Engaging the Next Generation of Health Professionals in Improving Care for Patients

21st Annual National Forum on Quality Improvement in Health Care

December 9, 2009

Our Objectives

1. Introduce the IHI Open School for Health ProfessionsProfessions

2. Identify ways you can help your local IHI Open School Chapter—and how it can help you

About IHI

• Who we are─ We are a reliable source of energy knowledge and support for aWe are a reliable source of energy, knowledge, and support for a

never-ending campaign to improve health care worldwide.

• What we will accomplish─ We will improve the lives of patients, the health of communities,

and the joy of the health care workforce.

• What we will become─ We will be a recognized and generous leader, a trustworthy

partner, and the first place to turn for expertise, help, and encouragement.

IHI & the IHI Open School

Institute for HealthcareInstitute for Healthcare Improvement

IHI Open School

Andy Jacaruso, Project AssistantCarly Strang, Project Manager

Deepa Ranganathan, Content ManagerGreg Ogrinc, MD, MS, Faculty and Network Advisor

Jane Roessner, PhD, WriterJane Roessner, PhD, WriterJill Duncan, RN, MS, MPH, Director

Jon Finkelstein, MD, MPH, Senior Academic AdvisorPenny Carver, MEd, Senior Vice PresidentShannon Mills, MHS, Community Manager

Why the IHI Open School?Why the IHI Open School?

A survey of students taught us...

• 33% receive information about quality improvement in their current school curriculumimprovement in their current school curriculum

• 78% express interest in gaining these skills

• 85% believe QI skills would be important to future employers

• 91% see QI as important to their personal effectiveness

Source: IHI student survey, 2008

“Advance health care improvement

Our Mission

Advance health care improvement and patient safety competencies in the next generation of health

professionals worldwide.”

What does the IHI Open School do?

The IHI Open School

Curriculum Content

Experiential Learning

Social LearningNetworks

CurriculumCurriculum Content

Experiential Learning

Social Networks

Curriculum and Content

─Online courses─Case studies─Audio recordings─Videos─Recommended readingRecommended reading─Contests

Curriculum Content

Experiential Learning

Social Networks

IHI Open School Chapters

Curriculum Content

Experiential Learning

Social Networks

Experiential Learning

• Projects initiated by students

• Projects initiated by faculty

• Projects initiated by the IHI Open• Projects initiated by the IHI Open School team

Macy Initiative

• Retooling for Quality and Safety• Nursing and medical studentsNursing and medical students• Health system• 6 sites

Coming Soon - Content• New courses and resources:

• Patient- and family-centered care • Teamwork and communication• Population health• Operations management

• Advanced courses in safety and improvement

• Certificate of CompletionCertificate of Completion

• Continuing education credits

Coming Soon - Community• Graduate Medical Education (GME) network• Faculty developmentFaculty development• Results of mentor hospital test• 2010 International Forum student events

Faculty: What’s in it for you?

• Free teaching materials to complement your courses

• Eager students who want your advice• Opportunities to network and share best

practices with like-minded facultyRecognition for scholarly contributions• Recognition for scholarly contributions

Health professionals: What’s in it for you?

• Ready-made learning materials for f i l d l tprofessional development

• Students who want to help improve your organization—for free

• A fresh group of health professionals trained in quality improvementtrained in quality improvement methodology

Thank you to our generous donors

The Rx Foundation

The Kaiser Permanente Community Benefit

The John D. and Catherine T. MacArthur Foundation

The Josiah Macy, Jr. Foundation

The Robert Wood Johnson Foundation…and many individual donors too numerous to mention:

http://www.ihi.org/IHI/Programs/IHIOpenSchool/IHIOpenSchoolFundraising.htm

Featured ChaptersUniversity of Michigan, Ann Arbor, MI

Duke University Durham NCDuke University, Durham, NC

University of Dundee, Dundee, Scotland

Mayo Clinic-Jacksonville, Jacksonville, FL

University of MichiganEva Luo, Amy Silverstein, Dr. AkkeNeel Talsma

Presentation to the 21st Annual National Forumon Quality Improvement in Health Care

December 9, 2009

Our ChapterEDUCATION COLLABORATION IMPROVEMENT

[COMING SOON: insert pie chart of chapter composition & size]

Other characteristics:• Previous experience• Student interests/demands

[COMING SOON: insert pie chart of chapter composition & size]

• Connect with local organizations─ MPRO

Chapter Activities

─ MPRO─ University of Michigan Health

System• Hands-on improvement projects

─ MI-STAAR Project─ Transitions Ticket to Ride─ Discharge Simulation Project─ Needs assessment, local clinics

• Monthly guest speakers─ Discussions and case studies

• Evaluate existing resources on campusId tif t d t d d / d

Future Activities

• Identify student demands/needs• Write case studies• Challenges • Goals and next steps

Questions?• Eva Luo, Medical Student,

eva m luo@gmail comeva.m.luo@gmail.com

• Amy Silverstein, Public Health Student, absilv@umich.edu

Akk N l T l PhD RN A i t t P f• AkkeNeel Talsma, PhD, RN, Assistant Professor School of Nursing, antalsma@umich.edu

Thank you!

