CINXE.COM

<!DOCTYPE html>   <html class="no-js" lang="en" dir="ltr">  <head> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="apple-touch-icon" sizes="180x180" href="/sites/all/themes/bgs/icons/apple-touch-icon.png"> <link rel="icon" type="image/png" href="/sites/all/themes/bgs/icons/favicon-32x32.png" sizes="32x32"> <link rel="icon" type="image/png" href="/sites/all/themes/bgs/icons/favicon-16x16.png" sizes="16x16"> <link rel="manifest" href="/sites/all/themes/bgs/icons/manifest.json"> <link rel="mask-icon" href="/sites/all/themes/bgs/icons/safari-pinned-tab.svg" color="#642f6c"> <meta name="msapplication-TileColor" content="#642f6c"> <meta name="theme-color" content="#642f6c"> <script src="https://use.typekit.net/qpa3efa.js"></script> <script>try{Typekit.load({ async: true });}catch(e){}</script>  <link rel="preconnect" href="//www.googletagmanager.com" /> <link rel="dns-prefetch" href="//www.googletagmanager.com" /> <meta charset="utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1" /> <script src="https://www.google.com/recaptcha/api.js?hl=en" async="async" defer="defer"></script> <meta name="description" content="There are several tools and methods described in the Quality Improvement (QI) literature and it is important you choose the correct one for your project." /> <meta name="abstract" content="There are several tools and methods described in the Quality Improvement (QI) literature and it is important you choose the correct one for your project." /> <link rel="canonical" href="https://www.bgs.org.uk/resources/qi-hub-methodology" /> <link rel="shortlink" href="https://www.bgs.org.uk/node/6825" /> <meta http-equiv="content-language" content="en" /> <meta property="og:site_name" content="British Geriatrics Society" /> <meta property="og:title" content="QI Hub: Methodology | British Geriatrics Society" /> <meta property="og:description" content="There are several tools and methods described in the Quality Improvement (QI) literature and it is important you choose the correct one for your project." /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:url" content="https://www.bgs.org.uk/resources/qi-hub-methodology" /> <meta name="twitter:title" content="QI Hub: Methodology | British Geriatrics Society" /> <meta name="twitter:description" content="There are several tools and methods described in the Quality Improvement (QI) literature and it is important you choose the correct one for your project." /> <title>QI Hub: Methodology | British Geriatrics Society</title> <style type="text/css" media="all"> @import url("/modules/system/system.base.css?sn052y"); @import url("/modules/system/system.theme.css?sn052y"); </style> <style type="text/css" media="all"> @import url("/modules/comment/comment.css?sn052y"); @import url("/sites/all/modules/date/date_api/date.css?sn052y"); @import url("/sites/all/modules/date/date_popup/themes/datepicker.1.7.css?sn052y"); @import url("/modules/field/theme/field.css?sn052y"); @import url("/sites/all/modules/fitvids/fitvids.css?sn052y"); @import url("/modules/node/node.css?sn052y"); @import url("/sites/all/modules/picture/picture_wysiwyg.css?sn052y"); @import url("/modules/search/search.css?sn052y"); @import url("/sites/all/modules/simpleads/simpleads.css?sn052y"); @import url("/modules/user/user.css?sn052y"); @import url("/sites/all/modules/extlink/extlink.css?sn052y"); @import url("/sites/all/modules/views/css/views.css?sn052y"); </style> <style type="text/css" media="all"> @import url("/sites/all/modules/ctools/css/ctools.css?sn052y"); @import url("/sites/all/libraries/photoswipe/dist/photoswipe.css?sn052y"); @import url("/sites/all/libraries/photoswipe/dist/default-skin/default-skin.css?sn052y"); @import url("/sites/all/modules/civicrm/css/crm-i.css?sn052y"); @import url("/sites/all/modules/civicrm/css/civicrm.css?sn052y"); @import url("/sites/all/modules/webform/css/webform.css?sn052y"); @import url("/sites/all/modules/hide_submit/css/ladda-themeless.min.css?sn052y"); @import url("/sites/all/modules/hide_submit/css/hide_submit.css?sn052y"); </style> <style type="text/css" media="all"> @import url("/sites/all/themes/bgs/css/magnific-popup.css?sn052y"); @import url("/sites/all/themes/bgs/css/bgs.css?sn052y"); @import url("/sites/all/themes/bgs/css/vedacustom.css?sn052y"); </style> <script type="text/javascript" src="/sites/all/modules/jquery_update/replace/jquery/1.9/jquery.js?v=1.9.1"></script> <script type="text/javascript" src="/misc/jquery-extend-3.4.0.js?v=1.9.1"></script> <script type="text/javascript" src="/misc/jquery-html-prefilter-3.5.0-backport.js?v=1.9.1"></script> <script type="text/javascript" src="/misc/jquery.once.js?v=1.2"></script> <script type="text/javascript" src="/misc/drupal.js?sn052y"></script> <script type="text/javascript" src="/sites/all/libraries/fitvids/jquery.fitvids.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/highcharttable/js/highcharttable.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/jquery_update/replace/ui/external/jquery.cookie.js?v=67fb34f6a866c40d0570"></script> <script type="text/javascript" src="/sites/all/modules/jquery_update/replace/misc/jquery.form.js?v=2.69"></script> <script type="text/javascript" src="/misc/ajax.js?v=7.74"></script> <script type="text/javascript" src="/sites/all/modules/jquery_update/js/jquery_update.js?v=0.0.1"></script> <script type="text/javascript" src="/sites/all/modules/admin_menu/admin_devel/admin_devel.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/fitvids/fitvids.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/simpleads/simpleads.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/spamspan/spamspan.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/extlink/extlink.js?sn052y"></script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript" src="/sites/all/modules/iframe/iframe.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/views/js/base.js?sn052y"></script> <script type="text/javascript" src="/misc/progress.js?v=7.74"></script> <script type="text/javascript" src="/sites/all/modules/captcha/captcha.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/webform_conditional/webform_conditional.js?sn052y"></script> <script type="text/javascript" src="/sites/all/libraries/photoswipe/dist/photoswipe.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/libraries/photoswipe/dist/photoswipe-ui-default.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/google_analytics/googleanalytics.js?sn052y"></script> <script type="text/javascript" async="async" src="https://www.googletagmanager.com/gtag/js?id=UA-47703711-1"></script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript" src="/sites/all/libraries/highcharts/js/highcharts.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/highcharttable/libraries/variants/jquery.highchartTable-patched.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/views/js/ajax_view.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/webform/js/webform.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/hide_submit/js/hide_submit.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/hide_submit/js/spin.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/hide_submit/js/ladda.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.smartmenus.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.matchheight.mod.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/slick/slick.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/js.cookie.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/resizesensor.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.navscroll.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.sticky-sidebar.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.magnific-popup.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.shorten.min.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/jquery.shorten.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/scripts.js?sn052y"></script> <script type="text/javascript" src="/sites/all/themes/bgs/js/bgs.behaviour.js?sn052y"></script> <script type="text/javascript"> <![CDATA[//><!]]