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Service Redesign Resource

Where do we want to be?

Once you have mapped and analysed the process and assembled your process redesign team, decide which elements of the process you want to improve and what are the best measures of improvement success.

Decide what data is going to be useful and whether or not it is already being collected or if you are going to have start collecting it.  You may need to devise some data collection tools.  Some ideas for what data it may be useful to collect as measures of improvement for different areas of healthcare can be found on the IHI improvement measures page.  Also, page 6 of the NHS Improvement Leaders guide on Measurement for Improvement has some suggested measures for different areas within healthcare settings.  A lot of this data is quantitative data but you might also want to collect qualitative data.

A new resource on evidence-based decision making from Monash University has been added to the site.

You will need to collect baseline data for a period of time that your team determines is appropriate before your redesign project begins.

Once you have analysed your data and have a clear idea of what the issues are, you can determine your improvement targets.  These will be influenced by the:

  • Nature of the process
  • Area you are working in
  • Identified beginning and end points of the process

When setting improvement targets, it might be helpful to keep in mind the principles of SMART targets.

As the project progresses use run charts or other forms of presenting your data so that you can monitor change as it occurs.

Looking at some examples of improvement outcomes achieved through process redesign activities in health care services may help you to determine your targets. 

Further reading:

Tague N R The Quality Toolbox, Second Edition, ASQ Quality Press, 2004.

Last updated: 7 October, 2008

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