Service Delivery

Disciplined decision making in an interdisciplinary environment: some implications for clinical applications of statistical process control.

Hantula (1995) · Journal of applied behavior analysis 1995
★ The Verdict

Add control-chart rules to your graphs so interdisciplinary teams act on trends, not on daily noise.

✓ Read this if BCBAs who lead team meetings or manage service delivery across disciplines.
✗ Skip if Practitioners looking for direct client intervention tactics.

01Research in Context

01

What this study did

Lyons (1995) wrote a think-piece, not an experiment.

The paper asks: can factory-style control charts help ABA teams decide when to change a program?

It maps out rule-based lines you draw on a graph: if data cross the line, the team acts.

02

What they found

The author argues that visual analysis alone lets daily ups and downs steer the bus.

Control charts add fixed, contingency-controlled rules so teams act only on real trends.

03

How this fits with other research

Johnson et al. (1994) set the stage one year earlier. They pulled W. Edwards Deming’s Plan-Do-Check-Act cycle into ABA and showed BCBAs already think like quality engineers.

Powell et al. (2020) pick up the baton twenty-five years later. They bolt modern PDSA cycles and control charts onto all seven dimensions of ABA, turning the 1995 idea into a full practice model.

Bacon et al. (1998) seem to push back. They say inferential statistics—control charts included—are overkill; your eyes are enough. The clash is only skin-deep: L et al. target p-values in single-case research, while Lyons (1995) targets daily service decisions where rules protect against human bias.

04

Why it matters

If you run team meetings, you can stop arguing over every blip. Plot your key data on a simple control chart, agree on the action lines, and let the rules call the next move. You save time, reduce escalation of commitment, and give doctors, teachers, and parents one clear picture.

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→ Action — try this Monday

Pick one client target, draw a control chart line at ±2 standard deviations, and agree the team will change the program only after two points cross it.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

This paper explores some of the implications the statistical process control (SPC) methodology described by Pfadt and Wheeler (1995) may have for analyzing more complex performances and contingencies in human services or health care environments at an organizational level. Service delivery usually occurs in an organizational system that is characterized by functional structures, high levels of professionalism, subunit optimization, and organizational suboptimization. By providing a standard set of criteria and decision rules, SPC may provide a common interface for data-based decision making, may bring decision making under the control of the contigencies that are established by these rules rather than the immediate contingencies of data fluctuation, and may attenuate escalation of failing treatments. SPC is culturally consistent with behavior analysis, sharing an emphasis on data-based decisions, measurement over time, and graphic analysis of data, as well as a systemic view of organizations.

Journal of applied behavior analysis, 1995 · doi:10.1901/jaba.1995.28-371