implementation of a multi-pronged approach to improve
TRANSCRIPT
![Page 1: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/1.jpg)
Virginia Commonwealth UniversityVCU Scholars Compass
Medical Education Symposium School of Medicine
2018
Implementation of a Multi-Pronged Approach toImprove Education in Quality Improvement (QI)and to Increase Resident Involvement in QI WorkAshlie TsengVirginia Commonwealth University
Follow this and additional works at: https://scholarscompass.vcu.edu/med_edu
Part of the Medicine and Health Sciences Commons
© The Author(s)
This Oral is brought to you for free and open access by the School of Medicine at VCU Scholars Compass. It has been accepted for inclusion in MedicalEducation Symposium by an authorized administrator of VCU Scholars Compass. For more information, please contact [email protected].
Downloaded fromhttps://scholarscompass.vcu.edu/med_edu/44
![Page 2: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/2.jpg)
Implementation+of+a+Multi/Pronged+Approach+to+Improve+Education+in+Quality+Improvement+(QI)+and+to+Increase+Resident+Involvement+in+QI+Work
ASHLIE+TSENG,+MD
TAMAR+SPRINGEL,+MD,+MSHP
SUZANNE+LAVOIE,+MD
![Page 3: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/3.jpg)
Background•2009$Review$of$Quality$Improvement$(QI)$curricula$– many$inadequately$addressed$QI$objectives,$relatively$weak$research$quality
•Many$barriers$in$residency$QI$education• Already$full$GME$curriculum,$lack$of$time• Low$attendance• Patient$care$demands• Lack$of$knowledge$about$QI$efforts$with$both$resident$and$faculty$members$• Need$for$faculty$development$on$QI• Diversity$of$residency$career$goals
![Page 4: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/4.jpg)
Background•QI#and#Patient#Safety#(PS)#! Residency#milestones#of#each#of#the#ACGME#subspecialties
•Clinical#Learning#Environment#Review#(CLER)#• Variability#in:• Approaches#and#capacities#for#addressing#patient#care#and#healthcare#quality#
• Degree#in#trainee#engagement
• Education,#training,#integration#of#faculty#members#and#program#directors#
![Page 5: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/5.jpg)
Research(Question•To#evaluate#a#multi,tiered#approach#to#QI#and#PS#training#in#a#pediatrics#residency#as#demonstrated#by#improved#resident#involvement.#
![Page 6: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/6.jpg)
Intervention•2013%2014:• Specific.resident.interest.tracts• Departmental.Pediatric.QI.Grand.Rounds
•2014%2015:• Increased.number.of.didactic.sessions• Resident.Group.Practice.Practice%Improvement.Project.– provided.individualized.practice.data
•2016%2017:• PGY%1.small.group.workshop• Brainstorm.and.develop.own.QI.project.ideas.based.on.own.personal.experiences
![Page 7: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/7.jpg)
Results'– QI'Grand'Rounds
0
5
10
15
20
25
30
35
40
45
50
2013'2014 2014'2015 2015'2016 2016'2017
Resident1Participants Number1of1Poster1Presentations Number1of1Oral1Presentations
![Page 8: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/8.jpg)
Results'– ACGME'Survey'– “Yes”
0
10
20
30
40
50
60
70
80
90
100
2012+2013 2013+2014 2014+2015 2015+2016 2016+2017
"Participated6in6QI" "Provided6data6about6practice6habits"
![Page 9: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/9.jpg)
Results•ACGME&survey&results• Reporting&at&one&point&in&time,&stage&of&project&and°ree&of&involvement• Survey&fatigue• Recall&of&receiving&performance&improvement&data,&etc.
•How&to&improve?• Be&more&explicit&in&presentation&of&information,&include&in&eCmail&communications• More&structured&didactics/requirements/deadlines&in&personalized&tracts
![Page 10: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/10.jpg)
Conclusions•Active'involvement•Residents'in'all'levels'of'training•Participate'in'high6interest'projects'within'self6designated'tracts
•Limitations:• Pediatric'residency'– single'institution• Resident'involvement
![Page 11: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/11.jpg)
Next%Steps•Demonstrate*sustained*and*continued*resident*involvement•Resident*knowledge*of*QI*and*PS*concepts•Long<term*system*and*patient*safety*outcomes
![Page 12: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/12.jpg)
References•Bagian JP,)Weiss)KB.)The)Overarching)Themes)from)the)CLER)National)Report)of)Findings)2016.)J"Grad"Med"Educ."2016;8(2)Suppl 1):21M23.•LaneMFall)M,)Davis)JJ,)Clapp)J,)Myers)JS,)Riesenberg LA.)What)Every)Graduating)Resident)Needs)to)Know)About)Quality)Improvement)and)Patient)Safety:)A)Content)Analysis)of)26)Sets)of)ACGME)Milestones.)Acad Med."2017.•Liao)JM,)Co)JP,)Kachalia A.)Providing)Educational)Content)and)Context)for)Training)the)Next)Generation)of)Physicians)in)Quality)Improvement.)Acad Med."2015;90(9):1241M1245.•Patow CA,)Karpovich K,)Riesenberg LA,)et)al.)Residents')engagement)in)quality)improvement:)a)systematic)review)of)the)literature.)Acad Med."2009;84(12):1757M1764.•Windish DM,)Reed)DA,)Boonyasai RT,)Chakraborti C,)Bass)EB.)Methodological)rigor)of)quality)improvement)curricula)for)physician)trainees:)a)systematic)review)and)recommendations)for)change.)Acad Med."2009;84(12):1677M1692.
![Page 13: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/13.jpg)
AcknowledgmentsSuzanne'Lavoie,'MDTamar'Springel,'MD,'MSHP
José'Muñoz,'MD
![Page 14: Implementation of a Multi-Pronged Approach to Improve](https://reader034.vdocuments.net/reader034/viewer/2022052313/6289c03220231e596d715068/html5/thumbnails/14.jpg)
Questions?