> </script> </head> <body class="html not-front not-logged-in two-sidebars page-node page-node- page-node-6825 node-type-resource sticky-sidebars i18n-en british-geriatrics-society bgs-org-uk role-anonymous-user menu-depth-2" > <script id="_informizely_script_tag" type="text/javascript"> var IzWidget = IzWidget || {}; (function (d) { var scriptElement = d.createElement('script'); scriptElement.type = 'text/javascript'; scriptElement.async = true; scriptElement.src = "https://insitez.blob.core.windows.net/site/d80f25f3-2290-42a7-a35f-837905591d26.js"; var node = d.getElementById('_informizely_script_tag'); node.parentNode.insertBefore(scriptElement, node); })(document); </script> <noscript><a href="https://www.informizely.com/">Informizely customer feedback surveys</a></noscript> <div role="document" class="page"> <header id="site-header"> <div class="header-outer-wrapper"> <div class="header-inner-wrapper"> <div class="wrapper-site-branding"> <div class="site-branding"> <h2 class="site-title"> <a href="/" title="Home" rel="home"><span>British Geriatrics Society</span></a> </h2> </div> </div> <div class="wrapper-region-header"> <section class="block block-menu"> <ul class="menu"><li class="first leaf"><a href="/about/become-a-member-of-the-bgs" title="">Join</a></li> <li class="leaf"><a href="/user/register" title="">Join</a></li> <li class="last leaf"><a href="/user/login?current=node/6825" title="">Login</a></li> </ul> </section> <section class="block block-views"> <div class="view view-header-sections view-id-header_sections view-display-id-social view-display-grid view-dom-id-75737af2f21084fca34266f73febcbdb"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last section-row -field-row -field-palette"> <div class="card-follow-us-on"> <div class="item-list"><ul><li class="first"><div class='card-links'><a href="https://facebook.com/BGS1947" rel="nofollow" target="_blank">Facebook</a> </div></li> <li><div class='card-links'><a href="https://twitter.com/GeriSoc" rel="nofollow" target="_blank">Twitter</a> </div></li> <li class="last"><div class='card-links'><a href="http://linkedin.com/company/british-geriatrics-society" rel="nofollow" target="_blank">LinkedIn</a> </div></li> </ul></div> </div> </div> </div> </div> </section> </div> </div> <div class="main-nav-wrapper"> <nav id="main-navigation" class="main-navigation"> <section class="block block-menu-block"> <div class="menu-block-wrapper menu-block-1 menu-name-main-menu parent-mlid-0 menu-level-1"> <input id="main-menu-state" type="checkbox" /><label class="main-menu-btn" for="main-menu-state"><span class="main-menu-btn-icon"></span> Toggle main menu visibility</label> <ul class="menu"><li class="first expanded menu-mlid-9196"><a href="/bgs-elearning">BGS elearning</a><ul class="menu"><li class="first leaf menu-mlid-9198"><a href="https://www.bgs.org.uk/elearning/delirium-in-older-people-elearning" title="">Delirium elearning</a></li> <li class="leaf menu-mlid-9197"><a href="https://www.bgs.org.uk/elearning/frailty-elearning-course" title="">Frailty elearning</a></li> <li class="last leaf menu-mlid-9216"><a href="/elearning/oncogeriatrics-elearning-0">Oncogeriatrics elearning</a></li> </ul></li> <li class="leaf menu-mlid-6697"><a href="/about/become-a-member-of-the-bgs" title="">Join BGS</a></li> <li class="leaf menu-mlid-3618"><a href="/blog" title="">Blog</a></li> <li class="expanded menu-mlid-6766"><a href="/events">Events</a><ul class="menu"><li class="first leaf menu-mlid-6835"><a href="/events" title="">Upcoming events</a></li> <li class="leaf menu-mlid-8769"><a href="/abstracts">Abstract submission</a></li> <li class="leaf menu-mlid-9165"><a href="/funded">Funded places</a></li> <li class="leaf menu-mlid-9098"><a href="/events/hybrid-event-faqs">Hybrid Event FAQs</a></li> <li class="leaf menu-mlid-6827"><a href="/events/past-events" title="">On Demand and Past events</a></li> <li class="leaf menu-mlid-8771"><a href="/events/sponsorship" title="Sponsorship Opportunities">Sponsorship</a></li> <li class="expanded menu-mlid-6830"><a href="/events/external-events">External events</a><ul class="menu"><li class="first last leaf menu-mlid-9195"><a href="/events/external-events/add-an-external-event">Add an external event</a></li> </ul></li> <li class="last expanded menu-mlid-6829"><a href="/events/external-courses" title="">External courses and examinations</a><ul class="menu"><li class="first leaf menu-mlid-6844"><a href="/events/external-courses/add-an-external-course">Add an external course</a></li> <li class="last leaf menu-mlid-9140"><a href="/DGM">Diploma in Geriatric Medicine (DGM)</a></li> </ul></li> </ul></li> <li class="expanded menu-mlid-3631"><a href="/policy-and-media" title="">News & Policy</a><ul class="menu"><li class="first leaf menu-mlid-9112"><a href="/policy-and-media/news-policy">Latest news and policy</a></li> <li class="leaf menu-mlid-9215"><a href="/choose">#ChooseGeriatrics</a></li> <li class="last leaf menu-mlid-9147"><a href="https://www.bgs.org.uk/campaigns" title="">Campaigns</a></li> </ul></li> <li class="expanded active-trail menu-mlid-3334"><a href="/resources" class="active-trail">Resources</a><ul class="menu"><li class="first expanded menu-mlid-9186"><a href="/resources/bgs-hubs">BGS Hubs</a><ul class="menu"><li class="first leaf menu-mlid-9187"><a href="/node/5805/" title="">Frailty Hub</a></li> <li class="leaf menu-mlid-9188"><a href="/deliriumhub" title="">Delirium Hub</a></li> <li class="leaf menu-mlid-9189"><a href="/QIHub" title="">QI Hub</a></li> <li class="last leaf menu-mlid-9190"><a href="/research" title="">Research Hub</a></li> </ul></li> <li class="leaf menu-mlid-3704"><a href="/resources/resource-series">Resources by series</a></li> <li class="expanded menu-mlid-3706"><a href="/resources/topics">Resources by topic</a><ul class="menu"><li class="first expanded menu-mlid-8776"><a href="http://www.bgs.org.uk/covid-19" title="">COVID</a><ul class="menu"><li class="first leaf menu-mlid-8777"><a href="https://www.bgs.org.uk/resources/resource-series/coronavirus-and-older-people" title="">For healthcare professionals</a></li> <li class="leaf menu-mlid-8778"><a href="https://www.bgs.org.uk/coronavirus-advice-to-older-people" title="">For the public</a></li> <li class="leaf menu-mlid-8779"><a href="https://www.bgs.org.uk/media-enquiries" title="">Media enquiries</a></li> <li class="last leaf menu-mlid-9101"><a href="/http%3A/www.bgs.org.uk/covid-19/covid-19-research">Research and trials</a></li> </ul></li> <li class="expanded menu-mlid-5651"><a href="/topics/acute-care" title="Acute Care">Acute Care</a><ul class="menu"><li class="first leaf menu-mlid-5653"><a href="/topics/deconditioning-rehabilitation" title="Deconditioning">Deconditioning</a></li> <li class="leaf menu-mlid-5656"><a href="/topics/emergency-care" title="Emergency care">Emergency care</a></li> <li class="leaf menu-mlid-5657"><a href="/topics/end-of-life-care" title="End of life care">End of life care</a></li> <li class="leaf menu-mlid-5658"><a href="/topics/patient-safety" title="Patient safety">Patient safety</a></li> <li class="leaf menu-mlid-5659"><a href="/topics/patientfamily-involvement" title="Patient/Family Involvement">Patient/Family Involvement</a></li> <li class="leaf menu-mlid-5655"><a href="/topics/peri-operative-care-for-surgical-patients" title="Peri-operative care for surgical patients">Peri-operative care for surgical patients</a></li> <li class="last leaf menu-mlid-5652"><a href="/topics/cga-in-acute-settings" title="Comprehensive Geriatric Assessment (CGA) in acute settings">Comprehensive Geriatric Assessment (CGA) in acute settings</a></li> </ul></li> <li class="expanded menu-mlid-5660"><a href="/topics/primary-and-community-care" title="Primary and Community Care">Primary and Community Care</a><ul class="menu"><li class="first leaf menu-mlid-9109"><a href="/topics/care-homes" title="Care Homes">Care Homes</a></li> <li class="leaf menu-mlid-5662"><a href="/topics/commissioning" title="Commissioning">Commissioning</a></li> <li class="leaf menu-mlid-5664"><a href="/topics/healthy-ageing" title="Healthy Ageing">Healthy Ageing</a></li> <li class="leaf menu-mlid-6968"><a href="/topics/transfer-of-care" title="Transfer of Care">Transfer of Care</a></li> <li class="leaf menu-mlid-5661"><a href="/topics/cga-in-community-settings" title="Comprehensive Geriatric Assessment (CGA) in community settings">Comprehensive Geriatric Assessment (CGA) in community settings</a></li> <li class="leaf menu-mlid-5667"><a href="/topics/digital-health-ampamp-technology" title="Digital Health and Technology">Digital Health and Technology</a></li> <li class="last leaf menu-mlid-5707"><a href="/topics/eyes-and-ears" title="Eyes, Ears and Teeth">Eyes, Ears and Teeth</a></li> </ul></li> <li class="expanded menu-mlid-7717"><a href="/topics/cross-cutting-primaryacute" title="Cross-cutting Primary/Acute">Cross-cutting Primary/Acute</a><ul class="menu"><li class="first leaf menu-mlid-5654"><a href="/topics/dignity" title="Dignity">Dignity</a></li> <li class="leaf menu-mlid-5663"><a href="/topics/frailty-indexes" title="Frailty indexes">Frailty