PDSA worksheet handout final - PDF

							           Chronic Disease Prevention & Management in Primary Care - Walking the Talk: Empowering Change
  An Interactive Workshop Using the Plan • Do • Study • Act Tool to Enhance Effective Care - October 22, 2008


                                                      PDSA Worksheet
Chronic Disease Content Area:
  Diabetes and Obesity     Arthritis and Osteoporosis    Heart Failure and Hypertension     Asthma and COPD              Depression and Pain

Objective: _________________________________________________________________________
Hint: Describe the self‐management change idea you want to test. The objective will require multiple, small tests (PDSA cycles) of change 
over time. E.g., “We will improve the rate of patients who have identified self‐management goals by 50% by December 2008.” 

Plan
            Describe your first (or next) test of change: This is the first step 
                                                                                                 Person               When to         Where to
            of the PDSA cycle. Remember, this is rapid, short cycle testing. Think really 
                                                                                               responsible            be done         be done
            small and shortest possible time frame. 




                                                                                              Person              When to         Where to
            List the tasks needed to set up this test of change
                                                                                              responsible         be done         be done
                                                                                                                  .
                1.
                2.
                3.
                4.
                5.
                6.
                7.



                                                                                Measures to determine if prediction
            Predict what will happen when the test is
            carried out                                                         succeeds Be specific:  “Some” is not a number, “soon” is 
                                                                                not a time! Can be qualitative and/or quantitative.




Do               Describe what actually happened when you ran the test (use your imagination).


Study            Describe the measured results and how they compared to the predictions (use your 
                 imagination). 



Act              Describe modifications to be made to the plan for the next cycle from what you learned.



                                                      Adapted from: Institute for Healthcare Improvement by CSI Solutions, LLC 2008