IM Residency Curriculum Quality Improvement and Patient Safety. Program Director s Retreat January 23, 2018
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1 IM Residency Curriculum Quality Improvement and Patient Safety Program Director s Retreat January 23, 2018
2 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
3 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
4 Goals and Objectives Prepare physicians to be leaders in the practice of safe, high quality, patient centered medicine. Foster a culture that encourages proactive reporting, analysis, and innovation. Teach key principles of patient safety, quality improvement, and delivering high value care.
5 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
6 Key Concepts Patient Safety Impact of medical error Error reporting Analysis of failures/error reduction strategies Quality Improvement Types of measures Analysis of care/metrics Improvement methods High Value Healthcare Systems and principles Value and Equity Politics and law
7 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
8 Mapping to ACGME Milestones Practice Based Learning ACGME Core Competency Developmental Milestone NM Quality Curriculum Learning and Improving via Audit of Performance Improve the quality of care for a panel of patients Analysis of Care/Metrics Types of measures Improvement methods
9 Mapping to ACGME Milestones Systems Based Practice ACGME Core Competency Developmental Milestone NM Quality Curriculum Works effectively with other care providers and settings Improving health care delivery Works effectively within - Multiple health delivery systems - An interprofessional team Recognizes system error and advocates for system improvement. Systems and principles of high value care Impact of medical error Error reporting Analysis of Failure Error reduction strategies Improvement methods Cost-effective care for patients and population Practices cost-effective care Value and equity Politics and law
10 Mapping to ACGME Milestones Interpersonal and Communication Skills ACGME Core Competency Developmental Milestone NM Quality Curriculum Communicate effectively with physicians, other health professionals and health related agencies Transitions of care Handoffs Professionalism ACGME Core Competency Developmental Milestone NM Quality Curriculum Patient Centeredness Respect the dignity, culture, beliefs, values, and opinions of the patient Value and equity
11 Mapping to ACGME CLER Goals Health Care Quality Professionalism Patient Safety CLER Duty Hours Fatigue Transitions in Care Supervision
12 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
13 Key Concepts Patient Safety Impact of medical error Error reporting Analysis of failures/error reduction strategies Quality Improvement Types of measures Analysis of care/metrics Improvement methods High Value Healthcare Systems and principles Value and Equity Politics and law
14 Overview: Patient Safety PGY1 PGY2 PGY3 IHI module PS101 &104 Handoffs SIDR backup Team training in ACLS SIDR M&M conference leader* RCA conference Nets reporting M&M conference participant
15 Overview: Patient Safety M&M RCA FMEA
16 Overview: Patient Safety M&M Patient ID process Supervision Communication with staff RCA Systems Approach Matrix Care planning process Staffing levels Communication with patient Competency/ Credentialing Availability of Info Technical support FMEA Orientation & training of staff Physical environment Equipment/Medi cation
17 Overview: Quality Improvement PGY1 PGY2 PGY3 IHI module QI 101 SIDR backup AQSI participant* DMAIC lead* Quality Committees* SIDR Quality Newsletter DMAIC participant* Metric Review
18 Overview: Quality Improvement
19 Overview: Quality Improvement Committees DOM Quality Management Committee (6) Sepsis Quality Committee (5) Sepsis Chart Abstraction Project (5) Clinical Care Evaluation Committee (4) Glycemic Control Committee (1) Peer Review Committee (1)
20 Overview: Quality Improvement Academy for Quality and Safety Improvement
21 Overview: High Value Care Value based care pic Social Determinants of Health Value Based Care
22 IM residency QI and PS curriculum Goals and Objectives Key Concepts Mapping to ACGME goals Overview Challenges
23 Challenges Relevance (Is this part of my job?) Making it interesting Communication Consistency
24 Translating our experience What are your key concepts? Relevance Case based and real when possible
25 END
26 Extra Slides
27 Key Concepts Patient Safety Quality Improvement High Value Healthcare Impact of medical error Types of measures Systems and principles (inc. handoffs and transitions of care) Error reporting Analysis of care/metrics Value and equity Analysis of failures/error reduction strategies Improvement methods Politic and law
28 Mapping to ACGME Milestones ACGME Core Competency Developmental Milestone NM Quality Curriculum Practice Based Learning Learning and Improving via Audit of Performance Improve the quality of care for a panel of patients Analysis of Care/Metrics Types of measures Improvement methods Systems Based Practice Works effectively with other care providers and settings Improving health care delivery Cost-effective care for patients and populations Interpersonal and Communication Skills Communicate effectively with physicians, other health professionals and health related agencies Professionalism Patient Centeredness Works effectively within - Multiple health delivery systems - An interprofessional team Recognizes system error and advocates for system improvement. Practices cost-effective care Transitions of care Respect the dignity, culture, beliefs, values, and opinions of the patient Systems and principles of high value care Impact of medical error Error reporting Analysis of Failure/error reduction strategies Improvement methods Value and equity Politics and law Handoffs Value and equity
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