indexes</a></li> <li class="leaf menu-mlid-5665"><a href="/topics/integrated-care" title="Integrated care">Integrated care</a></li> <li class="leaf menu-mlid-9110"><a href="/topics/rehabilitation" title="Rehabilitation">Rehabilitation</a></li> <li class="last leaf menu-mlid-5666"><a href="/topics/prescribing%20and%20medication%20management" title="Prescribing and medication management">Prescribing and medication management</a></li> </ul></li> <li class="expanded menu-mlid-9172"><a href="/topics/clinical-quality" title="Clinical Quality">Clinical Quality</a><ul class="menu"><li class="first leaf menu-mlid-9173"><a href="/topics/quality-improvement" title="Quality Improvement">Quality Improvement</a></li> <li class="last leaf menu-mlid-9185"><a href="/QIHub" title="">QI Hub</a></li> </ul></li> <li class="expanded menu-mlid-5695"><a href="/topics/research" title="Research">Research</a><ul class="menu"><li class="first leaf menu-mlid-6861"><a href="/topics/grants-fellowships-and-research-proposals" title="Grants, Fellowships and Research Proposals">Grants, Fellowships and Research Proposals</a></li> <li class="last leaf menu-mlid-9184"><a href="/research" title="">Research Hub</a></li> </ul></li> <li class="expanded menu-mlid-5685"><a href="/topics/general" title="General">General</a><ul class="menu"><li class="first leaf menu-mlid-5687"><a href="/topics/allied-healthcare-professionals" title="Allied Healthcare Professionals">Allied Health Professionals</a></li> <li class="leaf menu-mlid-5688"><a href="/topics/demographics" title="demographics">Demographics</a></li> <li class="leaf menu-mlid-5689"><a href="/topics/education-training-and-careers" title="Education, Training and Careers">Education, Training and Careers</a></li> <li class="leaf menu-mlid-5690"><a href="/topics/ethics-and-law" title="Ethics and Law">Ethics and Law</a></li> <li class="leaf menu-mlid-5691"><a href="/topics/health-and-social-care-policy" title="Health and social care policy">Health and social care policy</a></li> <li class="leaf menu-mlid-5692"><a href="/topics/history-of-geriatric-medicine" title="History of Geriatric medicine">History of Geriatric medicine</a></li> <li class="leaf menu-mlid-5693"><a href="/topics/nice-guidelines" title="NICE guidelines">NICE guidelines</a></li> <li class="leaf menu-mlid-5694"><a href="/topics/nursing" title="Nursing">Nursing</a></li> <li class="leaf menu-mlid-5696"><a href="/topics/workforce" title="Workforce">Workforce</a></li> <li class="last leaf menu-mlid-9116"><a href="/topics/wellbeing" title="Wellbeing">Wellbeing</a></li> </ul></li> <li class="expanded menu-mlid-5668"><a href="/topics/specific-conditions" title="Specific conditions">Specific conditions</a><ul class="menu"><li class="first leaf menu-mlid-5669"><a href="/topics/balance-disorders" title="Balance disorders">Balance disorders</a></li> <li class="leaf menu-mlid-5672"><a href="/topics/continence" title="Continence">Continence</a></li> <li class="leaf menu-mlid-9111"><a href="/topics/covid-19" title="COVID-19">COVID-19</a></li> <li class="leaf menu-mlid-5673"><a href="/topics/delirium" title="Delirium">Delirium</a></li> <li class="leaf menu-mlid-5674"><a href="/topics/dementia" title="Dementia">Dementia</a></li> <li class="leaf menu-mlid-5677"><a href="/topics/frailty" title="Frailty">Frailty</a></li> <li class="leaf menu-mlid-5678"><a href="/topics/mental-health" title="Mental Health">Mental Health</a></li> <li class="leaf menu-mlid-5679"><a href="/topics/movement-disorders" title="Movement Disorders including Parkinsons">Movement Disorders including Parkinsons</a></li> <li class="leaf menu-mlid-5680"><a href="/topics/multimorbidity" title="Multimorbidity">Multimorbidity</a></li> <li class="leaf menu-mlid-5681"><a href="/topics/nutrition" title="Nutrition">Nutrition</a></li> <li class="leaf menu-mlid-5682"><a href="/topics/pain" title="Pain">Pain</a></li> <li class="leaf menu-mlid-5683"><a href="/topics/stroke" title="Stroke">Stroke</a></li> <li class="leaf menu-mlid-5684"><a href="/topics/tissue-viability" title="Tissue Viability">Tissue Viability</a></li> <li class="leaf menu-mlid-5671"><a href="/topics/cardiovascular-health" title="Cardiovascular Health">Cardiovascular Health</a></li> <li class="leaf menu-mlid-5675"><a href="/topics/diabetes" title="Endocrinology">Endocrinology</a></li> <li class="leaf menu-mlid-5676"><a href="/topics/falls-joints-bone-health" title="Falls and Balance">Falls and Balance</a></li> <li class="last leaf menu-mlid-5670"><a href="/topics/oncogeriatrics" title="Oncogeriatrics">Oncogeriatrics</a></li> </ul></li> <li class="leaf menu-mlid-9214"><a href="/topics/choosegeriatrics" title="#ChooseGeriatrics">#ChooseGeriatrics</a></li> <li class="leaf menu-mlid-9203"><a href="/topics/admission" title="Admission">Admission</a></li> <li class="leaf menu-mlid-9204"><a href="/topics/advance-care-planning" title="Advance Care Planning">Advance Care Planning</a></li> <li class="leaf menu-mlid-9205"><a href="/topics/alternative-therapy" title="Alternative therapy">Alternative therapy</a></li> <li class="leaf menu-mlid-9206"><a href="/topics/biology-of-ageing" title="Biology of Ageing">Biology of Ageing</a></li> <li class="leaf menu-mlid-9208"><a href="/topics/community-care" title="Community Care">Community Care</a></li> <li class="leaf menu-mlid-9209"><a href="/topics/continuing-professional-development-cpd" title="Continuing Professional Development (CPD)">Continuing Professional Development (CPD)</a></li> <li class="leaf menu-mlid-9210"><a href="/topics/disability" title="Disability">Disability</a></li> <li class="leaf menu-mlid-9211"><a href="/topics/discharge-planning" title="Discharge planning">Discharge planning</a></li> <li class="leaf menu-mlid-9212"><a href="/topics/dysphagiaswallowing" title="Dysphagia/Swallowing">Dysphagia/Swallowing</a></li> <li class="leaf menu-mlid-9213"><a href="/topics/exercise" title="Exercise">Exercise</a></li> <li class="last leaf menu-mlid-9202"><a href="/topics/hospital-at-home" title="Hospital at Home">Hospital at Home</a></li> </ul></li> <li class="leaf menu-mlid-7705"><a href="https://www.bgs.org.uk/resources" title="">Resources by date</a></li> <li class="leaf menu-mlid-9107"><a href="https://www.bgs.org.uk/resources?keywords=&group=All&type=All&field_resource_series_target_id_selective=All&tag=All&authors=All&from_date%5Bvalue%5D%5Bdate%5D=&to_date%5Bvalue%5D%5Bdate%5D=&sort_by=score" title="">Search resources</a></li> <li class="last leaf menu-mlid-3797"><a href="/AAAjournal">Age and Ageing journal</a></li> </ul></li> <li class="expanded menu-mlid-3577"><a href="/bgs-groups">BGS groups</a><ul class="menu"><li class="first leaf menu-mlid-3575"><a href="/about/national-regional-groups" title="">Nations & Regions</a></li> <li class="last leaf menu-mlid-8435"><a href="/bgs-groups/bgs-special-interest-groups">Professions & Special Interest</a></li> </ul></li> <li class="last expanded menu-mlid-3256"><a href="/about">About</a><ul class="menu"><li class="first leaf menu-mlid-5591"><a href="/about/become-a-member-of-the-bgs">Become a member</a></li> <li class="expanded menu-mlid-3796"><a href="/about/our-purpose">Who we are</a><ul class="menu"><li class="first expanded menu-mlid-3710"><a href="/about/our-purpose/bgs-trustees-and-officers">Our Board of Trustees</a><ul class="menu"><li class="first leaf menu-mlid-7680"><a href="/about/our-purpose/bgs-trustees-and-officers/bgs-elections">BGS Elections</a></li> <li class="leaf menu-mlid-8767"><a href="/agm" title="">AGM</a></li> <li class="last leaf menu-mlid-9160"><a href="/about/our-purpose/bgs-trustees-and-officers/past-presidents">Past Presidents</a></li> </ul></li> <li class="leaf menu-mlid-7754"><a href="/about/our-purpose/bgs-staff">Our Staff Team</a></li> <li class="leaf menu-mlid-8768"><a href="/strategy">Our Strategy</a></li> <li class="last leaf menu-mlid-6700"><a href="/about/our-purpose/library-and-archives">Our History</a></li> </ul></li> <li class="expanded menu-mlid-9104"><a href="https://www.bgs.org.uk/get-involved" title="">Get involved</a><ul class="menu"><li class="first leaf menu-mlid-9108"><a href="/https%3A/www.bgs.org.uk/get-involved/get-involved">How to get involved</a></li> <li class="last leaf menu-mlid-6967"><a href="/https%3A/www.bgs.org.uk/get-involved/our-partner-organisations">Our partner organisations</a></li> </ul></li> <li class="expanded menu-mlid-6698"><a href="/bgsvacancies">Vacancies</a><ul class="menu"><li class="first collapsed menu-mlid-8438"><a href="/bgsvacancies" title="">BGS vacancies</a></li> <li class="leaf menu-mlid-7718"><a href="/about/external-vacancies" title="">External