QUALITY IMPROVEMENT PROJECTS INTERPROFESSIONAL QUALITY IMPROVEMENT PROJECTS Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org Introductory Seminar Facilitators Introduce themselves

ICEBREAKER – 10 MINUTES Name, profession, previous location… Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org ICEBREAKER – 10 MINUTES Name, profession, previous location… Favorite movie (as of late)/Hobby? Previous QI work? Trainees introduce themselves using an icebreaker activity

DISCUSSION QUESTIONS What is Quality Improvement (QI)? Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org DISCUSSION QUESTIONS What is Quality Improvement (QI)? What is the difference between QI and research? What is the value in measuring quality? Who is required to learn QI techniques? Use these questions to gauge the trainee's understanding of how QI and research defer. In our experience trainees conflate research and QI and need multiple reminders that they are not being asked to complete a research project with their team.

SYSTEM-BASED APPROACHES Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org SYSTEM-BASED APPROACHES “Every system is perfectly designed to get the results it gets.” Paul Batalden. Top down: guidelines & evidence based approaches, pay for performance or mandates Bottom up: interprofessional teams of stakeholders, working to improve “clinical microsystems” Top down – refers to QI projects that come from mandates that are outside f the front line clinical staff Bottom up – refers to QI projects that come from the front lines We suggest that the trainees consider both as they are developing their project and what they would like to work on in their team. Also, highlight how once they are practicing providers, they may experience being asked to be a part of a QI team due to either top down or bottom up approaches.

RESEARCH VS QUALITY IMPROVEMENT Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org RESEARCH VS QUALITY IMPROVEMENT QI Is The “Democratization” of Research Opposite of large, single intervention w/ rigorous controls (that may or may not be repeatable) Local, iterative approach to problem, with clear aim, measures, ideas (interventionssssSSSS) and quick cycles of evaluation prior to implementation As much about understanding existing system as it is about changing it Less hypothesis driven, more value driven. Further differentiation between QI and research.

YOUR PROFESSION CARES! Nurse Practitioner Internal Medicine Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org YOUR PROFESSION CARES! Nurse Practitioner Internal Medicine Pharmacy Residency Psychology “Systematically analyze practice using quality improvement methods, measures, and process” “Implement and assess impact of changes with foal of practice improvement” “Recognizes system error and advocates for system improvement” “Uses continuous quality improvement principles to assess change.” “Effectively uses information technology to track patient outcomes and provides a means for program evaluation” “Awareness of and participation in developing and measuring Quality Improvement standards in PC” We provide quotes from the accreditation requirements or competencies for the procession that we train so that they are aware that their profession cares. Change this to fit your group of trainees.

EXPECTATIONS Part 1: Four 1-hr seminars/workshop Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org EXPECTATIONS Part 1: Four 1-hr seminars/workshop Part 2: Interprofessional Quality Improvement Teams Pick topic by *** (earlier the better!) 2 Works in Progress Presentations (WiPs) December/January & March Grand Rounds Presentation June Peer/Mentor Evaluation Mid-year & end of year Meetings! Schedule & attend! We provide the trainees with an overview of their expectations. As much as we can, we fill in the dates above – it will change depending on your program and overall schedule.

Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org iQIP TOPIC REVIEW Each year, we provide the trainees with their list of QI topics to pick from

Boise VAMC Center of Excellence in Primary Care Education http://www.boisevacoe.org COMING SOON… We end with a primer that the next meetings will be workshop based and will be Zombie themed.