Rapid Cycle – PDSA- SDSA Worksheet – DNP

(Version 05/20/15)

Section 1:

1a. Title of Project: Reducing Admission for Skilled Nursing Facility to Acute Care by utilizing the INTERACT tools

1b. Site, Facility Type, Microsystem Name, Vulnerable Population for this Project.

1c. Team Members: (Include titles and departments, not specific names of those leading this project as a team. Must be interprofessional. Include front line staff, patients, and family caregivers or consumer advocates.)

Leader: Director of Nursing and Administrator 5. LVN- DAY

Facilitator: Nezy Pullukalayil 6. LVN- NIGHT

Registered Nurse- Day 7. CNA- DAY

Registerted Nurse- Night 8. CNA – NIGHT

Coach: Meeting Days/Time: Tuesday July 20th 7.30am

Data Support: Data Analyst who is in charge of transition care with Performance Improvement Department

1d. Background What problem are we addressing and how do we know there is an opportunity for improvement? Provide background on the local problem as well as the larger issue…statewide, national, global. Make a case for why this needs to be addressed now. Create a sense of urgency (Kotter). Include evidence-based resources, citations, and references. Include a brief description of the facility and the results of the 5P assessment.

) What do you envision will happen (your desired outcome) and by when. You can include your key core processes as the “how” you plan to accomplish it if you have an idea about the processes at this time. But focus on the AIM, not the processes.

1f. Measures and Indicators of Improvement: How will we know that a change is an improvement? Include both qualitative and quantitative quality indicators. What and how much will tell us we have succeeded? By when? Review levels of evidence from the Kirkpatrick model: Quantitative indicators: Numbers (/measureable)…percentages, incidences, rates. Qualitative indicators: Words, comments stories, exemplars. Textual data and media

1g. Change Theories: What one or two change theories or processes (other than Lewin’s) will be useful in leveraging/helping the team to success? Summary key concepts. Some options: Transformational Leadership (Bass/Riggio) or Transformational Learning Theories (Mezirow); Theory U (Scharmer); Kotter’s Stages of Change; Rogers’s Diffusion of Innovation; Greenhalgh & Colleagues’ Diffusion of Innovations in Health Systens Organizations; Bridges Transition Theory; Senge’s Five Disciplines; Quantum Leadership (Porter O’Grady & Malloch); Complexity Theory, Chaos Theory. Describe key concepts with the change theory and how it can help you design and/or lead your project for improvement.