ihi open school global chapter webinar: strengthening your ... os... · ihi open school global...

Download IHI Open School Global Chapter Webinar: Strengthening Your ... OS... · IHI Open School Global Chapter

Post on 05-Aug-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

  • IHI Open School Global Chapter Webinar: Strengthening Your QI KnowledgeDon Goldmann, MD

    Faheem Ahmed, MD

    Kirsty McNeil

    October 24, 2016

  • WebEx Quick Reference

    Welcome to todays session!

    Please use chat to All

    Participants for questions

    For technology issues only,

    please chat to Host

    WebEx Technical Support:

    866-569-3239

    Dial-in Info: Communicate /

    Join Teleconference (in

    menu)

    Raise your hand

    Select Chat recipient

    Enter Text

  • Type into the chat box:

    Select All Participants as the recipient

    1. Name

    2. Chapter Name

    (University/Organization)

    3. How long have you been involved with

    your Chapter?

    4. Are you a new Chapter?

    5. What are you hoping to learn on

    todays call?

    Select Chat recipient

    Enter Text

  • Todays Agenda

    Welcome and Introductions

    IHI Open School Overview

    Tips for getting your Chapter involved in QI work

    Back to the Basics: How to apply QI

    Questions/Discussion

    IHI Open School Announcements

  • Introductions Facilitators and Presenters

    Kirsty McNeil, UK & Ireland

    Regional Leader

    uk.ie.ihi.openschool@gmail.com

    Gina Deitz, Community

    Manager, IHI Open School

    openschool@ihi.org

    Faheem Ahmed, UK & Ireland

    Regional Leader

    uk.ie.ihi.openschool@gmail.com

    mailto:uk.ie.ihi.openschool@gmail.commailto:openschool@ihi.orgmailto:uk.ie.ihi.openschool@gmail.com

  • Introductions Facilitators and Presenters

    Don Goldmann, MD

    Chief Scientific and Medical Officer, IHI

  • Open School

  • IHI Open School MissionAdvance health care improvement and patient safety

    competencies in the next generation of health professionals worldwide.

  • 32+ online courses developed by world-

    renowned experts in the following topics:

    Improvement Capability

    Patient Safety

    Person- and Family-Centered Care

    Triple Aim for Populations

    Leadership

    Set of GME courses

    More than 2.9 million courses completed

    More than 400,000 learners have completed a

    course

    More than 94,000 learners have earned the

    Certificate

    More than 1,000 universities and health care

    organizations using the courses

    IHI Open School Courses

    https://itunes.apple.com/us/app/ihi-open-school/id554686393?mt=8https://itunes.apple.com/us/app/ihi-open-school/id554686393?mt=8https://play.google.com/store/apps/details?id=org.ihi.openschoolmobilehttps://play.google.com/store/apps/details?id=org.ihi.openschoolmobile

  • 3 Levels of Learning

    100-level courses:

    Introductory concepts for all health care audiences

    200-level courses:

    Intermediate concepts and specialized topic areas

    300-level courses:

    Project-based learning

  • Basic Certificate in Quality & Safety

    94,000+ Certificates earned

    Formal recognition for participation

    Proves commitment to employers

    Required by many university & GME faculty

    Requires completion of 13 courses

  • IHI Open School Video Library

  • IHI Open School Community

    Over 50% of our

    Chapters are

    interprofessional

    450,000+ students

    and residents

    registered

    More than 820

    Chapters in 85

    countries

    Allied Health Professionals

    Business

    Dentistry

    Engineering

    Healthcare Administration

    Health Informatics

    Health Policy

    Health ScienceLaw

    Medicine

    Midwifery

    Nursing

    Occupational Therapy

    Pharmacy

    Physical Therapy

    Physician Assistant

    Public Health Social Work

  • www.ihi.org/OpenSchool

    Host events at their

    organization or with other

    Chapters in their region

    Conduct quality

    improvement projects

    Participate in national

    campaign efforts

    Facilitate activities/learning

    exercises

    Participate in educational

    reform

  • Project-Based Learning

    I-CAN: Leadership & Organizing Quality Improvement Practicum

  • IHI Open School

    Quality Improvement Practicum

    Learner(s) complete required courses

    Learner(s) identify local faculty, health system sponsor(s), and project

    Learner(s) create: charter, cause and effect diagram, 2 PDSA cycles, run charts, summary

    Learner(s) complete project

    IHI approves and awards Practicum Certificate of Completion

    17

  • I-CAN: Leadership & Organizing

    8-week semi-synchronous online course: 30-45 minutes of video lectures a

    week

    60-minute group coaching calls

    1-3 hours of application a week

    Participants learn and apply leadership practices

    in field-based projects to

    improve health

  • Tips for getting your Chapter involved in Quality Improvement work in your local setting

    Team

    Planning

    Skills

    Support

    Projects

  • Projects Identify potential projects in your area

    Are there projects already set up that your Chapter can get involved in?

