> Performance Improvement Activity Overview

Performance Improvement Learning Activity Overview

This module leads your through the necessary steps to perform a chart audit on 10 of your patients, analyze the data you audit, identify a patient outcome you wish to improve, and then create, and modify as necessary, an intervention to improve that outcome.

Below is a brief description of the steps required to complete this module.

Step 1:  Pre-Intervention Chart Audit

First, perform a chart audit of at least 10 patients you have seen with diabetes.  In this step, you will use skills learned in the Practice Transformation Population Management module.  After submitting the chart audit, you will see a graphical presentationn of your data.

Note: We recognize data for 10 patients may not be representative of your actual population.  The goal is for you to develop a skill set for quality improvement that can later be up scaled to fit your future QI interventions.

Step 2: Create an Intervention Plan based on Chart Audit Analysis

In this step, you will select a clinical measure to target for improvement. To affect change, you focus on one or more kinds of change, or intervention types.  You will notice that many of these interventions are related to categories discussed the Practice Transformation Part II modules (this is Wrong or Imprecise but I don’t know how to fix) (e.g. Self-Management Support, Team Approach, Quality Improvement, etc). 

Once you’ve selected your intervention, it’s time to get your hands dirty! As part of your intervention plan, you’ll 1) create a global aim statement for your intervention; 2) map your current process (if one exists) and identify areas for improvement; 3) identify SMART (specific, measurable, attainable, realistic, timely) goals for your QI intervention.

Tip: the content in the Practice Transformation Quality Improvement module provides specific examples and tools for aims statements, process mapping, and identifying QI goals.

Step 3: Do: Implementation Period

This is the work you and your staff will do within your practice to achieve the desired change/outcome.

Step 4: Study: Post-Intervention Chart Audit

Having implemented your initial plan, you will perform another chart audit of 10 patients. When that audit is submitted, you will be able to compare your pre- and post-intervention data and analyze how well your intervention worked. 

Step 5: Act: Complete PDSA Cycle #1

In this final step, you will revise your intervention plan to account for lessons learned during implementation of your plan (step 3) and to gain additional improvement in your targeted clinical measure. The Do-Study-Act steps may be repeated as necessary until you’ve reached your goal.