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Case Study Sections

Getting Started

Developing a Strategic Plan

Identifying the Problem

Describing the Problem

Analyzing the Problem

Planning the Solution

Implementing the Solution

Monitoring/Evaluating the Solution

Related Topics

Describe the Problem Tools: Indicator Matrix

Data Collection and Analysis Tools: Indicators

  

Using an Indicator Matrix

The team wants to break down the problem of waiting time even further to develop a plan of action to solve it. They decide to develop indicators that will help them answer the following four questions:

  1. How often does this problem of waiting time occur?
  2. When does it occur?
  3. Where does it occur?
  4. Who is affected by it?

Looking at the data they have gathered so far, the team hypothesizes that causes of the waiting time may include:

  • the registration desk is taking too long registering each user
  • the doctor is spending too much time with each user
  • the lab is taking too long drawing samples for analysis
Based on these hypotheses, the team constructs an indicator matrix.

Indicator Matrix for Time of Care--Santa Rosa Health Center
What to Measure? Indicator Formula Source of Numerator/
Denominator
Quality Standard
amount of time to register a user proportion of users who arrive in an hour that complete registration # of registered users/
# of users who arrive at clinic in an hour
Example: 8/20=40%
tally sheet/tally sheetExample: 80%
amount of time doctor dedicates to patient: less than 15 minutes proportion of users who spend less than 15 minutes with the doctor# of users who spend less than 15 min/
total # of users
Example: 68/100=68%
tally sheet/daily clinic reportExample: 85%
amount of time lab personnel spend with each client proportion of users who receive lab services within an hour # of users seen by lab staff/
# of users waiting to use lab (in an hour)
Example: 10/20=50%
tally sheet/tally sheet Example: 80%

To minimize tensions, the team meets with all staff to share the results of the Indicator Matrix. Mrs. Alvarez explains to the staff that the matrix is being used to describe a problem to improve quality service. She reinforces the intent of the quality improvement process to orient services to users' needs. She assures everyone that this exercise will not be used in any performance evaluations of staff.

She explains that the team will use a tally sheet to collect data for four days, and informs all that Mrs. X will collect registration data, Mrs. Cruz will collect lab data, and she, Mrs. Alvarez, will collect the doctor and nurse data.

         
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