November 2005. Winter is just around the corner here in Western Michigan. The leaves are literally raining off the trees. Just this morning at breakfast as I looked into the woods and I could see a steady stream of golden brown, red and yellow leaves heading towards the earth.
Last month I talked about keeping your quality improvement changes in placeusing a manual that you develop of SOPs, standard operating procedures. By the way, if you missed that issue, you can find it on my website, and several earlier ones too.
This month I want to address starting a quality improvement project. That is, how do you decide what project to work on? What issue or process is causing the most waste, is doing the most harm, is most affecting the bottom line? Maybe you are a leader at your site and you have an idea of what is generally causing problems. For instance, you may think that patients with catheters are getting a lot of infections. Perhaps, checking patients in at your site is taking too long and creating a bottleneck. Maybe patients are complaining about having to wait too long at check in at a doctors office. It could be that certain departments are running short of...
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