Figuring out the “why” to your outcomes with a Root Cause Analysis

 In Events

Webinar Registration

Wednesday, January 10, 2024
10:00am-11:00am EST

Do you ever wonder why things happen? Using a few different quality tools you can think through the “why “ things happen and identify your next steps. Whether it is people, process, policy, your culture or other factors you and your team can drill down and move forward.

The fishbone diagram is a tool to help the RCA team identify the causes and effects of an event and get to the root cause. The problem or effect is identified at the head or mouth of the fish. Contributing causes are listed on the smaller “bones” under various cause categories. A fishbone diagram can be helpful in identifying all causes for a problem. The team looks at the categories and thinks of all the factors affecting the problem or event. Use the fishbone diagram to keep the team focused on the causes of the problem, rather than the symptoms or the solutions.

We will have guests from our Quality Improvement Organization, Alliant Health Solutions (Linda Kluge, Senior Executive Director of Quality & Strategic Alliances and Melody Brown, State Manager – Georgia), and Melissa Hampton (Quality Advisor – GA, KY, TN) who will offer commentary on the usefulness of this strategy and how to incorporate it into your QI work.


Linda Kluge, Senior Executive Director of Quality & Strategic Alliances
Linda Kluge is the senior executive director of Quality & Strategic Alliances for Alliant Health Solutions. She has more than 45 years of experience in dietetics and quality management and has held supervisory, management and clinical roles for various health care providers.

Kluge joined Alliant, then known as the Georgia Medical Care Foundation, in 2003 as a quality improvement and education specialist. She has extensive experience working with nursing homes, hospitals and communities on initiatives for patient safety, care transitions and beneficiary protection.

Kluge represents Alliant on the American Health Quality Association Board of Directors. Currently, she is a national, state and local member of the Academy of Nutrition and Dietetics, a member of the National Association of Healthcare Quality and the Georgia Association for Healthcare Quality, and a member of the Southeast Association of Facilitators. She is a Certified Eden Associate.

Melody Brown, State Quality Manager – Georgia
Melody Brown is the State Quality Manager for Georgia for Alliant Health Solutions.
Melody’s healthcare career started as a Medical Technologist over 40 years ago. She later moved on to Infection Control, Quality Management, and JCAHO Coordination in a rural hospital setting.

Melody has had varied roles at Alliant Health Solutions working on the CMS contract for the Quality Innovation Network – Quality Improvement Organization (QIN – QIO). She currently serves as the State Quality Manager for Georgia. She is a Certified Eden Associate.

Melissa Hampton, Quality Advisor – GA, KY, TN
Melissa has over 20 years of health care experience as a licensed nursing home administrator (LNHA). At Alliant, she serves as a Quality Advisor for Georgia, Kentucky and Tennessee working on the CMS contract for the QIN-QIO. As the Quality Advisor she provides support on initiatives for quality improvement including root cause analysis and PDSA development. Melissa also works with Special Focus Facilities and supports nursing homes on Directed Plans Of Correction.

Jennifer Craft Morgan – Director, Gerontology Institute

Dr. Jennifer Craft Morgan is the Director of the Gerontology Institute at Georgia State University. Her research focuses on jobs and careers, attempting to understand how policy, population, workplace, and individual-level factors shape how work is experienced and how work is organized across care settings. Dr. Morgan is a national expert on recruitment, training, and retention of direct care workers.

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