TABLE 2.

Objectives, Inputs, and Outputs of Steps in the Quality Management Improvement Approach Discussion Sessions in Rwanda

StepsObjectivesInputsOutputs
1. Define the problemUnderstand and define the problem to be solved. Establish a goal for what needs to be achieved.Something wrong or that could be improved.A clear definition of the problem and opportunity with goals to fix it.
2. Brainstorm ideasBrainstorm some of the ways to solve the problem, aiming to create a list of possible solutions to choose from.A goal, research of the problem and possible solutions, imagination.Picklist of possible solutions that would achieve the stated goal.
3. Decide on a solutionFind a solution that is effective (it will meet the goal), efficient (is affordable), and has the fewest side effects (limited consequences from implementation).Picklist of possible solutions and decision-making criteria.The decision of what solution will be implemented.
4. Implement the solutionPlan and execute the implementation, often iteratively (the focus should be on short implementation cycles with testing and feedback, not trying to get it “perfect” the first time).Decision, planning, hard work.Resolution of the problems.
5. Review the resultsReview what worked, what did not, and what impact the solution had. It also helps to improve long-term problem-solving skills.Resolutions, results of the implementation.Insights, case studies, journal articles.