvement haide (Langley G!, Nolan KM. Nolan TW, Norman CL Provost LP. San Francisco, California: Jossey-Bass Publishers, Inc.: 2009) for examples of their application in process improvement, both inside and outside of health care H Institute for Healthcare Improvement
CHANGE CONCEPTS WORKSHEET Enhance the Producer Customer Relationship - How can you better understand and respond to the customers' needs? 38. Listen to customers 39. Coach the customer to use a product/service 40. Focus on the outcome to a customer 41. Use a coordinator 42. Reach agreement on expectations 43. Outsource for "free 44. Optimize level of inspection 45. Work with suppliers Manage Time - How can you reduce the time to develop new products, waiting times for services, lead times for orders and deliveries, and cycle times for all functions in the organization? 48. Reduce setup or startup time 47. Set up timing to use discounts 48. Optimize maintenance 49. Extend specialist's time 50. Reduce wait time Manage Variation - How can you reduce the frequency of poor results? 51. Standardization (create a formal process) 52. Stop tampering 53. Develop operational definitions 54. Improve predictions 55. Develop contingency plans 58. Sort product into grades 57. Desensitize 58. Exploit variation Design Systems to Avoid Mistakes - How can you reduce the probability of making an error for a given opportunity? 59. Use reminders 60. Use differentiation 61. Use constraints 62. Use affordances Focus on the Product or Service - What improvements can you make to the design of the product or service? 63. Mass customize 64. Offer product/service anytime 65. Offer product/service anyplace 66. Emphasize intangibles 67. Influence or take advantage of fashion trends 68. Reduce the number of components 69. Disguise defects or problems 70. Differentiate product using quality dimensions 71. Change the order of process steps 72. Manage uncertainty - not tasks The change concepts were developed by Associates in Process Improvement. See The Improvement Grade Langley CJ, Nolan KM, Nolan TW, Norman CL Provost L.P.San Francisco, California Jossey Bass Publishers, Inc., 2009) for examples of their application in process improvement, both inside and outside of health care. M Institute for Healthcare Improvement