Improving Improvement

The following steps, described in more detail in the Co-design Stage Guide, describe possible elements of a systems-based approach for planning the Co-design Stage of an improvement process — leading to a description of the current system (now), a common understanding of the problem, a consensus view of what the future system might look like (better) and a clearly articulated solution(s) to change the system.

(1) Improvement Canvas — Describe the context and nature of the challenge and current ideas for co-designing and delivering improvement.

Agree the scope of the proposed improvement or decision-making process and identify the team required to deliver it.

(2) Stakeholder Influence — Identify key stakeholders, their interest in the system and potential to influence the outcome of the process.

(3) Stakeholder Needs — List the full range of stakeholders’ essential needs and their particular reasons for these needs.

(4) Morphological Chart — Organise the presentation of ideas and concepts to facilitate the co-design of solutions to the challenge.

(5) Bowtie Method — Identify deviations from normal operation and their undesirable consequences for the proposed improvement.

(6) Design Solutions — Translate the initial ideas into viable concepts and solutions that meet the system requirements.

(7) Persona Responses — Capture likely persona responses to the concepts and solutions proposed for the system improvements.

(8) Stage Plan — Define the outputs or outcomes required for the each of the elements of the improvement or decision-making process.

Select the activities and tools required to deliver these outputs and the critical dependencies between them.

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.

A summary of the improvement model and its role in driving improvement is given in a Co-design Stage Guide, designed to facilitate the early planning of an improvement process. This guide accentuates the role of stakeholder analysis, problem structuring using an improvement canvas, and planning in ensuring the right people are solving the right problem.

The guide provides an introduction to the improvement process and further detail can be found in the resources section of the toolkit and in the sections that follow.

Useful toolkit resources: printable PDFs for all of the Stage Guides are included in the Stage guide PDFs part of the Resources section.