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BCM FC QI CURRICULUM
Session 2
SMART AIM WORKSHOP
What are we trying to accomplish?
11/1/2016
SMART Aim
Measures
Changes
Aim Statements
 What are we trying to accomplish?
 Establish an Aim Statement
 Improvement starts with a goal/aim
 Important to keep a team on track
 An Aim Statement should…
 Clearly state the goal/aims
 Include a specific numeric goal
 Include a timeframe
 Include information about the systems to be improved
and the patient population
Involve Key
Stakeholders!
Aim Statement Tips
 Start with an action verb (increase, improve, reduce,
complete, conduct, achieve, etc.).
 Make it measurable (how much, how many, how good,
how much better, how much faster, etc.).
 Answer “by when” (daily, monthly, by March 1, by end of
first quarter, etc.).
 Describe target population/scope (unit, patient type,
disease, process, etc.)
 Include approach for change (implementing, creating,
re-designing, etc.)
SMART Criteria
 Specific: What will the goal accomplish? How and why?
Who are the target population?
 Measurable: How much change? Increase? Decrease?
How will you measure whether you reached the goal?
 Attainable/Achievable: Is it possible? Others have
done it? Do you/your team have the skills/resources?
Can you finish by the time you propose?
 Relevant: Is your goal meaningful? In line with overall
goals/vision/mission? Passes “So What” test?
 Time-Bound: What is your target date to accomplish
your goal and is it feasible?
Suggested Template
 BY: (studying-measuring-surveying-reporting) A
PROCESS
 WE WILL: (be able to change-reduce-increase-affect-
improve) SOME PART OR ALL OF THE PROCESS
 WHICH WILL RESULT IN THESE OUTCOMES:
(Medical, functional, service, patient satisfaction,
provider satisfaction, or cost)
Source: QI and Costs Presentation (Tom Luerssen, MD) 5/7/10
SMART Aim Example
 By Feb 2017, there will be a 50% increase in the
number of adult heart failure and transplant
patients at the outpatient clinic at TCH with an
advance directive documented in the EMR.
SMART Aim Example
 To reach optimal dosing of
piperacillin/tazobactam for 85% of
orders for this agent by June 1, 2016
among inpatients at TCH
SMART Aim Example
 By implementing new guidelines between August
2015 and January 2016, we will manage more
than 80% of oncology patients with low-risk fever
and neutropenia (LRFN) in the outpatient setting
using oral antibiotics. This will result in more
available inpatient beds, significant cost saving
and patient satisfaction.
Don’t Forget Additional Resources
 Liza Bonin – Marni Axelrad - Psychology
 Behavioral health expertise if patient (or family)
behavior/well-being is component of planned improvement
project
 Provide perspective on people side of change / systems
thinking
 Curtis Kennedy - PICU
 Promotion of family education / awareness / involvement
by way of handhelds/technology
 Experience in decision support, modeling (prediction),
automation, and time series analysis
 Jessica Casas – Daniel Mahoney– Palliative Care
Schedule
2016-2017 Sessions Dates
#1 Intro/Fundamentals 10/7/16
#2 SMART AIM Workshop 11/1/16
#3 Key Driver and Fishbone Diagram Workshop (TCH Auditorium) 11/29/16
#4 Measures/Data Display Workshop (Location pending) 12/01/16
#5 Research vs QI Publications/MOC Credit 12/13/16
#6 Draft Project Presentations
3-4 Sessions 4 groups/session
1/19/2017
1/20/2017
1/26/17
#7 Project Presentations with Results
4 Sessions 4 groups/session
5/30/17
5/31/17
6/6/17
6/7/17
 Wiki site – bcmfellowscollege.pbworks.com
 If you don’t have a coach
 pls contact me (Mehmet Okcu)
 Watch your emails
 Pls fill in the evaluations

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BCM QI Session 2: SMART Aims

  • 1. BCM FC QI CURRICULUM Session 2 SMART AIM WORKSHOP What are we trying to accomplish? 11/1/2016
  • 3. Aim Statements  What are we trying to accomplish?  Establish an Aim Statement  Improvement starts with a goal/aim  Important to keep a team on track  An Aim Statement should…  Clearly state the goal/aims  Include a specific numeric goal  Include a timeframe  Include information about the systems to be improved and the patient population Involve Key Stakeholders!
  • 4. Aim Statement Tips  Start with an action verb (increase, improve, reduce, complete, conduct, achieve, etc.).  Make it measurable (how much, how many, how good, how much better, how much faster, etc.).  Answer “by when” (daily, monthly, by March 1, by end of first quarter, etc.).  Describe target population/scope (unit, patient type, disease, process, etc.)  Include approach for change (implementing, creating, re-designing, etc.)
  • 5. SMART Criteria  Specific: What will the goal accomplish? How and why? Who are the target population?  Measurable: How much change? Increase? Decrease? How will you measure whether you reached the goal?  Attainable/Achievable: Is it possible? Others have done it? Do you/your team have the skills/resources? Can you finish by the time you propose?  Relevant: Is your goal meaningful? In line with overall goals/vision/mission? Passes “So What” test?  Time-Bound: What is your target date to accomplish your goal and is it feasible?
  • 6. Suggested Template  BY: (studying-measuring-surveying-reporting) A PROCESS  WE WILL: (be able to change-reduce-increase-affect- improve) SOME PART OR ALL OF THE PROCESS  WHICH WILL RESULT IN THESE OUTCOMES: (Medical, functional, service, patient satisfaction, provider satisfaction, or cost) Source: QI and Costs Presentation (Tom Luerssen, MD) 5/7/10
  • 7. SMART Aim Example  By Feb 2017, there will be a 50% increase in the number of adult heart failure and transplant patients at the outpatient clinic at TCH with an advance directive documented in the EMR.
  • 8. SMART Aim Example  To reach optimal dosing of piperacillin/tazobactam for 85% of orders for this agent by June 1, 2016 among inpatients at TCH
  • 9. SMART Aim Example  By implementing new guidelines between August 2015 and January 2016, we will manage more than 80% of oncology patients with low-risk fever and neutropenia (LRFN) in the outpatient setting using oral antibiotics. This will result in more available inpatient beds, significant cost saving and patient satisfaction.
  • 10. Don’t Forget Additional Resources  Liza Bonin – Marni Axelrad - Psychology  Behavioral health expertise if patient (or family) behavior/well-being is component of planned improvement project  Provide perspective on people side of change / systems thinking  Curtis Kennedy - PICU  Promotion of family education / awareness / involvement by way of handhelds/technology  Experience in decision support, modeling (prediction), automation, and time series analysis  Jessica Casas – Daniel Mahoney– Palliative Care
  • 11. Schedule 2016-2017 Sessions Dates #1 Intro/Fundamentals 10/7/16 #2 SMART AIM Workshop 11/1/16 #3 Key Driver and Fishbone Diagram Workshop (TCH Auditorium) 11/29/16 #4 Measures/Data Display Workshop (Location pending) 12/01/16 #5 Research vs QI Publications/MOC Credit 12/13/16 #6 Draft Project Presentations 3-4 Sessions 4 groups/session 1/19/2017 1/20/2017 1/26/17 #7 Project Presentations with Results 4 Sessions 4 groups/session 5/30/17 5/31/17 6/6/17 6/7/17
  • 12.  Wiki site – bcmfellowscollege.pbworks.com  If you don’t have a coach  pls contact me (Mehmet Okcu)  Watch your emails  Pls fill in the evaluations