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Improving Improvement

A toolkit for Engineering Better Care

 

Make the Case

The case describes the set of facts or arguments in support of improving a system and delivering a particular solution(s) to a problem within the system.

Contents

 

Introduction

The need to Make the Case is the fifth of the seven strands in the improvement model. It underlines the importance of making the case for change for the system to be improved, following understanding the system, defining the problem, developing the solution and collecting the evidence. As a result, it is expected that such a case will be developed in the early stages of the improvement process and revised, as appropriate, as the process develops.

Purpose

Making the Case is critical to systems improvement: predicting the benefits to stakeholders of the proposed change; estimating the resources required and cost associated with the proposed change; and making a credible and ultimately successful care for changing and improving the system.

Activities

The process of making the case may include a wide range of activities including, but not limited to: Demonstrate Future Improvement, Predict Stakeholder Benefits, Calculate Resources Required, Estimate Time Required and Present Case for Change.

In the Initiate and Understand stages of the improvement process, a preliminary activity, Draft the Pitch, provides a useful starting point. It may also be relevant for the Co-design, Delivery and Sustain stages, where the context should be reviewed and updated to support the changing priorities of the latter stages of the improvement process.

More detail on each of these activities is given in the make the case part of the Activities section (within Resources)

Tools

The practice of making the case may draw on a wide range of tools including, but not limited to: PEST(LE) Analysis, SWOT Analysis, Stakeholder Analysis, The Five Ws and two Hs, Theory of Change and Wardley Map.

More detail on each of these activities is given in the understand the context part of the Tools section (within Resources)

Use the Questions Map poster to identify the key questions that would help to deliver the outputs required.

Alternatively, use the Stage Activities poster to identify the improvement activities that would help deliver the outputs required.

Activities

Tools

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