Step 3d. Develop aims – what are you trying to achieve in your practice: what does good look like?

What is required for your practice to embed the respiratory strategy and deliver improvements in respiratory care? For example, embedding the 7-Steps medication review, ensuring trained and competent team, empowering people, using data (NTIs, STU).

Suggested actions

• Before making changes/starting a new process, define your current process, what works well, what could be better, always remembering the aim of implementing the prescribing guidance and improving care of those with respiratory conditions (understanding your systems) Process map, Pareto chart
• Once you have taken some time to examine and understand your system, your team should have some good ideas about what changes may lead to improvement.
• A driver diagram is a useful tool to help visualise how you will achieve your goal. It can also be used to help communicate your aim.
• It will show what parts of the system should change, in which way, and includes your ideas about how to make this happen. As your project progresses and you gather more information, your aim and change theory may need to be updated to reflect new knowledge. Your driver diagram should be updated in line with your aim and change theory.

Measurement 

• Use data to monitor progress and tell other of the impact of your changes
• Use a measurement plan to outline what types of data to collect, how and when to collect it and how it will be analysed and presented.
• These measures will be key to understanding the impacts – planned or unplanned – that your change ideas are having.
• Populate the measurement plan or other tracking device with details from
  • STU data
  • NTIs
  • Feedback from service users