Читать книгу Improving Health Care Quality - Cecilia Fernanda Martinez - Страница 29

1 Choose a process that occurs daily in your personal or professional life.Draw a process map that shows the steps.Identify those steps that have controllable or uncontrollable variation.For those steps that are within your control, develop actions that could be taken to improve the process.

2 Consider your travel to work or school. Briefly describe your mode of transportation, route, and duration of the trip. Identify the causes of variability in the time to complete your trip and classify them as either common‐ or special‐cause variation. What actions could you take to reduce your travel time variability?

3 Each US state's health department issues a weekly report during influenza season. Choose a state and select one of the weekly reports during the height of flu season. Evaluate the data visualizations presented in the report. Write a paragraph critiquing the visualizations, commenting on those graphs that were effective and those that were not.

4 Draw a high‐level process map for the steps involved in having a routine blood draw done as part of an annual physical exam. Identify the steps that add value from the patient's perspective and the steps that do not, and the steps that are necessary from the clinical point of view. Identify where in the process interruptions or delays are encountered. Are the causes of delays obvious? Are the bottlenecks that prevent the tasks from flowing continuously easy to identify and eliminate? Use Figure 1.2 to identify the process improvement framework that would be appropriate for this case. Justify your answer and identify what kind of data would also be appropriate to collect to narrow scope the project.