Did you know that your project on Life QI has a progress score on the general tab?

The progress score is designed for you to assess how far your project has developed against a standard range of score numbers from 0.5 through to 5.0.  There is sometimes a little confusion in that project teams do not realise (or have never been told) that the progress score is not set by the Life QI system; it is not an automatic progression and it is up to the project team to review and manually move their project score onwards by updating the score on the system.

The benefits of keeping your QI Progress Score up to date are twofold: it helps the project team feel that they are moving forward with their project, so it can be very motivating and it shows external viewers where you are in your QI journey.

First, let us look at what the scores mean.

Here is a table of the scores and their definitions as they appear on Life QI:

It can be useful to think about each score in relation to the parts of the model for improvement that a project team would be working on to satisfy that score and what evidence a team might have included in Life QI, so the following table sets this out:

Progress Score

Description

Which part of the Model for Improvement is actively being worked upon?

What evidence would you be able to add to your QI story?

0.5

Intent to participate

 

Project has been identified, but the charter has not been completed nor team formed.

  • The QI project team has considered what is known about the issue or problem that the project is intended to improve.
  • A project has been registered on Life QI, awaiting approval by Divisional QI Improvement Advisor.

1.0

Charter and team established

 

A charter has been completed and reviewed. Individuals or teams have been assigned, but no work has been accomplished.

  • Project has been approved on Life QI.
  • Team members have been invited to the project on Life QI.
  • A project aim has been established.
  • The project team have considered and started to involve service users in the project.

1.5

Planning for the project has begun

 

Organisation of project structure has begun (such as: what resources or other support will likely be needed, where will focus first, tools/materials need gathered, meeting schedule developed).

  • The project team has begun to meet on a regular basis with protected time devoted to work on the project.
  • Story telling (e.g. via a physical story board in the service environment) has begun with allocated roles to maintain the story as the project progresses.  The story telling is engaging wider staff in the service and more staff may be joining the QI project.

 

2.0

Activity, but no changes

 

Initial cycles for team learning have begun (project planning, measurement, data collection, obtaining baseline data, study of processes, surveys etc.).

  • A data collection plan has been established and baseline data is being collected or historical data has been obtained to provide a baseline.
  • The team have used tools to fully understand their problem, e.g. forcefield analysis, process mapping, 5 whys.
  • Planning for first PDSA cycle(s) has taken place.

2.5

Changes tested, but no improvement

 

Initial cycles for testing changes have begun. Most project goals have a measure established to track progress. Measures are graphically displayed with targets included.

  • Initial PDSA cycles have been concluded.
  • Data is being collected and placed on Life QI, covering Outcome, Process and Balance measures; a full measurement for improvement set of data is in place.

3.0

Modest improvement

 

Successful test of changes have been completed for some components of the change package related to the team's charter. Some small scale implementation has been done. Anecdotal evidence of improvement exists. Expected results are 20% complete.

  • A small range of PDSA ramps has been completed and some movement of the outcome data can be evidenced on the outcome measure chart on Life QI.
  • The project t story boards have been updated with information about PDSAs, data and qualitative information.

3.5

Improvement

 

Testing and implementation continues and additional improvement in project measures towards goals is seen.

  • The project team are systematically working through their change ideas and testing each in turn using PDSA cycles/ramps.
  • Improvement is evidenced in continuous improvement of data measures.

4.0

Significant improvement

 

Expected results achieved for major subsystems. Implementation (training, communication etc.) has begun for the project. Project goals are 50% or more complete.

  • Quantitative data (charts on Life QI) evidence that the project is at least half way to achieving the improvement aim.
  • The project team are starting to consider how to ‘hold the gains’ of improvement by implementing permanent change or ‘the new way of working’.

4.5

Sustainable improvement

 

Data on key measures begin to indicate sustainability of impact of changes implemented in system.

  • Having reached the anticipated level of the project aim, data is evidencing that the improvement is continuing to stay at these new levels.

5.0

Outstanding sustainable results

 

Implementation cycles have been completed and all project goals and expected results have accomplished. Organisational changes have been made to accommodate improvements and to make the project changes permanent.

  • The project aim has been achieved and maintained over a significant length of time and the project team have put in place changes to make the new way of working permanent (e.g. revised policies, procedures are written down and distributed). 
  • Ongoing control of the project aim is put in place to ‘keep an eye on’ the improvement and prevent the aim from slipping back to where it was before the QI project began.
  • The QI project team has formally ‘stepped down’ and ceased meeting.
  • The service has returned to Business As Usual (BAU).

 

So how do you update your progress score on Life QI?  It is a simple action to take and should not take you more than a few minutes to do.  You will be prompted to add a summary of your rationale for the change in score and this gets alerted to your Divisional Improvement Advisor, so that they are aware and can offer support if needed.  And to congratulate you on your progress!

Here is a step by step guide on how to change your Progress Score on Life QI:

Don’t forget to return to your progress score as your project moves along to make sure the world knows how well you are doing!

Contact Information

For support or further information on any aspect of improvement work in CNWL, please contact the QI Team in the Improvement Academy at:

cnw-tr.improvementsupport@nhs.net