Model for Improvement
A simple discipline for getting clear about the aim, defining what improvement would look like, and learning quickly through small tests.
The model at a glance
What are we trying to accomplish?
Clarify and align around the aim.
How will we know that a change is an improvement?
Define what evidence would count as improvement.
What changes can we make that will result in improvement?
Choose changes worth testing.
A rhythm between thinking and doing
The Model for Improvement creates a simple rhythm between thinking and doing. The three questions help a team get clear about what it is trying to accomplish, what evidence would count as improvement, and what changes are worth trying.
PDSA turns those ideas into small tests so the team can learn before making a larger commitment.
Acting before thinking
Jumping to solutions before the team is clear about the aim or what improvement would look like.
Thinking without acting
Analyzing and refining until the test becomes too large or too slow to generate learning.
Before testing, make a prediction. After testing, compare what happened with what you expected.
Use it on a live improvement challenge
1Get the aim clear
- Can you say what you are trying to accomplish in one sentence?
- For whom? By how much? By when?
- If you accomplish this, will it matter to the organization?
2Decide what evidence is good enough
- How will you know things are actually better?
- What simple measure could tell you?
- What do you predict will happen?
- What result would surprise you or change your mind?
3Make the test smaller
- What test could we run by tomorrow—or in the next two hours?
- Could we cut it in half—and cut it in half again?
Then compare: prediction · result · learning · next test.
- What are we trying to accomplish—and will it matter?
- How would we know the situation had genuinely improved?
- What do we predict will happen—and what small test could we run by tomorrow or in the next two hours?
Use the model without turning it into paperwork
The Model for Improvement gives people a practical way to improve the work they are closest to. At every level of an organization, people can clarify the aim, decide what improvement would look like, test a small change, learn from what happens, and decide what to try next. Improvement does not have to be delegated upward or handed off to experts. It gives people permission to discover better ways of working.
Tom Nolan was known for spending substantial time asking different versions of “What are you trying to accomplish?” Leaders often described those conversations as unusually valuable, because the questioning surfaced differences in purpose before the group moved to solutions.
Source: Gerald J. Langley, Ronald D. Moen, Kevin M. Nolan, Thomas W. Nolan, Clifford L. Norman, and Lloyd P. Provost. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. San Francisco: Jossey-Bass, 2009.