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Improving Improvement

A toolkit for Engineering Better Care

 

Manage the Plan

The plan describes a detailed proposal for enabling change to a system and delivering a particular solution(s) to a problem within the system.

Contents

 

Introduction

The need to Manage the Plan is the sixth of the seven strands in the improvement model. It underlines the importance of managing the plan for improving the system, following understanding the system, defining the problem, developing the solution and collecting the evidence. As a result, it is expected that such a plan will be developed in the early stages of the improvement process and revised, as appropriate, as the process develops.

Purpose

Managing the plan has practical importance to systems improvement: identifying the right team to deliver change; planning and scheduling appropriate activities for delivering change; and assessing the risk associated with delivering the programme of change.

Activities

The process of managing the plan may include a wide range of activities including, but not limited to: Identify Enablers and Blockers, Manage Team, Ensure Shared Understanding, Review Project Performance, Review Project Progress and Plan Future Activities.

In the Initiate and Understand stages of the improvement process, a preliminary activity, Decide the Next Step, 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 manage the plan part of the Activities section (within Resources)

Tools

The practice of managing the plan may draw on a wide range of tools including, but not limited to: Failure Modes and Effects Analysis, Fault Tree Analysis, Structured What-if Technique, Risk Matrix, PEST(LE) Analysis, SWOT Analysis, Stakeholder Analysis, The Five Ws and two Hs, Theory of Change, Wardley Map, Driver Diagram, Gantt Chart and Activity Dependency Diagram.

More detail on each of these activities is given in the manage the plan 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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