Improvement projects are integrated into daily work.
As suggested in the high-performance management system architecture,
initiating and directing Quality Improvement projects is a core component of standard work
at all levels of the organization. Due to their daily involvement in patient care, Tier 1 unit
managers are responsible for leading the testing and implementation of process changes at
the unit level. Job descriptions, and senior managers’ expectations, encourage active frontline
staff and manager participation in QI work such as team meetings, rapid improvement
events, PDSA testing, data collection, and data review. Staff are explicitly allocated the time
required to participate in these activities. For example, at Children’s Mercy Hospital,
conducting PDSAs is included as part of frontline clinical leaders’ regular standard work,
along with attendance at QI project reviews.