vacancies</a></li> <li class="last leaf menu-mlid-8437"><a href="https://www.bgs.org.uk/submit-job-advert" title="">Submit a job vacancy</a></li> </ul></li> <li class="leaf menu-mlid-9096"><a href="/about/make-a-donation">Donate</a></li> <li class="last leaf menu-mlid-3711"><a href="/about/contact">Contact us</a></li> </ul></li> </ul></div> </section> <section class="block block-block search-toggle-wrapper"> <div class="search-toggle">Search</div> </section> <section class="block block-search"> <form action="/resources/qi-hub-methodology" method="post" id="search-block-form" accept-charset="UTF-8"><div><div class="container-inline"> <h2>Search</h2> <div class="form-wrapper"> <div class="form-item form-type-textfield form-item-search-block-form"> <label class="element-invisible" for="edit-search-block-form--2">Search </label> <input title="Enter the terms you wish to search for." type="text" id="edit-search-block-form--2" name="search_block_form" value="" size="15" maxlength="128" class="form-text" /> </div> <div class="form-actions form-wrapper" id="edit-actions"><input type="submit" id="edit-submit" name="op" value="Search" class="form-submit" /></div><input type="hidden" name="form_build_id" value="form-EDIDEdeyprfBVJIMnopuIsYSaraKVjCeigaqbQAuyuc" /> <input type="hidden" name="form_id" value="search_block_form" /> </div> </div> </div></form> </section> </nav> </div> </div> </header> <section id="breadcrumb"> <div class="outer-wrapper"> <div class="breadcrumb"><span class="first"><a href="/">Home</a></span><span class="crumb-1"><a href="/resources">Resources</a></span><span class="last">Resources</span></div> </div> </section> <div class="tabs outer-wrapper"> </div> <main role="main"> <div class="outer-wrapper"> <aside id="sidebar-first" role="complementary" class="sidebar"> <div id="block-block-1" class="block block-block soc-accelerators"> <div class="soc-accelerators-inner"><div class="block-content-wrapper clearfix"> <h2>Share</h2> <div class="content"> <div class="card-links"> <ul> <li class="facebook"><a title="Share on Facebook." href="http://www.facebook.com/sharer.php?u=https://www.bgs.org.uk/resources/qi-hub-methodology&t=QI+Hub%3A+Methodology" rel="nofollow" target="_blank">Share on Facebook</a></li> <li class="twitter"><a target="_blank" rel="nofollow" title="Share this on Twitter" href="http://twitter.com/share?url=https://www.bgs.org.uk/resources/qi-hub-methodology&text=QI+Hub%3A+Methodology">Tweet</a></li> <li class="linkedin"><a title="Share on LinkedIn" href="http://www.linkedin.com/shareArticle?mini=true&url=https://www.bgs.org.uk/resources/qi-hub-methodology&title=QI+Hub%3A+Methodology]&source=ALNAP" rel="nofollow" target="_blank">Share on LinkedIn</a></li> <li class="email"><a title="Share by Email" href="mailto:?subject=I wanted you to see this site&body=Check out this site https://www.bgs.org.uk/resources/qi-hub-methodology" rel="nofollow">Share by Email</a></li> <li class="calendar"> </li> </ul> </div> </div> </div></div> </div> </aside> <section id="content"> <div class="content-main"> <article id="node-6825" class="node node-resource node-content" about="/resources/qi-hub-methodology" typeof="sioc:Item foaf:Document"> <div class="resource-header node-header"> <h1><div class="card-full-title"> QI Hub: Methodology </div> </h1> <span property="dc:title" content="QI Hub: Methodology" class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="resource-header-details"> <div class="card-resource-type-i"> <div class="resource-type-info-arrow"></div> </div> </div> <div class="node-header-details"> <div class="card-authors-wrapper"><div class="label">Authors:</div><div class="author-details">BGS Clinical Quality Committee</div><div class="author-details">QI Hub working group</div></div> <div class="card-topics-wrapper"><div class="label">Topics:</div><a href="/taxonomy/term/3215">Clinical Quality</a>, <a href="/taxonomy/term/3216">Quality Improvement</a></div> <div class="node-header-dates"> <div class="card-date-wrapper"><div class="label">Date Published:</div><div class="card-date"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T00:00:00+00:00">16 November 2022</span> </div> </div> <div class="card-date-updated"> <div class="label">Last updated: </div> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T09:48:00+00:00">16 November 2022</span> </div> </div> </div> <div class="card-resource-summary"> <p>There are several tools and methods described in the Quality Improvement (QI) literature and it is important you choose the correct one for your project.</p> </div> </div> <div class="view view-sections view-id-sections view-display-id-main view-dom-id-569d95cf194215336f81bf404315b544"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first section-row palette-default img-right "> <div class="section-inner"> <div class="card-original"> <picture >  <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-wide/public/content/paragraphs/text/images/2022-11-02/QI%20Hub%20-%202.png?itok=BGwhcjAj&timestamp=1667389904 1x" media="(min-width: 75em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-normal/public/content/paragraphs/text/images/2022-11-02/QI%20Hub%20-%202.png?itok=sjNhj3P4&timestamp=1667389904 1x" media="(min-width: 60em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-narrow/public/content/paragraphs/text/images/2022-11-02/QI%20Hub%20-%202.png?itok=UOjfFfiv&timestamp=1667389904 1x" media="(min-width: 45em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-mobile/public/content/paragraphs/text/images/2022-11-02/QI%20Hub%20-%202.png?itok=vtrmp5Os&timestamp=1667389904 1x" media="(min-width: 0em)" />  <img src="https://www.bgs.org.uk/sites/default/files/styles/nugget-mobile/public/content/paragraphs/text/images/2022-11-02/QI%20Hub%20-%202.png?itok=vtrmp5Os&timestamp=1667389904" alt="" title="" /> </picture> </div> <div class="card-body"> <p class="larger-text">To learn more about QI tools and methods, when one might be more appropriate than the other, and their pros and cons, the websites below provide advice and guidance:</p> <ul> <li><a href="https://www.hqip.org.uk/resource/guide-to-quality-improvement-methods/#.YdqMhi-l1pQ" rel="nofollow"><strong>A Guide to Quality Improvement Tools – HQIP</strong></a><br /> Healthcare Quality Improvement Partnership’s guide introduces a variety of quality improvement tools used in healthcare and presents case examples and associated tools available to assist with implementation. Also includes an <a href="https://elearning.hqip.org.uk/9100-welcome/" rel="nofollow">e-learning site</a> with certificate on completion.<br />  </li> <li> <div><a href="https://rcem.ac.uk/quality-improvement-resources/" rel="nofollow"><strong>Quality Improvement Guide – RCEM</strong></a></div> <div>Royal College of Emergency Medicine (RCEM) provide a practical guide for clinicians undertaking quality improvement projects. It introduces the different tools and specifies: when to use it, how to use it, advantages and disadvantages along with examples.</div> </li> </ul> <h2 class="sidebar-nav">Model for improvement</h2> <p class="larger-text">This simple yet powerful model has been widely taught within the NHS. It underpins many of the QI change projects undertaken within the service and most of the poster presentations seen at BGS conferences.</p> <p>This section will focus on the model for improvement as a method to drive improvement. It is more responsive than the traditional audit and allows a series of interventions to be tested, adapted and evaluated quickly, making it an effective way to influence culture and create change.</p> <p>The following links provide a good starting point to find out more about this model:</p> <ul> <li> <p><em><strong><a href="https://www.wiley.com/en-gb/The+Improvement+Guide%3A+A+Practical+Approach+to+Enhancing+Organizational+Performance%2C+2nd+Edition-p-9780470192412" rel="nofollow">The Improvement Guide: a practical approach to enhancing organizational performance</a> -</strong></em> <strong>Langley G, et al. (2<sup>nd</sup> Edition) 2009</strong><br /> This book explains how the Model for Improvement works in improvement efforts at multinational companies as well as in different industries such as healthcare and public agencies.<br />  </p> </li> <li> <p><a href="https://www.youtube.com/watch?v=MxTwqdXsldE" rel="nofollow"><strong>Quality Improvement - Imperial College Healthcare NHS Trust</strong></a><br /> These videos explain in more depth how the Model for Improvement can be leveraged.