Attached you will find a template that will guide you in your QI project. At this time we will be addressing the FOCUS part of our FOCUS PDSA cycle on the attached template. We will be completing the PDSA portion at a later time. You will also complete the attached fishbone diagram.
Action Plan using FOCUS PDSA
Project Name:_____________________________
Use the template below to complete your action plan. the questions in the template are a guide and should be deleted when submitting your action plan. be sure to include references
Find an opportunity
What are we trying to accomplish? How did we identify this opportunity for improvement? What data is driving this need for change?
Organize a team
Who is on our team? Why have you selected these team members? What stake do they hold in the change?
Consider/Clarify the process
What are the current steps in the process we are trying to improve? This will help us identify the specific area that we need to focus on for our intervention to improve the process.
Understand where and how the process breaks down
Specifically, where and how is the process broken or underperforming? Why is the process broken? Identify ROOT CAUSES.
Select the intervention
What specifically will we do to address the identified root cause(s)?
A
CTION
P
LAN USING
FOCUS
PDSA
P
ROJECT
N
AME
:
_
____________________________
U
SE THE TEMPLATE BELO
W TO COMPLETE YOUR A
CTION PLAN
.
THE QUESTIONS IN THE
TEMPLATE ARE A
GUIDE AND SHOULD BE
DELETED WHEN SUBMITT
ING YOUR ACTION PLAN
.
BE SURE TO INCLUDE R
EFERENCES
What are we trying to accomplish?
How did we
identify this opportunity for improvement?
What
data is driving this need for change?
Who is on our team?
Why have you selected these team members? What stake do they hold in the
change?
What are the
current
steps in the process we are trying to improve?
This will help us identify the
specific area that we need to focus on for our intervention to improve the process.
Specifically, where and how is the process broken or underperforming? Why is the process broken?
Identify ROOT CAUSES.
What specifically will we do to address the identified root cause(s)?
F
IND AN OPPORTUNITY
O
RGANIZE A TEAM
C
ONSIDER
/C
LARIFY THE PROCESS
U
NDERSTAND WHERE AND
HOW THE PROCESS BREA
KS DOWN
S
ELECT THE INTERVENTI
ON
ACTION PLAN USING FOCUS PDSA
PROJECT NAME:_____________________________
USE THE TEMPLATE BELOW TO COMPLETE YOUR ACTION PLAN. THE QUESTIONS IN THE TEMPLATE ARE A
GUIDE AND SHOULD BE DELETED WHEN SUBMITTING YOUR ACTION PLAN. BE SURE TO INCLUDE REFERENCES
What are we trying to accomplish? How did we identify this opportunity for improvement? What
data is driving this need for change?
Who is on our team? Why have you selected these team members? What stake do they hold in the
change?
What are the current steps in the process we are trying to improve? This will help us identify the
specific area that we need to focus on for our intervention to improve the process.
Specifically, where and how is the process broken or underperforming? Why is the process broken?
Identify ROOT CAUSES.
What specifically will we do to address the identified root cause(s)?
FIND AN OPPORTUNITY
ORGANIZE A TEAM
CONSIDER/CLARIFY THE PROCESS
UNDERSTAND WHERE AND HOW THE PROCESS BREAKS DOWN
SELECT THE INTERVENTION
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