A Hospital has again asked you to weigh in on an issue impacting them.  Since implementing their electronic registry, they have generated a Diabetes Encounter sheet for every visit of every diabetic patient.  This was causing the charts of some patients (especially "frequent fliers") to become very thick.  In order to prevent the problem of thick charts, this hospital decided to generate a Diabetes Encounter sheet only for dedicated "Diabetes Visits".  No Diabetes Encounter sheet would be generated for those patients coming in for non-diabetes-related care, unless the patient's diabetes was dealt with and then the provider would have the nurse run a Diabetes Encounter sheet before the visit was completed.  This Hospital is asking you to respond to the following questions:

 

• What does this organization need to "do" in order to follow the PDSA model?  The Hospital is looking for specific guidance.
• What does the Hospital need to study in order to follow the PDSA model? Please give specifics.
• What should the Hospital need to do during the "act" stage of the PDSA model?