<br />  </p> </li> <li> <p><a href="https://learn.nes.nhs.scot/823/quality-improvement-zone/quality-improvement-journey/testing-changes" rel="nofollow"><strong>Testing changes: Quality Improvement Zone - TURAS (NHS Education for Scotland)</strong></a><br /> Animation giving an overview of Testing Changes.<br />  </p> </li> <li> <p><strong><a href="https://rcem.ac.uk/quality-improvement-resources/" rel="nofollow">Quality Improvement Resources - RCEM </a></strong><br /> This page collates some of the most useful quality improvement resources for emergency staff.<br />  </p> </li> </ul> <p>The Model for Improvement requires us to ask three important questions before anything is done:</p> <h4>1. What are we trying to achieve?</h4> <h5>Developing an ‘aim’ statement</h5> <p>Aim setting is important and vital to the success of your project. Be prepared to work hard on this with your team. The aim must be measurable, clear and it must be understood by everyone involved in the project. The aim should be time-specific and it should also define the specific population of people, whether they be patients, staff or others, that will be benefitted by the improvement.</p> <p>You may not get your aim statement right first time, but it is crucial not to start work on your project until you have a clear and measurable aim.</p> <p>The below resources may be helpful in defining and refining an aim for your project:</p> <ul> <li><strong><a href="http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementSettingAims.aspx" rel="nofollow">Setting Aims: Science of Improvement - IHI - (Institute for Healthcare Improvement)</a></strong><br /> Improvement requires setting aims. An organisation will not improve without a clear and firm intention to do so. Agreeing on the aim is crucial; so is allocating the people and resources necessary to accomplish the aim. This links provides helpful background, the 6 major quality improvement areas, and examples of effective aim statements.<br />  </li> <li><strong><a href="http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTipsforSettingAims.aspx" rel="nofollow">Tips for Setting Aims: Science of Improvement - IHI (Institute for Healthcare Improvement)</a></strong><br /> This link summarises five top tips for setting a project aim.</li> </ul> <h4>2. How will we know that a change is an improvement?</h4> <h5>Developing aims and measures</h5> <h6>Planning data collection</h6> <ul> <li><strong><a href="https://www.bmj.com/content/364/bmj.l189" rel="nofollow">Using data for improvement - BMJ (2019)</a></strong><br /> Really good article which talks about the role of qualitative and quantitative data for improvement, and how different types of data are needed based on what you’re measuring (outcome measures, process measures, balancing measures, etc).<br />  </li> <li><strong><a href="https://www.england.nhs.uk/publication/making-data-count/" rel="nofollow">Making Data Count - NHS Improvement</a></strong><br /> This practical guide is suitable for those working at all levels in the NHS, from ward to board, and will show you how to make better use of your data<br />  </li> <li><strong><a href="https://www.england.nhs.uk/improvement-hub/publication/the-how-to-guide-for-measurement-for-improvement/" rel="nofollow">The How-to Guide for Measurement for Improvement – NHS Improvement</a></strong><br /> This guide was designed to help to demonstrate if changes are really improvement, by testing changes and measuring the impact successfully. Part 1 explains what measurement for improvement is and how it differs from other sorts of measurement. Part 2 describes the process of collecting, analysing and reviewing data.</li> </ul> <h6>Run charts</h6> <ul> <li><strong><a href="https://www.england.nhs.uk/improvement-hub/publication/a-guide-to-creating-and-interpreting-run-and-control-charts-turning-data-into-information-for-improvement/" rel="nofollow">A Guide to Creating and Interpreting Run and Control Charts Turning Data into Information for Improvement - NHS Institute for Innovation and Improvement</a></strong><br /> A clear guide to analysis run charts. It provides guidance to ask the right questions and to better assess whether a change has led to an improvement.<br />  </li> <li><strong><a href="https://qi.elft.nhs.uk/resource/run-charts/" rel="nofollow">Run charts: Quality Improvement – NHS East London Foundation Trust</a></strong><br /> Step-by-step guide on how to make a run chart.<br />  </li> <li><strong><a href="https://www.youtube.com/watch?v=UvitAnmnx6I" rel="nofollow">Run Chart Part 2: Interpretation of Run Chart Data – Clinical Excellence Commission (Australia)</a></strong><br /> Australian (NSW Government) video on interpreting a run chart (17 mins in length).</li> </ul> <h6>Statistical process control/control charts</h6> <ul> <li><strong><a href="https://qi.elft.nhs.uk/resource/how-to-use-statistical-process-control-spc-charts/" rel="nofollow">How to use Statistical Process Control (SPC) charts: Quality Improvement - East London NHS Foundation Trust</a></strong><br /> Useful slides on how to use SPC charts</li> </ul> <h6>Different measures</h6> <ul> <li><strong><a href="http://www.ehub.elht.nhs.uk/uploads/2/0/9/6/20960734/step_3_-_types_of_measures.pdf" rel="nofollow">STEP 3: Process, outcome and balancing measures – East Lancashire Hospitals NHS Trust</a></strong><br /> One-slide definitions.</li> </ul> <h4>3. What changes can we make which will achieve our aim? </h4> <h5>Selecting your tests of change </h5> <p>While not all changes lead to improvement, all improvement requires change. The ability to develop, test, and implement changes is essential for any individual, group, or organisation that wants to continuously improve.</p> <p>Identifying changes to test is often the easiest part of an improvement project. Everyone will have ideas, but how do you choose the right ones and how can you structure your choices so that you are more confident the changes you test are the ones most likely to deliver the aim you wish to see?</p> <ul> <li><strong><a href="http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementSelectingChanges.aspx" rel="nofollow">Science of Improvement: Selecting Changes - Institute for Healthcare Improvement (IHI)</a></strong><br /> Provides examples of change concepts.</li> </ul> </div> <div class="card-view-4"> <div class="view view-attachment view-id-attachment view-display-id-main view-dom-id-30a8edb5b28efadccd39f4238f3eb805"> </div> </div> </div> </div> <div class="views-row views-row-2 views-row-even section-row palette-default img-right "> <div class="section-inner"> <div class="card-original"> <picture >  <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-wide/public/content/paragraphs/text/images/2022-11-09/PSDA_QI_Hub.png?itok=p2I-Dvhu&timestamp=1667994422 1x" media="(min-width: 75em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-normal/public/content/paragraphs/text/images/2022-11-09/PSDA_QI_Hub.png?itok=5AhSHx6I&timestamp=1667994422 1x" media="(min-width: 60em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-narrow/public/content/paragraphs/text/images/2022-11-09/PSDA_QI_Hub.png?itok=I60F-Nfe&timestamp=1667994422 1x" media="(min-width: 45em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/nugget-mobile/public/content/paragraphs/text/images/2022-11-09/PSDA_QI_Hub.png?itok=bPgbLzZt&timestamp=1667994422 1x" media="(min-width: 0em)" />  <img src="https://www.bgs.org.uk/sites/default/files/styles/nugget-mobile/public/content/paragraphs/text/images/2022-11-09/PSDA_QI_Hub.png?itok=bPgbLzZt&timestamp=1667994422" alt="" title="" /> </picture> </div> <div class="card-body"> <h2 class="sidebar-nav">Plan, study, do, act: The PDSA cycle</h2> <h4>Plan</h4> <p>The first step is to plan your test of change and set your objectives with regards to what you are trying to achieve.</p> <ul> <li><strong><a href="https://ahsn-nenc.org.uk/what-we-do/transforming-patient-safety-and-quality-improvement/q-initiative/improvement-toolkit/" rel="nofollow">Improvement Toolkit – AHSN</a></strong><br /> The Academic Health Science Network have devised the perfect toolkit to get you started with planning your test of change.<br />  </li> <li><strong><a href="https://www.rwjf.org/en/library/research/2008/06/the-transforming-care-at-the-bedside-tcab-toolkit/section-3-testing-ideas/principles-for-tests-of-change.html" rel="nofollow">Principles for Tests of Change – TCAB Toolkit</a></strong><br /> This page talks about the steps you should take prior to implementing a test of change. Outline, what will be done, where will it occur, how the test will run and what the expected outcome will be.