Implementing Change Ideas, Interpreting Data and Sustaining Change in a Quality Improvement Project

Julie A Gilmour; Geetha Mukerji; Phillip Segal; Lori Sutton; Rene Wong; Leigh Caplan; Dana Whitham; Ilana Halperin

doi:10.1016/j.jcjd.2019.02.007

Implementing Change Ideas, Interpreting Data and Sustaining Change in a Quality Improvement Project

Can J Diabetes. 2019 Jun;43(4):249-255. doi: 10.1016/j.jcjd.2019.02.007. Epub 2019 Feb 27.

Authors

Julie A Gilmour¹, Geetha Mukerji², Phillip Segal³, Lori Sutton⁴, Rene Wong³, Leigh Caplan⁵, Dana Whitham⁶, Ilana Halperin⁷

Affiliations

¹ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada. Electronic address: [email protected].
² Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Women's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada; Division of Endocrinology, Women's College Hospital, Toronto, Ontario, Canada.
³ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, University Health Network, Toronto, Ontario, Canada.
⁴ Toronto Diabetes Care Connect, South Riverdale Community Health Centre, Toronto, Ontario, Canada.
⁵ Sunnybrook Academic Family Health Team, Department of Family and Community Medicine, University of Toronto, Ontario, Canada.
⁶ Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.
⁷ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

PMID: 30956099
DOI: 10.1016/j.jcjd.2019.02.007

Abstract

This article is the third and final installment in our diabetes quality improvement primer series. It summarizes how to interpret real-time data with run charts and highlights 4 key rules that can be applied to understand whether improvement is statistically significant. We also review the importance of outlining a family of measures, including outcome, process and balancing measures. Finally, we discuss strategies for sustaining change.

Keywords: amélioration de la qualité; diabetes; diabète; diagrammes de progression; durable; examen du pied; foot screening; quality improvement; run charts; sustaining.

Publication types

Review

MeSH terms

Delivery of Health Care / standards*
Diabetes Mellitus / therapy*
Health Plan Implementation*
Humans
Patient Care Team / organization & administration*
Patient Education as Topic*
Quality Assurance, Health Care / standards*
Quality Improvement*