A CSVS SPC-based QA Book
1
A CSVS SPC-based QA book of procedures and processes
2
Introduction
2.1
SPC charts for UDS Medical Measures at CSVS
2.2
SPC CUSUM Charts
2.3
SPC charts for UDS Medical Measures at CSVS
3
SPC-based QA: A Presentation
3.1
Paradigm
3.1.1
What is Statistical Process Control?
3.1.2
How It Works
3.1.3
SPC focus on CUSUM Charts
3.2
HOW CUSUM CHARTS WORK
3.2.1
simple performance barchart
3.2.2
simple performance barchart plus Target line
3.2.3
performance barchart plus cumulative sum of shortfalls
3.2.4
…full effect: barchart plus target plus cumulative sum of shortfalls
3.3
Cause & Effect Analysis: the Fishbone plot
3.3.1
SixSigma version
3.3.2
qcc version
3.4
Components of SPC QA
3.5
DATA
3.5.1
UDS Medical Measures (12):
3.6
Profiles
3.6.1
Org profile by
ALL
Measures (mean-based)
3.6.2
Org profile
target-based
Measures
3.6.3
Provider by Measures: Mean-based CUSUM (% Completed Referrals)
3.6.4
Clinic by Measures: Target-Based (% A1c >9)
3.7
SUMMARY
3.8
GOAL
4
Cause & Effect Analysis: the Fishbone plot
4.0.1
SixSigma version
4.0.2
qcc version
4.1
Updated plot schema Feb 2 3022
4.1.1
Process management
5
By Clinic
5.0.1
target-based by clinic (Castroville)
5.0.2
target-based by clinic (Circle)
5.0.3
target-based by clinic (Greenfield)
5.0.4
target-based by clinic (Gonzales)
5.0.5
target-based by clinic (King City)
5.0.6
target-based by clinic (Mobile)
5.0.7
target-based by clinic (North Main)
5.0.8
target-based by clinic (Pajaro)
5.0.9
target-based by clinic (Sanborn)
5.0.10
target-based by clinic (Soledad)
5.0.11
Organization CUSUM chart
all measures
by clinic
6
By Provider
6.1
target-based by provider (Zeolla)
6.2
all measures by provider (Zeolla)
6.3
target-based by provider (Yoshiyama)
6.4
all measures by provider (Yoshiyama)
6.5
target-based by provider (Villanueva)
6.6
all measures by provider (Villanueva)
6.7
target-based by provider (Tucker)
6.8
all measures by provider (Tucker)
6.9
target-based by provider (Torres)
6.10
all measures by provider (Torres)
6.11
target-based by provider (Shirrell)
6.12
all measures by provider (Shirrell)
6.13
target-based by provider (Rivas)
6.14
all measures by provider (Rivas)
6.15
target-based by provider (Recht)
6.16
all measures by provider (Recht)
6.17
target-based by provider (Raymond)
6.18
all measures by provider (Raymond)
6.19
target-based by provider (Peng)
6.20
all measures by provider (Peng)
6.21
target-based by provider (Nkwocha)
6.22
all measures by provider (Nkwocha)
6.23
target-based by provider (Morad)
6.24
all measures by provider (Morad)
6.25
target-based by provider (Mendoza)
6.26
all measures by provider (Mendoza)
6.27
target-based by provider (Marquez)
6.28
all measures by provider (Marquez)
6.29
target-based by provider (Marchevsky)
6.30
all measures by provider (Marchevsky)
6.31
target-based by provider (Lao)
6.32
all measures by provider (Lao)
6.33
target-based by provider (Hack)
6.34
all measures by provider (Hack)
6.35
target-based by provider (Garcia, J.)
6.36
all measures by provider (Garcia, J)
6.37
target-based by provider (Erni)
6.38
all measures by provider (Erni)
6.39
target-based by provider (Dao)
6.40
all measures by provider (Dao)
6.41
target-based by provider (Cousineau)
6.42
all measures by provider (Cousineau)
6.43
target-based by provider (Cordier)
6.44
all measures by provider (Cordier)
6.45
target-based by provider (Bulleit)
6.46
all measures by provider (Bulleit)
6.47
target-based by provider (Bekele)
6.48
all measures by provider (Bekele)
6.49
target-based by provider (Baylis)
6.50
all measures by provider (Baylis)
6.51
target-based by provider (Araneta)
6.52
all measures by provider (Araneta)
6.53
target-based by provider (Ali)
6.54
all measures by provider (Ali)
6.55
target-based by provider (Alvarado)
6.56
all measures by provider (Alvarado)
7
By Organization
7.1
Organization CUSUM chart by org-clinics
7.1.1
target-based
7.2
by organization-clinics
7.2.1
target-based
7.3
by org-measures
7.3.1
target-based
8
Providers
9
Measures by clinic
10
Clinics & Measures
10.0.1
target-based by clinic (Castroville)
10.0.2
target-based by clinic (Circle)
10.0.3
target-based by clinic (Greenfield)
10.0.4
target-based by clinic (Gonzales)
10.0.5
target-based by clinic (King City)
10.0.6
target-based by clinic (Mobile)
10.0.7
target-based by clinic (North Main)
10.0.8
target-based by clinic (Pajaro)
10.0.9
target-based by clinic (Sanborn)
10.0.10
target-based by clinic (Soledad)
10.0.11
Organization CUSUM chart
all measures
by clinic
10.0.12
Castroville
10.0.13
Circle
10.0.14
Greenfield
10.0.15
Gonzales
10.0.16
King City
10.0.17
Mobile
10.0.18
North Main
10.0.19
Pajaro
10.0.20
Sanborn
10.0.21
Soledad
11
Interactive Apps (Shiny) link
12
Technical
12.1
DATA
12.1.1
Azara Reports.
12.1.2
R / RStudio
12.2
January 2022 Update exercise
12.2.1
Measures & Current Targets used by Azara:
12.2.2
main_incrmnt.R** file
12.3
Root Cause Analysis
12.3.1
Ishikawa / Fishbone plots in group-brainstorming.
12.4
Process management
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A CSVS SPC-based QA Book
A CSVS SPC-based QA Book
Oguchi Nkwocha, MD., MSc., CMO
2022-04-09
Chapter 1
A CSVS SPC-based QA book of procedures and processes