<br />  </li> <li><strong><a href="https://learn.nes.nhs.scot/3981/quality-improvement-zone/qi-tools/prioritisation-matrix" rel="nofollow">Prioritisation Matrix – NHS Scotland</a></strong> <br /> The prioritisation matrix is a structure visual tool to help you decide which improvement ideas to test first and how to focus your activity and energy. <br />  </li> <li><strong><a href="https://www.hqip.org.uk/resource/an-introduction-to-statistics-for-local-clinical-audit-and-improvement/#.YdqSIy-l1pQ" rel="nofollow">Project Initiation Document – NHS QSIR</a></strong><br /> NHS QISR’s Project Initiation Document allows you to plan your test of change by prompting you to write down your project rationale, scope, exclusions, constraints, assumptions, objectives, benefits, project approach, planned changes, risks and timescales.<br />  </li> <li><strong><a href="http://www.ihi.org/resources/Pages/Tools/ProjectPlanningForm.aspx" rel="nofollow">Project Planning Form – IHI</a></strong> <br /> Institute for Healthcare Improvement have created a more succinct template that healthcare workers can use to plan their project. You need to register for a (free) account to access.</li> </ul> <h4>Do</h4> <p>Once you have planned your test for change the next step in the improvement journey is to carry out the test of change and begin data collection. Any change(s) should be tested on a small scale first. The cumulative result of multiple small-scale changes, each tested, learned from and fine-tuned, should result in a measurable and reliable improvement.</p> <ul> <li><strong><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2936472/" rel="nofollow">How to Implement Change in Practice – Journal of Oncology Practice</a></strong><br /> In this paper, Dr Gesme and Dr Wiseman discuss how you to create a readiness to change, deal with resisters and implement change.<br />  </li> <li><strong><a href="https://www.nursingtimes.net/roles/nurse-managers/leading-change-3-implementation-03-02-2012/" rel="nofollow">Leading change – Nursing Times </a></strong><br /> In this article, Joanna Kerridge discusses when to implement a pilot project, how to measure success and how to ensure that a project is sustainable.<br />  </li> <li><strong><a href="http://www.ihi.org/resources/Pages/Tools/PlanDoStudyActWorksheet.aspx" rel="nofollow">PDSA Worksheet – IHI </a></strong><br /> The Institute for Healthcare Improvement (IHI) have created a worksheet to help you document your test of change. The worksheet provides a lot of prompts making it a handy document for QI beginners and supervisors. You need to register for a (free) account to view.<br />  </li> <li><strong><a href="https://collegehealthqi.nyu.edu/improvement-journey/7-test-changes/" rel="nofollow">Small Scale Rapid Cycle Testing – Network for Improvement & Innovation</a></strong> <br /> This website explains which small scale, rapid cycle testing is an effective way to manage change and how it can be a stepping stone to improvement. </li> </ul> <h4>Study</h4> <p>During the study phase of your QI lifecycle, you are meant to analyse your data, compare data to predictions and summarise your learnings. We have collated some resources to help you navigate this. </p> <ul> <li><strong><a href="https://www.hqip.org.uk/resource/an-introduction-to-statistics-for-local-clinical-audit-and-improvement/#.YdqSIy-l1pQ" rel="nofollow">Analysing Quality Improvement and Assurance Data – HQIP </a></strong><br /> The Healthcare Quality Improvement Partnership have set out the basics of statistical data analysis and presentation in this guide. It aims to help those who are new to statistical data analysis and is a good beginner’s guide.<br />  </li> <li><strong><a href="https://www.england.nhs.uk/sustainableimprovement/qsir-programme/qsir-tools/" rel="nofollow">Model for Measuring Quality Care – NHS QSIR</a></strong><br /> It is important for QIPs to have outcome, process, structure and balancing measures. Each of these measures has a different purpose in determining whether the quality improvement project has had the desired impact.<br />  </li> <li><strong><a href="https://www.england.nhs.uk/sustainableimprovement/qsir-programme/qsir-tools/" rel="nofollow">Statistical Process Control – NHS QSIR</a></strong><br /> Statistical process control (SPC) is an analytical technique widely used in the NHS to understand whether change results in improvement. This site provides an introduction to what statistical process control is. <br />  </li> <li><strong><a href="https://www.england.nhs.uk/statistical-process-control-tool/" rel="nofollow">Statistical Process Control Tool – NHS</a></strong><br /> This tool will enable you to record your data and will automatically plot it on an SPC chart.</li> </ul> <h4>Act</h4> <p>So now you’ve made a change but what next? PDSA cycles emphasise the need for ongoing review of data and result to allow adaptation and adoption of the project to ensure maximum benefit. Testing the change ensures the project is moving forward.</p> <ul> <li><strong><a href="http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTipsforTestingChanges.aspx" rel="nofollow">Tips on moving forward – IHI</a></strong><br /> It is important to plan the next test of change and think ahead as well as reflect on previous cycles.<br />  </li> <li><strong><a href="http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementLinkingTestsofChange.aspx" rel="nofollow">Linking tests of change – IHI</a></strong><br /> This article poses thought-provoking questions to consider when testing a change and gives some useful top tips for successful change. There are some examples of how projects can be adapted though testing changes. <br />  </li> <li><strong>When to adapt, adopt or abandon – Life QI </strong><br /> These blog articles look at measuring the success of your lifecycles and how to evaluate the data gathers to move forward with your next PDSA cycle:</p> <ul style="margin-left:40px"> <li><strong><a href="https://blog.lifeqisystem.com/test-changes-pdsa-cycle" rel="nofollow">Design And Test Changes Using PDSA Cycles - lifeqisystem.com</a></strong></li> <li><a href="https://blog.lifeqisystem.com/pdsas-how-to-decide-whether-to-adopt-adapt-or-abandon" rel="nofollow"><strong>PDSAs - How to decide whether to adopt, adapt or abandon - ifeqisystem.com</strong></a><br />  </li> </ul> </li> <li><strong><a href="http://www.bmj.com/content/374/bmj.n1010" rel="nofollow">Comparing Quality Improvement and Implementation Science – BMJ</a></strong><br /> This article published in the BMJ is a more detailed overview of the differences and overlap between quality improvement (QI) and implementation science (IS). It describes the fundamental components of change and has a simple infographic in Figure 1 that describes the common features of both QI and IS.<br />  </li> <li><strong><a href="http://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/Provost-WhatsTheSecretToChangeImplementation.aspx" rel="nofollow">Implementing Change – IHI</a></strong><br /> This link is to a short video about implementing change, for those who want less reading. There is some useful, though-provoking discussion points attached. This could be made into a small group activity.</li> </ul> </div> <div class="card-view-4"> <div class="view view-attachment view-id-attachment view-display-id-main view-dom-id-971bb1ab3181b7ff7b94b361dc1a9858"> </div> </div> </div> </div> <div class="views-row views-row-3 views-row-odd views-row-last section-row palette-default "> <div class="section-inner"> <div class="card-body"> <h2 class="sidebar-nav">Understanding the system</h2> <p>This section looks at better understanding a system and the flow across different systems.</p> <ul> <li><strong><a href="https://www.health.org.uk/publications/reports/improving-flow-along-care-pathways" rel="nofollow">Improving flow along care pathways - The Health Foundation</a></strong> <div>The Health Foundation has been supporting efforts to improve the flow of patients along care pathways for more than 10 years. This has culminated in a UK-wide programme, the Flow Coaching Academy (FCA), led by the Sheffield Teaching Hospitals NHS Foundation Trust. The programme is based on a co-coaching model combined with elements of improvement science. It aims to support establishing multiple FCAs across the UK, to scale up the approach and to build a community of practice to share learning. The training focuses on both the technical and relationship skills required to deliver continuous and sustainable improvement.