Ready, Set, AIM

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Ready, Set, AIM!
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IOMs Overarching Aims for Improvement

• Safe Avoid injuries to patients from the care
  that is intended to help them.
• Effective Match care to science avoid overuse
  of ineffective care and underuse of effective
  care.
• Patient-Centered Honor the individual and
  respect choice.
• Timely Reduce waiting for both patients and
  those who give care.
• Efficient Reduce waste.
• Equitable Close racial and ethnic gaps in health
  status.

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IHI Tips for Setting Aims

• State the Aim Clearly
• Include Numerical Goals that Require Fundamental
  Change to the System
• Set Stretch Goals
• Avoid Aim Drift
• Be Prepared to Refocus the Aim
• http//www.ihi.org/IHI/Topics/Improvement/Improve
  mentMethods/HowToImprove/tipsforsettingaims.htm

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State the Aim Clearly

• Teams make better progress when they are specific
  about aims
• Aim statement should describe the system and
  patient/resident population to be improved
• Ensure that aim gives guidance on approaches
  improvement

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Include Numerical Goals

• Include numerical goals that require fundamental
  change to the system
• Help create tension for change, directs
  measurement, focuses on initial changes, and
  determine level of support needed
• Example Reduce pressure ulcers vs. Reduce
  the prevalence of pressure ulcers by 24 within
  12 months

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Set Stretch Goals

• Communicates immediately and clearly that status
  quo is not an option
• Goal cannot be met by tweaking system
• If stretch goals are clear, people will look for
  ways to overcome barriers to achieve goal

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Avoid Aim Drift

• Clearly Indentify Timeframe
• Start each meeting with explicit statement of aim
• Review progress quantitatively over time

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Time to Refocus the Aim?

• Every team needs to recognize when to refocus
• May need to narrow focus on smaller part of the
  system
• Not to be confused with Aim Drift

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Using these Elements.

• Develop two aim statements
• Provider Aim Statement (Nursing
  Home/Hospital)
• Community Team Aim Statement