D512 Pilot Plan Template Western Governors University.
, D512 Pilot Plan Template Western Governors University.
Pilot Plan Template
Create a pilot plan in response to the VOC report found in the course using this template.
A. Perform a root-cause analysis by doing the following:
1. Critique the continuous quality improvement (CQI) team’s five whys analysis by
explaining how it could have been conducted more effectively.
The Voice of the Consumer Report lays out multiple different matters that Shelbyville
Medical Center has room to improve on. SMC falls below the national benchmarks
thus giving room for improvement (“Voice of the Consumer Report”, n.d.). The CQI’s
five whys analysis could have been conducted more efficiently by focusing on more
than one root cause/issue. It is important to understand that patient dissatisfaction
at Shelbyville Medical Center’s ED is not straightforward and has many components
that need to be addressed and reviewed. There needs to be a more thorough
examination of the problems that patients are experiencing to come up with a plan of
action for improvement.
a. Discuss whether the “why” cycle has been performed to a logical end in which
additional questions would not change the response.
Reviewing if the five why cycle was performed to a clear and logical end, I believe
that this was performed accurately by the CQI task team. As discussed by Lighter
(2013), “In many cases the five “Whys” are sufficient, but sometimes, the technique
will continue beyond that level as new issues are recognized (p. 114-115). In this
case, the final response does seem to have a logical end to where while additional
questions may provide additional clarification, it would likely not change the overall
response.
2. Using the template below, create an Ishikawa diagram using the information from
the SIPOC Process diagram from Task 1, and the five whys analysis.
a. Explain the effectiveness of using the Ishikawa diagram to synthesize the results
from multiple information sources.
Using the Ishikawa diagram to synthesize results from these sources is extremely
effective as it can point out the processes and connections that are causing
dissatisfaction within the Shelbyville Medical Center Emergency Department. The CQI
team can use both the Ishikawa diagram and the SIPOC map to help target key
issues to improve patient satisfaction in the Shelbyville Medical Center Emergency
Department. The SIPOC map can give SMC’s leadership a clear picture of each step
of the patient’s visit from intake to discharge and comprehend what areas are
requiring improvement innovations.
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