1. Pablo Moreno Franco 2 nd year fellow CC-IM. Practice Chief Fellow

2. Intro What is QI? Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used. Some commonly discussed include: –Lean –PDSA –Six Sigma (DMAIC)

4. Lean

6. Act! Plan DO Study

8. Six Sigma: D M A I C

10. QI vs QA

11. QI in Health Care

12. QI at Mayo

17. QI Classes August to November Curt Hale and Gene Dankbar Noon- 1 PRN QUIZ QRB app

18. What will QI bring to you? Mindfulness: –Attention to details –Accountability –Learn from defects Connection: –Communication –Support each other –Have Qs and receptive attitude

19. Excellence Fair and Just Culture –Human Error: Inadvertent action Console-Learn –Risky Drift: Unrecognized/justified risk Coach-Learn –Reckless: Conscious Disregard/ Unjustified risk Corrective Action - Lean What will QI bring to you?

20. Safety –Creates trust –Eliminates Preventable Harm System competencies Behavioral competencies –Transitions and Hands off What will QI bring to you?

21. Patient and Staff Satisfaction –Transparent –Celebrate Success Outcomes: –Working in crisis mode –Quick response Affordable Care What will QI bring to you?

22. Long term: –Boards –QI in you CV –QI in your day-to-day patient care –Intensivists as Leaders and Health Care Managers What will QI bring to you?

23. The Teams: Each team will have 3-4 fellows Maybe an RN or PharmD Each team should look for a Champion –Consultant, (ie Timothy Aksamit, Kaiser Lim) –Second Year Fellow (ie John, Pablo) Choose projects by November Tracking on monthly bases

25. Report to: MICU QI Committee CC QI panel presentations: –3 times –The last is a competition Poster presentations: –Mayo QI conference –National –International

27. Step 1: Science of Quality Education PurposePurpose –To bring everyone on the unit on the same page with regard to concepts and knowledge. –To highlight how they can make a difference ProcessProcess

28. Step 2: Staff Identify Defects PurposePurpose –Tap into expertise and knowledge of front-line providers –Empower and engage in Quality ProcessProcess ChallengesChallenges

29. Step 3: Senior Executive Partnership PurposePurpose –Connect senior management with frontline providers –Address Quality issues and remove barriers for implementing improvements ProcessProcess

30. Step 4: Learning from Defects PurposePurpose –Investigate why system (s) failed and implement improvement efforts –For eliminating sources of potential harm at a steady but sure pace ProcessProcess

31. Step 5: Teamwork Tools to Improve Purpose Practical tools to implement improvements Enable culture conducive to quality improvement Examples of tools