Phase | Tools used | Outcomes |
Define | Project charter Stakeholder analysis Gap analysis | Project opportunity and goal identified Project team formed Approval to proceed obtained from governance team |
Measure | Team consensus Histogram Control chart Patient and staff survey questionnaire | Data analysis performed Key metrics of improvement (baseline and target) identified (HCAHPS survey) Employee satisfaction survey developed |
Analyse | Brainstorming Fishbone diagram | Root causes of the opportunity identified |
Improve | Action register and implementation plan IDT rounding tool | Best practice research Interventions developed, tested and implemented |
Control | Control plan Preintervention vs postintervention statistical analysis | Sustainability plan in place |
HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems; IDT, interdisciplinary rounds.