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Strategies to promote sustainable change within the health care systems +…

- - - - Use visual management and place examples of standard work at target location
      - Design structures such as orders sets and IT constrains
  - - - Process control: Display how much work is required versus how much work is completed in real time.
      - Performance board: Display aim or strategic priority at the top of the board, monthly/quarterly and daily/weekly results at the rows, followed by sources of variation and current improvement activities implemented
    - - Enable staff members to track sources of variation, visualize problems and solve them to ensure current processes and performance sustained.
      - Help front liner staff to monitor their own performance regualarly
      - Simple to intepret and only require not more than 5 mins to complete
    - - Need a dedicated and committed data provider during data collection. Busy schedule and routine may hinder the staff to enter data into the analyzing system.