</div> <div>This learning report is based on the formative FCA evaluation completed in 2019 by RAND Europe and interviews with FCA programme leads during the COVID-19 pandemic.<br />  </div> </li> <li> <div><strong><a href="https://www.health.org.uk/publications/improving-patient-flow" rel="nofollow">Improving patient flow - The Health Foundation</a></strong></div> <div>This learning report describes the work undertaken by two NHS trusts as part of the Health Foundation’s Flow Cost Quality programme. It illustrates the problems created by poor flow that the programme was set up to address, and provides practical examples of how focusing on flow can improve quality, use available capacity effectively and save money. The report summarises key lessons from the programme and highlights important challenges for designing services and approaching change by focusing on flow.<br />  </div> </li> <li><strong><a href="https://www.health.org.uk/video/making-change-across-organisations" rel="nofollow">Making change across organisations - (health.org.uk)</a></strong><br /> This video shows how staff from Sheffield Teaching Hospitals NHS Foundation Trust have combined data and patient stories from across the patient pathway – putting the patient at the centre of services.<br />  </li> <li><strong><a href="https://www.health.org.uk/publications/the-challenge-and-potential-of-whole-system-flow" rel="nofollow">The challenge and potential of whole system flow - The Health Foundation</a></strong><br /> Whole system flow is the coordination of all systems and resources, across a health and social care economy, to deliver effective, efficient, person-centred care in the right setting at the right time and by the right person. Improving flow is seen by both practice leaders and policymakers as having a crucial role to play in driving up service quality and productivity, as well as improving the experience of care for patients and service users.This report introduces methods that local health and social care leaders can use to improve whole system flow. It also describes steps policymakers and regulators can take to create an environment conducive to change at this scale.<br />  </li> <li><strong><a href="https://www.kingsfund.org.uk/publications/understanding-integration-listen-people-communities" rel="nofollow">Understanding integration: how to listen to and learn from people and communities - The King's Fund</a></strong><br /> Picker and The King’s Fund worked with NHS England and NHS Improvement on how Integrated Care Systems can listen to and learn from people and communities. They have produced a practical guide for partners working in these systems, with ideas on how they might go about this.<br />  </li> <li><a href="https://doi.org/10.1186/s12961-019-0487-1" rel="nofollow"><strong>The importance of power, context and agency in improving patient experience through a patient and family centred care approach -<em> Health Res Policy Sys</em> (2020)</strong></a><br /> This article builds on literature by investigating, with multi-disciplinary clinical teams as well as patients and relatives, what factors help or hinder changes designed to improve patient experience.<br />  </li> </ul> </div> <div class="card-view-4"> <div class="view view-attachment view-id-attachment view-display-id-main view-dom-id-862a838ea9779630d8ba9e84a6385a73"> </div> </div> </div> </div> </div> </div> </article> </div> <div class="content-additional"> <div id="block-webform-client-block-227" class="block block-webform"> <h2 class="resource-feedback-toggle">Feedback on this resource?</h2> <div class="content"> <div id="webform-ajax-wrapper-227"><form class="webform-client-form webform-client-form-227" action="/resources/qi-hub-methodology" method="post" id="webform-client-form-227" accept-charset="UTF-8"><div><div class="webform-email form-item webform-component webform-component-email webform-component--email webform-container-inline"> <label for="edit-submitted-email">Email </label> <input class="email form-text form-email" type="email" id="edit-submitted-email" name="submitted[email]" size="60" /> <div class="description">If you鈥檇 like us to contact you, please leave your email</div> </div> <div class="webform-feedback form-item webform-component webform-component-textarea webform-component--comment webform-container-inline"> <label for="edit-submitted-comment">Your feedback <span class="form-required" title="This field is required.">*</span></label> <div class="form-textarea-wrapper"><textarea required="required" placeholder="(max 300 words)" id="edit-submitted-comment" name="submitted[comment]" cols="60" rows="3" class="form-textarea required"></textarea></div> </div> <input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="1" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-adqyNKDIcQRLIOSQAu1_nCy7xQ8TAanry6RZ9pDHl8U" /> <input type="hidden" name="form_id" value="webform_client_form_227" /> <input type="hidden" name="webform_ajax_wrapper_id" value="webform-ajax-wrapper-227" /> <fieldset class="captcha form-wrapper"><legend><span class="fieldset-legend">CAPTCHA</span></legend><div class="fieldset-wrapper"><div class="fieldset-description">This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.</div><input type="hidden" name="captcha_sid" value="8291476" /> <input type="hidden" name="captcha_token" value="4b33d4fdceb6c7b6504431bc9ea7eae2" /> <input type="hidden" name="captcha_response" value="Google no captcha" /> <div class="g-recaptcha" data-sitekey="6LdxcUsUAAAAABXmfqM-hujH0UGJIQjSzRbBKU2w" data-theme="light" data-type="image"></div></div></fieldset> <div class="form-actions"><input class="webform-submit button-primary form-submit" id="edit-webform-ajax-submit-227" type="submit" name="op" value="Send" /></div></div></form></div> </div> </div> </div> </section> <aside id="sidebar-second" role="complementary" class="sidebar"> <div class="sidebar-second-wrapper"> <section class="block block-views side-row resource-dl-block"> <h2 class="block-title">Download</h2> <div class="view view-resource-download view-id-resource_download view-display-id-download view-dom-id-c9cac595909469cd5680f433118d67b6"> <div class="view-content view-content-main"> <div> </div> </div> </div> </section> <section class="block block-views"> <div class="view view-sections view-id-sections view-display-id-sidebar view-dom-id-a1a6040fde6a361d64cb62d7e64e3311"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last row-max-4 side-row "> <div class="section-inner"> <div class="card-title"> <h2 class="field-content">Back to QI Hub</h2> </div> <div class="side-row-wrapper"> <div class="card-view"> <div class="view view-links view-id-links view-display-id-block equal-heights view-dom-id-4513ad4f32c196bdd69b890fe4f552ca"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <article id="node-6819" class="node node-resource-series" about="/QIHub" typeof="sioc:Item foaf:Document"> <a href="/QIHub" class="card"> <div class="card-image-wrapper"> <div class="card-image"> <picture >  <source srcset="https://www.bgs.org.uk/sites/default/files/styles/grid-6-wide/public/content/series/images/2022-11-01/QI%20Hub%20card.png?itok=-WS7n-Y0&timestamp=1667316405 1x" media="(min-width: 75em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/grid-6-normal/public/content/series/images/2022-11-01/QI%20Hub%20card.png?itok=3gy6JlU6&timestamp=1667316405 1x" media="(min-width: 60em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/grid-6-narrow/public/content/series/images/2022-11-01/QI%20Hub%20card.png?itok=zgNqM30h&timestamp=1667316405 1x" media="(min-width: 45em)" /> <source srcset="https://www.bgs.org.uk/sites/default/files/styles/grid-6-mobile/public/content/series/images/2022-11-01/QI%20Hub%20card.png?itok=SRZClkcg&timestamp=1667316405 1x" media="(min-width: 0em)" />  <img src="https://www.bgs.org.uk/sites/default/files/styles/grid-6-mobile/public/content/series/images/2022-11-01/QI%20Hub%20card.png?itok=SRZClkcg&timestamp=1667316405" alt="" title="" /> </picture> </div> </div> <div class="card-text"> <h3><div class="card-title-field"> Quality Improvement (QI) Hub </div> </h3> <div class="card-summary"><div class="card-summary-wrapper"> <p>The BGS Quality Improvement (QI) Hub has been put together by members of the BGS Clinical Quality Committee (CQC) to help healthcare professionals navigate QI methodology, and to plan and deliver their own projects to drive improvements in the quality of care for older people.