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ACQUIRE · QI-PS COHORT 1
Chapter 1 of 10
Act 1 · Witnessing the fire
ALREADY KNOWN
MP Shah Hospital · Kantaria ward · Yellow stream · Carolyne Machio (coach) · Naomi Mutua (team lead)
Every hummingbird sees the fire first. Name what's burning and who'll fly with you.
Short and descriptive — this is what will appear on your A3 and graduation deck.
Single-line · 10–120 chars · required
The senior person who'll unblock you when things get hard.
Single-line · max 80 chars · required
Add each team member with their role. Leader and coach are already known.
Repeating rows · 2–12 · format: name — role · required
1–2 sentences on what's going wrong and who's affected. Use a number if you have one.
Paragraph · 192 / 300 · required
Why does this matter? What's at stake if nothing changes?
Paragraph · 392 / 500 · required
A fire without a name can't be put out. Set the SMART goal that will tell you when you've made it.
Plain language. Read this to a patient and they'd understand.
Paragraph · 156 / 250 · required
Specific, measurable, achievable, relevant, time-bound — all five.
Paragraph · 124 / 250 · required
Outcome (the goal), process (the levers), balancing (what you don't want to break).
| Type | Metric |
|---|---|
| Outcome | % discharges within 120 min |
| Process | % EDD documented <24h |
| Balancing | Inpatient CSAT |
Mini-table · 3+ measures · required
The date you'll measure against.
Date · required
Walk the process. See where the fire is actually feeding. Measure before you act.
Sketch on paper, photograph, or upload a Miro export. This becomes your shared picture of how the ward actually works.
File upload · jpg / png / pdf · max 5 MB · required
Pick three to five from your family of measures. We'll plot them as run charts as you go.
| Measure | Baseline | Target |
|---|---|---|
| Avg discharge TAT | 320 min | 120 min |
| % within 120 min | 8% | 30% |
| % EDD <24h | 9% | 90% |
| Porter response | 25 min | 10 min |
| Inpatient CSAT | 3.4 | 4.0 |
Mini-table · 3–8 rows · required
Standing on the ward, watching one real discharge. What surprised you?
Paragraph · 50–500 chars · required
The hummingbird can only carry so much water. Choose the changes most likely to put the fire out.
Pick the tool. You'll attach the diagram in the next field.
Dropdown · required
Three to five, in priority order from your analysis.
Repeating rows · 3–5 · required
Each intervention must point back to a root cause above.
| Intervention | Cause | Owner |
|---|---|---|
| Set EDD at admission | 1 | Dr. Wandia |
| Pre-discharge billing huddle | 2 | Stephen Mwau |
| Porter dispatch tracker | 3 | Wycliff Agesa |
| Daily checklist audit | 4 | Liliam Mulinge |
| Protocol refresher CME | 5 | Naomi Mutua |
Mini-table · interventions linked to causes · required
Your first PDSA trips. The fire is still burning — that's not failure, that's the testing phase. Most teams are here longer than expected. Keep going.
What you tested, who ran it, what you predicted.
| Cycle | Change tested | Predicted |
|---|---|---|
| 1 | EDD at admission, 1 consultant | +15% EDD docs |
| 2 | Pre-discharge billing huddle | −30 min TAT |
| 3 | Daily checklist audit | +20% compliance |
Mini-table · 1–6 cycles · required
Honest is better than impressive. The data doesn't lie.
Paragraph · 50–500 chars · required
The thing you didn't expect is usually the most useful learning.
Paragraph · 50–300 chars · required
First evidence the drops are making contact. Modest improvement — keep flying.
Numbers, not adjectives. We'll plot these automatically.
| Measure | Baseline | Now |
|---|---|---|
| Discharge intimation | 76% | 85% |
| % within 120 min | 8% | 14% |
| EDD documented <24h | 9% | 32% |
Mini-table · current vs baseline · required
The drops that landed. Be specific.
Paragraph · required
Naming it here is the first step to fixing it.
Paragraph · required
The data confirms what your eyes have been seeing. Statistical evidence the process has changed.
Tick all that apply. Your coach will verify against the run chart.
Checkboxes · 1+ required · coach verifies
Current value vs target. Honest gap remaining.
| Measure | Now | Target |
|---|---|---|
| % within 120 min | 23% | 30% |
| Avg TAT | 178 min | 120 min |
Mini-table · required
Date · required
Measures meeting goal with the data behind them. The flames are down to where you wanted.
Target vs achieved on every outcome measure.
| Measure | Achieved | Target |
|---|---|---|
| % within 120 min | 32% | 30% |
| Avg TAT | 118 min | 120 min |
| EDD docs <24h | 87% | 90% |
| Inpatient CSAT | 4.1 | 4.0 |
Mini-table · outcomes only · required
Date · required
Two to three sentences. This will appear on your graduation slide.
Paragraph · 50–400 chars · required
The hummingbird went home. Others fly the patrol now. Sustain plan in place, spread beginning.
What endures, who owns it, how often it's checked, who hears the result.
| Activity | Owner | Frequency |
|---|---|---|
| Early discharge planning | Consultants | Daily round |
| Real-time TAT tracking | Section heads | Weekly |
| Pre-discharge billing huddle | Billing nurse | Daily |
| TAT + complaints review | Discharge coord. | Monthly |
Mini-table · 3–8 activities · required
Other wards or institutions ready to fly.
Paragraph · required
Date · required
What was burning now thrives. Sustained, scaled, shared. The story of how it changed everything around it.
Numbers that make institutional leadership pay attention.
| Dimension | Impact |
|---|---|
| Bed-hours recovered | ~4,800 / year |
| Patient throughput | +12% inpatient capacity |
| Discharge intimation | 76% → 85% |
| CSAT lift sustained | 3.4 → 4.1 |
Mini-table · 2–6 dimensions · required
What you'd tell the next team starting from where you started.
Repeating rows · 2–4 learnings · required
The flock keeps flying. Where does this lead?
Paragraph · required
Drafts auto-save · coach review within 48 hours · A3 auto-builds as you go
