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Physicians can encourage systemic improvement by endorsing and participating in prudent, local tests of change in their own offices and in the health care organizations in which they work. To do this, they must understand the scientific value and integrity of such small-scale tests." 7 8 9 The model asks three important questions.
Asking the three questions helps bring the problem into "FOCUS."10
Once the three questions have answers and the FOCUS principles have been addressed, the PDSA cycle method is used to test the results of the change that is being evaluated. Plan the improvement process.
Do the new process and collect data.
Study the results of the new process.
Act to hold the gains and continue further improvement. To see an example of how the PDSA process matches the clinical process of care click here To see examples of PDSA cycles on elements of the Chronic Care Model, click here. To
see the way providers look at the effects of their interventions
using run charts and make further decisions about continuing, amending
or discontinuing their actions click
here. -Return
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