Empowering Student Leaders Empowering Student Leaders in Patient Safety and Quality 

Improvement

YiDing Yu  Amelia Walling  YiDing Yu, Amelia Walling, Karen Frush, BSN MD

Duke University

Who We Are:

• Multidisciplinary student representation, 60+ students60 stude ts

•Medicine•Nursing•Public Policy 

•Public Health•Business•Law

•Medical Informatics

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Monthly Guest Speaker Series:Connecting students with mentors

Kshitij Mistry, MD MSc, Victor J. Dzau,MD,Kshitij Mistry, MD MSc, Pediatric Cardiac Intensive Care

Victor J. Dzau, MD, Chancellor of Health Affairs

Bill Burton, Director of Performance Services

Ed Buckley, MD, Vice Dean of Medical Education

Laura Maynard, Administrative Director Patient Safety Office

Jeff Ferranti, MD MS, Associate Chief Information Officer, DUHSSafety Office DUHS

Dori Sullivan, PhD RN, Associate Dean, School of Nursing

David Needham, PhDProfessor of Mechanical Engineering and Material Science

Page 34

“Hands­On” Student­Oriented Projects• Curriculum Reform – School of Medicine

RCA Medication Safet TeamSTEPPS orkshops– RCA, Medication Safety, TeamSTEPPS workshops

– Three 2‐hour “Health Care Team Visit” sessions with non‐MD professionals

• Implementation of the WHO Surgical Checklist– Data monitoring and reporting

• Durham Chamber of Commerce• Durham Chamber of Commerce– Focus Group Surveys; Cost Modeling; Cost‐Benefit Analysis

• Interprofessional Working Group35

Page 36

Recognized Student Leadership• MDConnector Competition Finalist – Second Place

• Presentation to the Duke Board of Visitors– Enthusiastic support from Chancellor Victor J. Dzau and senior leadership

Looking Ahead:• January 2010: North Carolina IHI Open School Regional Conference with UNC, NC State U, Wake gForest

• Duke Interdisciplinary Case Conference

• Ongoing Curriculum Reform 

Page 37

“From Ritual and Rivalry to Roles and Respect”“From Ritual and Rivalry to Roles and Respect”

Dundee IHI Open School Chapter

Thomas Johnston and Liam Shields

Dundee ChapterThe Origin of the Dundee Chapter

Dundee Chapter

September 2008

Medicine Nursing ComputingDentistry

Dundee Chapter

Global AimPromote teaching and assessment in QI and PS

AIM – Promote inter-professional student learningin QI and PS

IHI at the School of Nursing

New patient safetyFirst UK IHI Open School Congress

IHI Open School

Nursing sub-chapterNew patient safety

moduleg

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Continued IP development Students in all years

School Forum

Check out our posters for more details

Interprofessional Education

Ideas• Interprofessional education• Chaotic environment exercise

H d h iIdeas

Will

• Hand hygiene• MDT meeting• Doctor and nurse as teacher

• Timetabling commitment• Shared learning outcomes• Overcoming rivalry and hierarchy• Communication network

Execution • From projects to a shared curriculum• IHI Open School courses• WHO curriculum guide

Check out our posters for more details

Students can make a difference

But we need to be educated in QI and PSBut we need to be educated in QI and PS

IHI Open School helps to fill this gap

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As a health care professional, what can you do to help us?

Mayo Clinic Florida

Chapter Leaders: Ramone Cancino, MDKatie Bietenholz, MD

Faculty Advisor: Perry S. Bechtle, DOPresentation to the 21st Annual IHI National Forum

on Quality Improvement in Health Care

Story

Our Chapter

• Started in the Department of AnesthesiologyAnesthesiology

• Slowly involving other departments• Staff, Residents, SRNA’s, CRNA’s, and

Pharmacy students• We meet monthly (appx) usually around• We meet monthly (appx) usually around

conference calls

What Mayo Clinic Florida has done since October 2008:

• Conference Calls, Webex

• 1st Open School Congress in Cambridge, MA1st Open School Congress in Cambridge, MA

• Interdisciplinary Patient Safety and Improvement Journal Club

• Mandatory Resident Safety Training

• My “Starbucks Pledge” has gone to over 400 staff, nurses, id d lli d h l h ff

CP1344729-46

residents and allied health staff

• “Sister” Site in Mombasa, Kenya

• IHI Open School Team at the National Breast Cancer Marathon Feb 2010

Anesthesia Resident Requirements• Feb 2009: All anesthesiology residents required to take all 3

Patient Safety Courses

• May 2009: Letter to all incoming anesthesiology residents: take all 3 Patient safety courses before you arrive in July

• Sep 2009: All anesthesiology residents must have all 3 QI courses completed

S 2009 R id S C l d (P )

CP1344729-47

• Sep 2009: Resident Survey Completed (Poster)

• Oct 2009: MCR Conference Call

• Dec 2009: Leadership course must be completed

Join Us

Vi it b itVisit our website: www.ihi.org/openschool

Email the IHI Open School team: h l@ihiopenschool@ihi.org