10. Outcomes in focus: How to drive improvement by using your data to focus on the vital few factors with the greatest impact on your key goals (Workshop)


Measurement for improvement is especially relevant in an era where leaders are called on to do more with less and to be strategic about where resources are invested. The ability to quickly and easily understand your metrics and translate that information into knowledge that is meaningful for a variety of stakeholders is becoming more critical for health care leaders. CHEO has developed an approach to support the achievement of our goals by using tools and strategies that:

  • Drive high reliability processes
  • Ensure strong systems are in place for education & communication flow across all levels and disciplines
  • Promote root cause analysis and interventions to drive improvements that will impact the metrics and
  • Engage and empower those that are most impacted by the work

The objective of this workshop will be to practice an approach to help take data from numbers to knowledge that will enable teams and providers to make informed decisions to drive improvement.

We will present a different approach to thinking about outcome metrics and encourage a process-based, incremental and collaborative approach to influencing those numbers and achieving targets.

We will present a model using a real example of clinical outcome metric (faster access to healthcare services) and walk through a methodology (introducing Lean Six Sigma tools and strategies) pausing to allow teams to brainstorm or strategize how they could apply this method to an important outcome of their own choosing through a worksheet that they can take with them.

Originality & Innovation:

Our approach connects continuous quality improvement/ lean methods to achieving our most important outcomes.  It will identify flexible approaches to using visual management, multidisciplinary huddles or status exchanges to work towards achieving targets.  Our approach is also designed for a small tests of change approach at improvement which is most applicable to a healthcare environment.

Steps aimed at engaging the audience and facilitating interaction:

Our approach of introducing the concept and then applying it to a common challenge—that of access to healthcare services –will enable participants to think of their own example to work through during the workshop.  During the breakout sessions we will check-in at tables to help participants but will also encourage table discussions to have participants build off each other’s examples and ideas.

Relevance to the conference theme:

Our approach is very well aligned to the key issue of “measuring for improvement using leadership metrics and performance measures.”  Thinking of how processes and inputs drive outcomes allows teams to improve those specific drivers at the source rather than trying to influence the entire system.  By streamlining efforts to the vital few inputs that have the greatest impact on your outcomes, you save time and effort.

Practical application of learning:

Participants will come away with a step-by-step guide to the approach as well as their own completed worksheets outlining their brainstormed ideas and mock-ups of how to replicate this approach in own place of work.


Christina R Honeywell – CHEO

Morgan Cunningham-Fetch – CHEO


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