{"id":1504598,"date":"2021-09-17T21:42:43","date_gmt":"2021-09-18T01:42:43","guid":{"rendered":"https:\/\/healthinfocanada.ca\/start-small-and-look-for-opportunities-a-quality-improvement-approach-to-him\/"},"modified":"2024-09-14T16:22:53","modified_gmt":"2024-09-14T20:22:53","slug":"start-small-and-look-for-opportunities-a-quality-improvement-approach-to-him","status":"publish","type":"post","link":"https:\/\/healthinfocanada.ca\/?p=1504598","title":{"rendered":"Start small and look for opportunities: a quality-improvement approach to HIM"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">By Kait Greer, MI, CHIM<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/healthinfocanada.ca\/wp-content\/uploads\/2024\/08\/AdobeStock_132785211-copy-1024x683.webp\" alt=\"A notebook with the plan, do, study, act model showing\" class=\"wp-image-1089718\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">If you work in health care, chances are you\u2019ve heard of the terms:&nbsp;quality improvement, quality management, or performance improvement.&nbsp;Essentially, these are all terms used to systematically and continuously improve health care services, delivery, and performance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The health care system is an ideal domain in which to apply quality improvement initiatives because many processes can be&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.researchgate.net\/publication\/334522726_Integrating_DMAIC_approach_of_Lean_Six_Sigma_and_theory_of_constraints_toward_quality_improvement_in_healthcare\" target=\"_blank\">defined, measured, analyzed, improved, and controlled<\/a>. Quality improvement involves \u201ccontinuous efforts to achieve stable and predictable process results\u201d with regards to both patients and the organization benefiting from a reduction in process variation and improved structure, performance, and outcomes (<a href=\"https:\/\/www.ahrq.gov\/ncepcr\/tools\/pf-handbook\/mod4.html\" target=\"_blank\" rel=\"noreferrer noopener\">Agency for Healthcare Research and Quality<\/a>).<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><span class=\"has-inline-color has-theme-primary-color\">What are we trying to accomplish? How will we know that a change is an improvement? And what change can we make that will result in improvement?<\/span> <small>Kait Greer, MI, CHIM<\/small><\/p><\/blockquote><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Quality improvement initiatives are not limited to clinical processes or environments and can be applied to many settings. Health information management (HIM) professionals can use a variety of quality improvement tools to evaluate their day-to-day practices and services. One framework to help guide such efforts is the Institute for Healthcare Improvement\u2019s&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/www.ihi.org\/resources\/Pages\/HowtoImprove\/default.aspx\" target=\"_blank\">Model for Improvement<\/a>. This is a great approach to identifying the change being sought and defining what the tangible results would be. The Model for Improvement consists of three questions and the Plan-Do-Study-Act (PDSA) cycle: What are we trying to accomplish? How will we know that a change is an improvement? And what change can we make that will result in improvement? The PDSA cycle is then used to test these changes. Another option is to start small, and look for opportunities&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/www.ihi.org\/resources\/Pages\/IHIWhitePapers\/GoingLeaninHealthCare.aspx\" target=\"_blank\">to LEAN your work and remove waste<\/a>&nbsp;(ie: wasted time, processes, movement etc.).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the dynamic field of HIM, we are adept at transforming our practices and delivery of services. Having the knowledge and skills to apply a lens of quality improvement to our work is one more tool in our toolbox\u2014and once you get started, you may find you want to continue seeking out opportunities to streamline and improve processes. Connecting with our employers to learn about QI training and initiatives is a great way to start the process. Here are a few resources for continuous learning on the path toward quality improvement:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/bcpsqc.ca\/what-is-quality\/\" target=\"_blank\" rel=\"noreferrer noopener\">The BC Patient Safety and Quality Council<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.ihi.