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Analysis for Healthcare Improvement

The Analysis for Healthcare Improvement video series is comprised of five (5) mini-modules, originally created for the Methods and Analysis Course offered by the VA Quality Scholars (VAQS) Program. The videos are available below, and the content and associated materials for each are presented and/or referenced on the I-QIPS website with full permission from the VAQS Program.

The VA Quality Scholars Program is the premier training program in quality improvement and patient safety at the United States Department for Veterans Affairs. The VAQS Program provides training to VA healthcare professionals, and serves as a change leader both nationally and internationally.


Modules

Introduction to Variation and Run Charts

Presenter: Molly Horstman, MD, MS

Contributors – VAQS Core Faculty:

  • Molly Horstman, MD, MS
  • Suzie Miltner, PhD, RN, CNL, NEA-BC
  • Brant J. Oliver, PhD, MS, MPH, APRN-BC


Video Description

Approximate Length: 14 minutes

An introduction to variation and run charts for healthcare improvement:

Variation – Understanding variation is a core concept in healthcare improvement. This mini-module reviews the differences between Special Cause Variation and Common Cause Variation.

Run Charts – Run charts are a foundational tool for analyzing time-ordered data in healthcare improvement work. Although the charts are simple, they provide one of the fastest and most economical approaches for analyzing data over time. This mini-module reviews how to analyze run charts in order to identify Special Cause and Common Cause Variations.


Core Competencies

At the end of this mini-module, learners should be able to:

  1. Describe the differences between Special Cause Variation and Common Cause Variation.
  2. Define probability-based rules for the analysis of Run Charts.


Related Publications

Introduction to SPC – XmR and P Charts

Presenter: Molly Horstman, MD, MS

Contributors – VAQS Core Faculty:

  • Molly Horstman, MD, MS
  • Suzie Miltner, PhD, RN, CNL, NEA-BC
  • Brant J. Oliver, PhD, MS, MPH, APRN-BC


Video Description

Approximate Length: 22 minutes

An introduction to statistical process control (SPC). Statistical process control is a powerful tool that enables healthcare improvement teams to understand the stability of (or variation in) prior system performance, as well as to predict future performance.

There are a number of statistical process control charts available, and the type of statistical process control chart to use depends on the type of data being analyzed. This mini-module focuses on two of the most common types of statistical process control charts used in healthcare improvement: XmR Chart (or I Chart) and P Chart.


Core Competencies

At the end of this mini-module, learners should be able to:

  1. Define the rules for detecting Special Cause Variation signals in statistical process control charts.
  2. Determine the appropriate type of statistical process control chart to use, based on data characteristics.
  3. Interpret an XmR Chart.
  4. Interpret a P Chart.


Related Publications

SPC – Variable Data: X Bar and S Chart

Presenter: Molly Horstman, MD, MS

Contributors – VAQS Core Faculty:

  • Molly Horstman, MD, MS
  • Suzie Miltner, PhD, RN, CNL, NEA-BC
  • Brant J. Oliver, PhD, MS, MPH, APRN-BC


Video Description

Approximate Length: 11 minutes

An introduction to the X Bar S Chart, a statistical process control chart for variable (continuous) data, which is used when there is more than one observation per data point.


Core Competencies

At the end of this mini-module, learners should be able to:

  1. Determine the appropriate type of statistical process control chart to use for Variable Data.
  2. Describe an X Bar and S Chart.


Related Publications

SPC – Attribute Data: C and U Charts

Presenter: Molly Horstman, MD, MS

Contributors – VAQS Core Faculty:

  • Molly Horstman, MD, MS
  • Suzie Miltner, PhD, RN, CNL, NEA-BC
  • Brant J. Oliver, PhD, MS, MPH, APRN-BC


Video Description

Approximate Length: 10 minutes

An overview of statistical process control charts for attribute data (includes count and classification data). This mini-module reviews the C Chart and U Chart.


Core Competencies

At the end of this mini-module, learners should be able to:

  1. Determine the appropriate type of statistical process control chart to use for Attribute Data.
  2. Describe the C Chart.
  3. Describe the U Chart.


Related Publications

SPC – Rare Events: G Chart and T Chart

Presenter: Brant J. Oliver, PhD, MS, MPH, APRN-BC

Contributors – VAQS Core Faculty:

  • Brant J. Oliver, PhD, MS, MPH, APRN-BC
  • Molly Horstman, MD, MS
  • Suzie Miltner, PhD, RN, CNL, NEA-BC


Video Description

Approximate Length: 9 minutes

An overview of statistical process control (SPC) charts for rare events, specifically reviewing the G Chart and T Chart.


Core Competencies

At the end of this mini-module, learners should be able to:

  1. Determine when to use a Rare Events statistical process control analysis.
  2. Create and technically interpret Rare Events statistical process control analyses (G Chart and T Chart).
  3. Advise on appropriate improvement actions based on the results from Rare Events statistical process control analyses.


Related Publications