</p> </div></div> </div> </a> </article> </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> </div> </aside> </div> </main> <section class="postscript-first"> <div class="postscript_first"> <section class="block block-views postscript-section-row-block"> <h2 class="block-title">Other resources in this series</h2> <div class="view view-resource-series view-id-resource_series view-display-id-block section-row row-max-4 view-card-default-palette view-dom-id-a1a9efab0fe44c9e02d6c906c33799a9"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first"> <a class="card resource-card" href="/resources/qi-hub-introduction-to-qi"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>QI Hub: Introduction to QI</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T00:00:00+00:00">16 Nov 2022</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> What is Quality Improvement (QI) and why is it important to consider in the context of older people's healthcare? This section discusses the different origins and approaches to QI. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> </div></div></a> </div> <div class="views-row views-row-2 views-row-even"> <a class="card resource-card" href="/resources/qi-hub-next-steps"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>QI Hub: Next steps</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T00:00:00+00:00">16 Nov 2022</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Good work conducted as part of QI projects should be celebrated. It is important to see if the gains in one area can be replicated or spread to another area and influence ongoing change in different departments. This section provides detail on how to scale up and spread your project. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> </div></div></a> </div> <div class="views-row views-row-3 views-row-odd"> <a class="card resource-card" href="/resources/qi-hub-involving-people"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>QI Hub: Involving people</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T00:00:00+00:00">16 Nov 2022</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Staff engagement, leadership, culture and multidisciplinary working are crucial to deliver and embed any QI project. This section offers guidance and advice on involving others in your QI work </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> </div></div></a> </div> <div class="views-row views-row-4 views-row-even views-row-last"> <a class="card resource-card" href="/resources/qi-hub-project-ideas"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>QI Hub: Project ideas</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2022-11-16T00:00:00+00:00">16 Nov 2022</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> This section provides hints and tips for quality improvement projects that relate to the health and care of older people, with real examples from BGS conferences. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> </div></div></a> </div> </div> <div class="view-footer"> <div class="card-feed-link"><a href="/QIHub">See all resources in this series</a></div> </div> </div> </section> </div> </section> <footer id="site-footer" role="contentinfo"> <section class="footer-first"> <div class="outer-wrapper"> <section class="block block-views"> <div class="view view-footer-sections view-id-footer_sections view-display-id-orgs view-display-grid view-dom-id-b82402c136bf90833920f243cc022f5a"> <div class="view-header"> <script> if(jQuery('#Main.CRM_Contribute_Form_Contribution_Main').length > 0){ jQuery('#Main.CRM_Contribute_Form_Contribution_Main').on('submit',function(e){ setTimeout(function(){ e.preventDefault(); let firstInvalidElement = jQuery('label.crm-inline-error:visible:first'); if(firstInvalidElement){ let fid=firstInvalidElement.attr('for'); let originalDisplay = jQuery('#'+fid).css('display'); jQuery('#'+fid).css('display', 'block'); jQuery('#'+fid).focus(); jQuery('#'+fid).css('display', originalDisplay); } },100) }); } </script> </div> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first section-row palette-default "> <div class="card-title"> <h2 class="field-content">Contact us</h2> </div> <div class="card-body"> <h6>British Geriatrics Society</h6> <p>Marjory Warren House<br /> 31 St John’s Square<br /> London EC1M 4DN</p> <p><a class="arrow" href="/about/contact">Visit us</a></p> <p><strong>Tel:</strong> +44 (0)20 7608 1369</p> <p><a href="/about/contact">Email us</a></p> <p class="smaller-text">Charity No 268762<br /> Company No 1189776 (England and Wales)</p> </div> </div> <div class="views-row views-row-2 views-row-even section-row palette-default "> <div class="card-title"> <h2 class="field-content">Quick links</h2> </div> <div class="card-body"> <p><a href="/media-enquiries">Media enquiries</a></p> <p><a href="/AGENDA">AGENDA</a></p> <p><a href="/about/what-we-do/age-and-ageing"><em>Age and Ageing</em> Journal</a></p> <p><a href="/about/make-a-donation">Donate</a></p> <p><a href="/blog">Our blog</a></p> <p><a href="/about/what-we-do/research-opportunities-and-cpd">BGS Grants</a></p> <p><a href="/about/bgs-vacancies">Jobs/Vacancies</a></p> </div> </div> <div class="views-row views-row-3 views-row-odd section-row "> <div class="card-title"> <h2 class="field-content">Follow us</h2> </div> <div class="card-follow-us-on"> <div class="item-list"><ul><li class="first"><div class='card-links'><a href="https://facebook.com/BGS1947" rel="nofollow" target="_blank">Facebook</a> </div></li> <li><div class='card-links'><a href="https://twitter.com/GeriSoc" rel="nofollow" target="_blank">Twitter</a> </div></li> <li class="last"><div class='card-links'><a href="http://linkedin.com/company/british-geriatrics-society" rel="nofollow" target="_blank">LinkedIn</a> </div></li> </ul></div> </div> </div> <div class="views-row views-row-4 views-row-even views-row-last section-row palette-default "> <div class="card-title"> <h2 class="field-content">Sign up for our e-bulletin</h2> </div> <div class="card-body"> <a href="/user/register" class="button">Sign up</a> <style> .webform-container-inline.webform-datepicker div, .webform-container-inline.webform-datepicker input { display: inline-block !important; margin-top: 1em; } select { padding-right: 39px; background-size: 29px; } #multiple_block > input { display: inline-block; } </style> </div> </div> </div> </div> </section> </div> </section> <section class="footer-third"> <div class="outer-wrapper"> <section class="block block-menu"> <ul class="menu"><li class="first leaf"><a href="/terms-of-use">Website Terms of use</a></li> <li class="leaf"><a href="/privacy-statement">Privacy Statement</a></li> <li class="leaf"><a href="/membership-terms-and-conditions" title="ToC governing membership of the BGS">Membership Terms and Conditions</a></li> <li class="last leaf"><a href="/event-booking-terms-and-conditions" title="">Event Booking Terms and Conditions</a></li> </ul> </section> <div id="manta-ray-media">Built by <a href="http://www.mantaraymedia.co.uk/" target="_blank">Manta Ray Media</a></div> </div> </section> </footer> </div>  <div class="pswp" tabindex="-1" role="dialog" aria-hidden="true">  <div class="pswp__bg"></div>  <div class="pswp__scroll-wrap">  <div class="pswp__container"> <div class="pswp__item"></div> <div class="pswp__item"></div> <div class="pswp__item"></div> </div>  <div class="pswp__ui pswp__ui--hidden"> <div class="pswp__top-bar">  <div class="pswp__counter"></div> <button class="pswp__button pswp__button--close" title="Close (Esc)"></button> <button class="pswp__button pswp__button--share" title="Share"></button> <button class="pswp__button pswp__button--fs" title="Toggle fullscreen"></button> <button class="pswp__button pswp__button--zoom" title="Zoom in/out"></button>   <div class="pswp__preloader"> <div class="pswp__preloader__icn"> <div class="pswp__preloader__cut"> <div class="pswp__preloader__donut"></div> </div> </div> </div> </div> <div class="pswp__share-modal pswp__share-modal--hidden pswp__single-tap"> <div class="pswp__share-tooltip"></div> </div> <button class="pswp__button pswp__button--arrow--left" title="Previous (arrow left)"> </button> <button class="pswp__button pswp__button--arrow--right" title="Next (arrow right)"> </button> <div class="pswp__caption"> <div class="pswp__caption__center"></div> </div> </div> </div> </div> <script type="text/javascript" async="async" src="/sites/all/modules/picture/picturefill2/picturefill.min.js?v=2.3.1"></script> <script type="text/javascript" async="async" src="/sites/all/modules/picture/picture.min.js?v=7.74"></script> <script type="text/javascript" src="/sites/all/modules/photoswipe/js/photoswipe.jquery.js?sn052y"></script> <script type="text/javascript" src="/sites/all/modules/mautic-drupal/js/mauticform-prefill.js?sn052y"></script> </body> </html>