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Understanding the Difference between PDCA and FOCUS PDCA

Writer: Keivan HeidariKeivan Heidari

PDCA, or Plan-Do-Check-Act, is an iterative approach for improving processes through problem examination, data gathering, procedure enhancement, and continuous evaluation. If unsuccessful, the process is repeated.


The FOCUS PDCA methodology is a comprehensive strategy tailored to the healthcare industry. It expands the traditional PDCA approach by integrating preparatory steps called FOCUS before starting the cycle.


The elements of FOCUS PDCA consist of:

Find a process to improve: Sometimes, the problem is straightforward and can be identified using various process tools, such as value stream maps, Pareto Diagrams, or control charts.

Organize a team: The team should comprise process executors, customers, suppliers, and experts in specific areas.

Clarify the current state of the process or problem: Collect data objectively using the 6W approach to understand the process clearly.

Understand the problem: After gathering data, analyze process variation to determine the root cause of the issue.

Select a strategy for improvement: You can begin developing suggestions for enhancement by utilizing brainstorming and other solutions-generating tools.

Plan: Under the standard PDCA methodology, the Plan phase involves identifying the issue and formulating a resolution. In FOCUS PDCA, this task is carried out during the Select phase. The Plan stage in FOCUS PDCA is the initial phase of preparing and executing the proposed solution.

Do: Collect data to evaluate the current process before making changes. Then, adjust as needed by executing the plan.

Check: Assess the impact of your modifications by analyzing actual outcomes compared to expected results. If desired outcomes are not achieved, revisit earlier stages or start fresh.

Act: Just like Control in the DMAIC process, it is essential to establish measures to "sustain the improvement."


Benefits of FOCUS PDCA:

  • Comprehensive

  • Simple

  • Provide a structure

  • Promotes involvement

  • Helps understand your procedure

  • Keeps concentration


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