Faculty Supervisors:
Dr. Danielle McBrian
Description:
Patients expect and deserve high quality care, residents are interested in learning how to improve practice and care, and regulatory boards (such as ACGME) are mandating residency programs to incorporate QI/PS into curricula.
Goals and Objectives:
The goal is to prepare residents to deliver high-quality, safe, value-based care, while creating a culture of safety and instilling the principles of systems innovation, patient safety and quality improvement which they will carry forward in practice and as future leaders in neurology.
Medical Knowledge
To learn the fundamentals of patient safety and system analysis through error analysis (latent/active errors, adverse events, near misses) and systems redesign. To learn the importance of value and quality in healthcare delivery by defining and measuring quality.
To learn the core concepts in Patient Safety, including identification and reporting of medical errors and adverse events and application of evidence-based guidelines.
To learn QI methodology: SMART statements, measurement, study process, making change, using PDSA.
To learn how to practice cost-conscious neurology by understanding evidence-based guidelines on diagnostics and treatments, how to estimate approximate costs at our medical center for common tests utilized in our department, recognize cost-inefficient practices in our department, reflect on our ordering practices, critique our cost-inefficient practices and develop projects for improvement in these areas.
Patient Care
To expand implementation of patient-centered care, with a focus on improving quality, value and cost-effectiveness.
Systems-Based Practice
To identify and change systems in the ambulatory, inpatient and transitions of care settings that need improvement, development of a rational project based on these needs and the practice of completing such a project with resident colleagues in teams.
Practice-Based learning and improvement
Identify, critique and utilize the current literature on QI and PS as it relates to the practice of neurology in the inpatient and ambulatory settings and incorporate new protocols to improve our practice.
Interpersonal and communication skills
Learn necessary skills for communicating with other team members across disciplines as it relates to patient safety and quality healthcare.
Professionalism
To develop personal responsibility for delivering high-quality, cost-effective care with a priority on patient safety during residency and in future practice.
Activities/Components
Structure:
Project Development:
- AIM Statement-what expected to accomplish?
- What will this project increase or decrease
- Group or population this will affect
- Baseline (from what) and goal (to what)
- Time frame written as a date (accomplish by when and sustain for how long)
- Key Driver: causes or factors that influence aim and help focus team on specific interventions or changes (GAPS)
- Cause and effect diagrams, process maps, pareto charts
- What prevents me from achieving aim?
- What influences aim directly
- Intervention
- Specific test/action
- Change concepts, best practices
- Outcome
- Specific measures
- Targets