The Model for Improvement: Five Critical Components

The Model for Improvement, developed by Associates in Process Improvement (API), is a simple yet powerful tool for accelerating improvement in projects. API has ... skiptomaincontent Navigationmenu DepartmentofHealth Individuals/Families COVID-19Vaccine Birth,Death,Marriage&DivorceRecords HealthInsurancePrograms ConsumerHealthCareInformation CommunityHealth HealthyLifestyles Health&SafetyintheHome,Workplace&Outdoors Diseases&Conditions Data&Reports HealthTopicsAtoZ Providers/Professionals NovelCoronavirus NarcoticEnforcement EMS HealthInitiatives Data&Reports Diseases&Conditions PatientResources DiseaseReporting ClinicalGuidelines,Standards&QualityofCare Permits,Licenses&Certification AllHealthCareProfessionals&PatientSafety HealthTopicsAtoZ HealthFacilities CompareHealthCareProviders AdultCareFacilities/AssistedLiving HomeCare&Hospice Hospitals&Clinics NursingHomes SchoolBasedHealthCenters AllHealthCareFacilities HealthTopicsAtoZ HealthData OpenHealthData NYSHealthConnector Search Search: SectionMenu CHAClearinghouse PreventionAgenda2013-2018:NewYorkState'sHealthImprovementPlan How-ToGuide Examples Training Glossary AboutUs Regional,County&Sub-countyData PreventionAgendaDashboard CommunityHealthIndicatorReports(CHIRS) CountyHealthIndicatorsbyRace/Ethnicity(CHIRE) LeadingCausesofDeath Opioid-relatedDatainNewYorkState AsthmainNewYork MaternalandChildHealth(MCH)Dashboard PregnancyRiskAssessmentMonitoringSystem(PRAMS)Dashboard County/ZIPCodePerinatalDataProfile CommunicableDiseaseAnnualReports NewYorkStateCancerRegistry VitalStatistics ExpandedBehavioralRiskFactorSurveillanceSystem SexuallyTransmittedDiseasesDataandStatistics EnvironmentalPublicHealthTracker YouareHere:HomePage > ModelforImprovement >TheModelforImprovement:FiveCriticalComponents TheModelforImprovement:FiveCriticalComponents TheModelforImprovement,developedbyAssociatesinProcessImprovement(API),isasimpleyetpowerfultoolforacceleratingimprovementinprojects.APIhaspartneredwiththeInstituteofHealthcareImprovementBreakthroughSeriesCollaborative(IHI)tosupportIHI'sinnovationandimprovementprograms.Withgrantfunding,theNewYorkStateDepartmentofHealthadaptedandpiloteditinthreecommunities. TheModelforImprovementhastwopartsofequalimportance Answerstothreefundamentalquestionsareessentialforguidingimprovementwork Whatarewetryingtoaccomplish? Howwillweknowwhetherachangeisanimprovement? Whatchangescanwemakethatwillresultinimprovement? ThePlan,Do,Study,Act(PDSA)cycletestsandimplementschangesinactualworksettings. FivecriticalcomponentsareneededtoapplytheModelforImprovement Animprovementprojectthatcanbe: process-focusedrelatedtosavingtime,moneyorimprovingqualityofaserviceorsystem,or. outcome-focusedonimprovinghealthstatus,behavior,attitude,and/orknowledge. Peoplewhowilltesttheinterventionsorchanges. Afamilyofmeasures,includingimpactandprocessmeasures.Afewofthemeasuresshouldhavethepotentialofbeingtrackedatleastmonthly. Interventionstobetestedthataregroundedinscience. Time,usually6to16months,toallowformultipletestsofinterventions. ModelforImprovement:Examplesofpotentialprojects Increasingphysicalactivityamongfourth-gradersby20minutesperweekforsixweeks. Increaseconsumptionofspecifichealthymenuofferingsinaworkplacecafeteriaover12months. Bothprojectsarefocused,though,inthesecondexample,"healthymenuofferings"willneedtobedefined.Theaudiencecanbeidentified.Theprojectsaretimespecific.Measurescanbetrackedandbotharebasedinscience. ModelforImprovement:Examplesofprojectsthatneedtobereframed Aprojecttoidentifywhichtobaccopreventionpolicieshavecommunitysupportina12-monthprojectcouldusetheModelforImprovementiftheobjectivewasto"increaseadvocates'knowledgeofwhichtobaccopreventionpoliciesaremostlikelytohavecommunitysupport." Aprojectthataimstoimprovethequalityofcommunityhealthassessmentsover12monthsisbroad,difficulttoevaluateandhasaweakevidencebase.ThisprojectcouldbereframedtousetheModelforImprovementifitwasnarrowedtoaspecifictopic,andaparticularaspectwasidentifiedforimprovementsuchas"increasingthereferralrateofwomentotheWICclinicinthefirsttrimester." Gainingsupportforaspecificpolicy.AchallengeinapplyingtheModelforImprovementistodefinewhatismeantbyimprovement.Inthisexampledoes"gainingsupport"meanthatcommunityleadersandmediawillembracetheissueforwhichthepolicyisdirectedorthatlegislationispassed?"Passinglegislation"involvesseveralimprovementsteps,and"improvement"needstobebrokendownintothesesmallercomponentstobesuccessful. Interpretedfrom:InstituteforHealthcareImprovement,HowtoImprove-ImprovementMethodsathttp://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/ Questionsorcomments:[email protected] Revised:November2011 DepartmentofHealth About MaryT.Bassett,M.D.,M.P.H.,ActingCommissioner WadsworthCenter Contact EmploymentOpportunities Grants&FundingOpportunities Laws&Regulations PressReleases,Reports&Publications PublicationsandEducationalMaterial FreedomofInformationLaw(FOIL) Forms RelatedSites HealthTopicsAtoZ AtoZenEspañol COVID-19CurrentIssues SignUpforCOVID-19&VaccineUpdates MultisystemInflammatorySyndromeinChildren(MIS-C) COVID-19Guidance COVID-19ExcelsiorPass/ExcelsiorPassPlus COVID-19VaxorMaskRequirement COVID-19Quarantines&Contacts Events Meetings,HearingsandSpecialEvents Webcasts OtherEvents CurrentIssues/Info 1-866-NY-QUITS-NYSSmokers'QuitLine AddressingtheOpioidEpidemicinNewYorkState BecomeanOrganDonor-EnrollToday DrinkingWaterResponseActivities EndingtheEpidemic HepatitisCEliminationPlan(PDF) LearnAbouttheDangersof"SyntheticMarijuana" MaternalMortality&DisparateRacialOutcomes MedicaidinNewYorkState MedicalMarijuanaProgram NewYorkStateBreastCancerPrograms NewYorkStatePublicHealthCorpsNYSOH-TheOfficialHealthPlanMarketplace NoticetoMedicaidRecipients OfficeofCannabisManagement VapingProductsandE-cigarettes Help HelpIncreasingtheTextSizeinYourWebBrowser FileFormatsUsedonthisWebSite Disclaimer PrivacyPolicy Accessibility LanguageAssistance English Español(Spanish) 中文(Chinese) Русский(Russian) ইংরেজি(Bengali) KreyòlAyisyen(Haitian-Creole) 한국어(Korean) WebsiteLanguageTranslations CONNECTWITHUS FACEBOOK TWITTER YOUTUBE PINTEREST INSTAGRAM