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Using the Plan-Do-Study-Act (PDSA) Model to Develop Perinatal Health Care and Data Quality Indicators in Florida
Methods. The Pilot involved seven Florida hospitals, eight state organizations, and five staff members, via bimonthly webinars, emails and phone calls. The perinatal data source was the 2004-2011 Florida linked database of maternal-infant hospital discharge records and birth certificates. Continued assessments of iterative PDSA cycles were conducted during the Pilot.
Results. Using the PDSA model, six webinars were held to identify five initial perinatal QI indicators, prioritize potential indicators, and develop a data quality report template. The Plan phase generated a practitioner-focused prioritized QI indicators list supported by both research and applicability. In the Do phase, staff generated and adapted the QI measures and produced a report draft. During the Study phase, FPQC stakeholders studied the indicators, provided feedback, and addressed concerns and potential pitfalls. Formal assessment was very good (4.6 of 5.0) for the measure description and adequate for the Q&A (4.2) and graphic formats (4.0) in the reports. This phase allowed incorporation of specific ideas, including an online version of the reports, data quality assessment, and critical risk adjustments for selected indicators. Last, the Act part of the cycle incorporated the stakeholders’ suggestions and looped back to a new PDSA cycle.
Conclusions. Following the PDSA model, the FPQC QI Pilot Indicator Project demonstrated feasibility, good standing with Florida stakeholders, and potential improvement opportunities with Pilot and future full-scale activities.
Learning Areas:
Administration, management, leadershipBasic medical science applied in public health
Epidemiology
Program planning
Provision of health care to the public
Public health or related research
Learning Objectives:
Differentiate each step of the plan-do-study-act (PDSA) model
Formulate formal and informal outcome measures for each step of the plan-do-study-act (PDSA) model within the Florida Perinatal Quality Collaborative (FPQC) Quality Improvement (QI) Pilot Indicator Project
Identify the strengths and opportunities for improvement that arose in the FPQC QI Pilot Indicator Project
Keyword(s): Quality Improvement, Community-Based Partnership & Collaboration
Qualified on the content I am responsible for because: I am a trained physician and pediatrician, as well as a third-year doctoral student (PhD) with adequate knowledge of maternal and child health. I have also participated as a graduate assistant for the FPQC QI Pilot Indicator Project for over a year, with sufficient involvement in the planning, development, assessment, and reporting of every phase of the Pilot.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.