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Institute for Healthcare Improvement<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a rel=\"noreferrer noopener\" href=\"https:\/\/www.youtube.com\/watch?v=nPysNaF1oMw\" target=\"_blank\">Dr. Mike Evans: An Illustrated Look at Quality Improvement in Health Care\u00a0<\/a>\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.echima.ca\/product\/0031-ppb\/\" target=\"_blank\" rel=\"noreferrer noopener\">HIM Role in Patient Safety and Quality of Care PPB resource<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/accreditation.ca\/\" target=\"_blank\" rel=\"noreferrer noopener\">Accreditation Canada<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>References<\/strong>:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ahmed, Selim. (2019)&nbsp;<em><a rel=\"noreferrer noopener\" href=\"https:\/\/www.researchgate.net\/publication\/334522726_Integrating_DMAIC_approach_of_Lean_Six_Sigma_and_theory_of_constraints_toward_quality_improvement_in_healthcare\" target=\"_blank\">Integrating DMAIC approach of Lean Six Sigma and theory of constraints toward quality improvement in healthcare<\/a><\/em>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Agency for Healthcare Research and Quality (2013).&nbsp;<em><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ahrq.gov\/ncepcr\/tools\/pf-handbook\/mod4.html\" target=\"_blank\">Approaches to Quality Improvement<\/a><\/em>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Institute for Healthcare Improvement (n.d.). <em><a rel=\"noreferrer noopener\" href=\"http:\/\/www.ihi.org\/resources\/Pages\/HowtoImprove\/default.aspx\" target=\"_blank\">How to Improve<\/a>.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IHI Innovation Series white paper. (2005). <a href=\"http:\/\/www.ihi.org\/resources\/Pages\/IHIWhitePapers\/GoingLeaninHealthCare.aspx\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Going Lean in Health Care<\/em><\/a>. Cambridge, MA: Institute for Healthcare Improvement.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Kait Greer, MI, CHIM If you work in health care, chances are you\u2019ve heard of the terms:&nbsp;quality improvement, quality management, or performance improvement.&nbsp;Essentially, these are all terms used to systematically and continuously improve health care services, delivery, and performance. The health care system is an ideal domain in which to apply quality improvement initiatives [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":1504599,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[438,359,366,356,136,472,350,144,137],"tags":[365,477],"class_list":["post-1504598","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-438","category-articles","category-bcyt","category-chima","category-type","category-opinion-pieces","category-partner","category-chapters","category-year","tag-quality","tag-quality-improvement"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.3 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Start small and look for opportunities: a quality-improvement approach to HIM - Health Information Canada<\/title>\n<meta name=\"description\" content=\"By Kait Greer, MI, CHIM If you work in health care, chances are you\u2019ve heard of the terms:&nbsp;quality improvement, quality management, or performance\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthinfocanada.ca\/?p=1504598\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Start small and look for opportunities: a quality-improvement approach to HIM\" \/>\n<meta property=\"og:description\" content=\"By Kait Greer, MI, CHIM If you work in health care, chances are you\u2019ve heard of the terms:&nbsp;quality improvement, quality management, or performance\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthinfocanada.ca\/?p=1504598\" \/>\n<meta property=\"og:site_name\" content=\"Health Information Canada\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/OfficialCHIMA\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-18T01:42:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-14T20:22:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthinfocanada.ca\/wp-content\/uploads\/2024\/08\/AdobeStock_132785211-copy.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1400\" \/>\n\t<meta property=\"og:image:height\" content=\"934\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Alex Leuschner\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Alex Leuschner\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/?p=1504598#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/?p=1504598\"},\"author\":{\"name\":\"Alex Leuschner\",\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/#\\\/schema\\\/person\\\/3545586d285b5a241da8ba81f13753d2\"},\"headline\":\"Start small and look for opportunities: a quality-improvement approach to HIM\",\"datePublished\":\"2021-09-18T01:42:43+00:00\",\"dateModified\":\"2024-09-14T20:22:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/?p=1504598\"},\"wordCount\":488,\"publisher\":{\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/healthinfocanada.ca\\\/?p=1504598#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/healthinfocanada.ca\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/AdobeStock_132785211-copy.webp\",\"keywords\":[\"Quality\",\"quality improvement\"],\"articleSection\":[\"2021\",\"Articles\",\"British Columbia &amp; 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