Quality, service improvement and redesign (QSIR) tools by stage of project
The six stage project management approach provides a framework. Regardless of the project management approach you use, eg the six stage approach or PRINCE2, it can be enhanced with the use of the improvement tools, theories and techniques the stages below signpost to.
- Stage 1: Start out – what is the opportunity or problem?
- Stage 2: Define and scope – what is the current situation?
- Stage 3: Measure and understand – what are the benefits and impacts?
- Stage 4: Design and plan – what does the future look like?
- Stage 5: Implement – action planning and reporting
- Stage 6: Handover and sustain – deployment and ‘business as usual’
Your desired output at this stage is for clear scope of the problem you wish to solve and support for the improvement activity.
- Aims statement development
- Aligning improvement with strategic goals
- Brainstorming
- Cause and effect (fishbone diagram)
- Clinical engagement
- Commitment, enrolment and compliance
- Communications matrix
- Creating a vision
- Engagement and empowerment
- How to understand differences between individuals
- Lens of Profound Knowledge
- Measurement for improvement: an overview
- Pareto analysis
- Partnership working with health service users
- Performance management
- Project charter, brief or mandate
- Project initiation document (PID)
- Project management: an overview
- Public narrative
- Seven steps to measurement for improvement
- Stakeholder analysis
- Stakeholder involvement: an overview
Your desired output at this stage is that the current situation is understood and shared in a format appropriate to the size of the project (eg project charter or full project initiation document, PID).
- Affinity diagram
- Aims statement development
- Aligning improvement with strategic goals
- Balanced scorecard
- Benefits realisation
- Bullet proofing
- Cause and effect (fishbone diagram)
- Clinical engagement
- Creating a vision
- Gateway criteria
- Influence Model
- Length of stay – reducing length of stay
- Measurement for improvement: an overview
- Pareto analysis
- Partnership working with health service users
- Performance management
- Project charter, brief or mandate
- Project initiation document (PID)
- Project management: an overview
- Resistance – enabling collaboration by working with it
- Responsibility charting
- Same day elective care- treat day surgery as the norm
- Same day emergency care (ambulatory emergency care)
- Scatter diagram (correlation)
- Seven steps to measurement for improvement
- Simple rules and breaking them
- Six Thinking Hats®
- Stakeholder involvement: an overview
- Supporting people through change – an overview
- Sustainability Model
- Theory of constraints
- Thinking creatively to solve problems – an overview
- Tracer study
Your desired output at this stage is for your measures to be identified to determine whether the change that you make is an improvement.
- Active listening
- Clinical engagement
- Creating a vision
- Demand and capacity – a comprehensive guide
- Demand and capacity – an overview
- Histogram
- Identifying frustrating problems
- Length of stay – reducing length of stay
- Lens of Profound Knowledge
- Mapping the process – an overview
- Mapping: value stream
- Measurement for improvement: an overview
- Model for measuring quality care (structure, process, outcome and balancing measures)
- Performance management
- Process templates
- Project charter, brief or mandate
- Project initiation document (PID)
- Project management: an overview
- Safe to fail experiments
- Scatter diagram (correlation)
- Seven steps to measurement for improvement
- Stakeholder involvement: an overview
- Statistical Process Control (SPC)
- Supporting people through change – an overview
- Theory of constraints
- Tracer study
Your desired output at this stage is for clear and shared understanding of the future and an agreed action plan.
- Aligning improvement with strategic goals
- Benefits realisation
- Brainstorming
- Bullet proofing
- Clinical engagement
- Creating a vision
- Discovery Model
- Fresh eyes
- Gateway criteria
- Influence Model
- Issues and risks management
- Lens of Profound Knowledge
- Managing conflict
- Mapping: value stream
- Measurement for improvement: an overview
- Model for measuring quality care (structure, process, outcome and balancing measures)
- Partnership working with health service users
- Performance management
- Plan, Do, Study, Act (PDSA) cycles and the model for improvement
- Project charter, brief or mandate
- Project initiation document (PID)
- Project management: an overview
- Responsibility charting
- Safe to fail experiments
- Same day elective care- treat day surgery as the norm
- Same day emergency care (ambulatory emergency care)
- Simple rules and breaking them
- Six Thinking Hats®
- Stakeholder involvement: an overview
- Supporting people through change – an overview
- Sustainability Model
- That’s impossible!
- Theory of constraints
- Thinking creatively to solve problems – an overview
- Tracer study
Your desired output at this stage is a fully implemented improvement plan.
- 2 Steps down
- 30/60/90- day cycles
- Action plan
- Aligning improvement with strategic goals
- Bullet proofing
- Clinical engagement
- Commitment, enrolment and compliance
- Discovery Model
- Engagement and empowerment
- Gateway criteria
- Influence Model
- Issues and risks management
- Measurement for improvement: an overview
- Partnership working with health service users
- Performance management
- Plan, Do, Study, Act (PDSA) cycles and the model for improvement
- Project management: an overview
- Report on progress
- Resistance – enabling collaboration by working with it
- Safe to fail experiments
- Same day elective care- treat day surgery as the norm
- Same day emergency care (ambulatory emergency care)
- SBAR communication tool- Situation – Background – Assessment – Recommendation
- Scatter diagram (correlation)
- Seven steps to measurement for improvement
- Stakeholder analysis
- Statistical Process Control (SPC)
- Supporting people through change – an overview
- Sustaining momentum
- Theory of constraints
Your desired output at this stage is that the improvement has become ‘business as usual’ with benefits realised, learning shared and a plan for sustainability in place.
- Action plan
- Balanced scorecard
- Benefits realisation
- Clinical engagement
- Communications matrix
- Demand and capacity – a comprehensive guide
- Demand and capacity – an overview
- Lessons learnt
- Measurement for improvement: an overview
- Partnership working with health service users
- Performance management
- Project management: an overview
- Reviving a stalled effort
- Seven steps to measurement for improvement
- Stakeholder analysis
- Stakeholder involvement: an overview
- Statistical Process Control (SPC)
- Supporting people through change – an overview
- Sustainability Model
- Sustaining momentum