    Have the teams within your local setting identified any potential projects?

  • Construct a QI team

    Identify members for your QI team Get buy-in Students as change agents

    Team

  • Plan your QI project carefully

    Set clear aims, objectives and measures Set SMART goals: Specific, Measurable,

    Achievable, Realistic and Timely

    Planning

  • Ensure Chapter members know who they can go to for support

    Chapter Leaders/ Faculty/ Regional leaders/ Other Chapters

    Share your experience to help support and learn from others

    Support

  • Ensure members of your Chapter have the skills to carry out their own QI projects

    Online IHI Open School modules Chapter workshops Teach

    Skills

  • Practical, Scientific Methods for Improving Health, Healthcare, and Your Life

    Don Goldmann, MD

    Chief Medical and Scientific Officer

    Institute for Healthcare Improvement

    Clinical Professor of Pediatrics

    Harvard Medical School

    @DAGoldmann

    dgoldmann@ihi.org

    October 24, 2016

    IHI Open School Global Chapter Call

  • My Personal Take on the Science of

    Improvement

    Scientific regardless of name: Science of improvement

    Health care delivery science

    Implementation science

    Systems strengthening

    Systems engineering

    Scientific methods include Model for Improvement promulgated by IHI

    Lean

    Six Sigma

    Lean Six Sigma DMAIC (Design, Measure, Analyze, Improve and Control)

    Value stream maps

    And it can be explained in under 7 minutes, so here goes!

  • The Model for Improvement Simplified

    APPRECIATION OF A SYSTEM

    PSYCHOLOGY

    UNDERSTANDINGVARIATION

    THEORY OFKNOWLEDGE

    Deming 1900-1993

    System of Profound

    Knowledge

    What are we trying toaccomplish?

    How will we know that achange is an improvement?

    What change can we make thatwill result in improvement?

    Model for Improvement

    PlanAct

    DoStudy

    Langley et al

    1997

    The Model for

    Improvement

  • In Summary

    Specify a clear, measurable aim and state when you hope to achieve it (how much by when)

    Understand the system in which you are trying to reach your goal precisely where it can fail, where there is inefficiency and waste, and where it needs to be improved and monitored

    Be clear about the expected (predicted) impact of the changes you are testing on the outcomes you want to achieve

    Be clear about your implementation plan and the expected outputs of your planned activities

    Learn continuously from testing (experimentation) to determine if the changes you predict will lead to improvement actually do lead to improvement

    Use data to track improvement over time to see if you actually are getting closer to achieving your aim

    Understand how to change human behavior (for example, through behavioral economics)

  • Why Research Scientists and Academics

    Should be Comfortable With These Methods

    My ten years working with a PhD scientist to develop a staph vaccine..

    Mice, PDSAs, and laboratory culture

  • Personal Journey

  • Personal Improvement Projects

    Sometimes the system needs major change, not tinkering

    Watching the tele A nightmare without end

    PDSA tests made simple how to grow cucumbers

  • Personal Improvement Projects

    Sometimes the system needs major change, not tinkering

    Watching the tele

    PDSA tests made simple how to grow cucumbers Aerobic exercise at the gym

    20 minutes on the elliptical and level 10 at least two times per

    week

    balancing measure completion of free weights and machine

    routine

  • Be Clear about Cause and Effect

    We must have a theory, or prediction, that the change(s) we are testing and implementing will have a impact on

    the outcome we are trying to improve

    Driver diagrams are very useful in displaying your theory of cause and effect

  • Cause-Effect Driver Diagram

    Primary

    DriversOutcome

    Secondary

    Drivers

    Process

    Changes

    Aim: An

    improved

    system

    P. Driver

    S. Driver 1Change 1

    P. Driver

    S. Driver 2

    S. Driver 3

    S. Driver 1

    S. Driver 2

    Change 2

    Change 3

Recommended

View more >