Overview
Introduction
Measurement: Process and Outcome Indicators
Methods of Quality Improvement
Things Quality Improvement is NOT
Summative Experience
Summary

Summative Experience

Example 1
Following up on the previous example on well child care--

An audit shows the immunization rate for well children in your practice to be 45%.

The state periodically reviews primary care practices for their performance on childhood immunizations. Your group is very disappointed by your score, which suggests that fewer than half of the eligible children in your practice are receiving their recommended immunizations.

What do you do? Using the FADE model, consider:

Step 1 - FOCUS

Objectives

 

Step 2 - ANALYZE

Objectives
 

The key to the analysis step of the FADE model is:

**IDENTIFY THE SITE OF THE DEFECT BEFORE YOU MAKE A CHANGE!**

It is very easy, when something is found to be less than perfect, to just “knee jerk” a solution, such as a form, a flow sheet, or some sort of recheck. These may be wonderful solutions, or they may be completely off the mark. The analysis step, identifying the root cause of the problem, is essential to identify what types of interventions can help.

A root cause analysis identifies missed opportunities and problems with recording immunizations. That is:

  1. Children overdue for immunizations often are seen in the office for other problems and no one notices the need for vaccinations.
  2. Children who receive their vaccines elsewhere don’t always have these recorded in your records.

**BEFORE YOU CREATE A NEW SYSTEM TO FIX SOMETHING, BE SURE THE STEP YOU ARE FIXING IS TRULY THE SOURCE OF THE PROBLEM!**

Step 3 - DEVELOP

Objectives

 

Step 4 - EXECUTE

Objectives

 

Step 5 - EVALUATE

Objectives

 

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