Quality Improvement

1) Hone in on an area of focus

• Use stakeholder interviews to help select an area of focus with potential for impact and support (continue to do stakeholder interviews in all steps) 

  • • Brief how-to guide for stakeholder interviews

• Conduct background literature search for context about benchmarking and best thinking in the field around this area of focus

• Obtain baseline data

• Craft your SMART(IE) AIM/GOAL 

  • • 2-minute video describing a SMART aim:  https://www.youtube.com/watch?v=0Mi9_XEXQqc

    • Worksheet on making a SMART aim: Smart Aim Statement Worksheet 

2) Understand and Describe your CURRENT STATE 

• Use various tools such as Process Maps/Flowcharts, Fishbone (aka Ishikawa) Diagrams, Key Driver Diagram 

  • • Example of a flowchart/process map used for a quality improvement project in a family planning clinic

• Avoid jumping to conclusions about interventions during this step

3) Decide on and try out different interventions using PDSA cycles 

• PLAN: Use change concepts to brainstorm ideas for interventions, decide what data you will need to collect 

• DO: Select a start date and institute you intervention. gather your data

• STUDY: Analyze your data, add to your RUN CHART

  • • How to create a Run Chart; Run Chart Template 

• ACT:  Decide if you will Adopt, Adapt or Abandon this intervention 

IHI (Institute for Healthcare Improvement) Modules

• Register Here

  • Make sure you configure your IHI Profile correctly in order to have access to the Open School Modules

  • The critical step is setting your Primary Role to Resident / Intern and your organization to New York Presbyterian or some variant thereof. 

• Open School: complete modules 101-105 by end of the first year, complete full IHI basic certification by end of second year

  • http://app.ihi.org/lms/onlinelearning.aspx 

  • The Open School’s Basic Certificate in Quality and Safety comprises 13 essential courses, indicated with an asterisk(*) in the online learning tab

• The Open School’s Basic Certificate in Quality and Safety comprises 13 essential courses, indicated with an asterisk(*) in the online learning tab