1. QIF (formerly known as M&M) Melanie Baca, MD July 2, 2014

2. Objectives:  1. What is QIF (difference from M&M)?  2. Recognize value of QIF for our residency and hospital  3. Discuss what QIF is NOT  4. Review Components for Presentations, Goals of Project, and Resources

3. 1. What is QIF (difference from M&M)?  OPPORTUINITY to reflect on things that go awry, near misses, situation where things could have gone better  Bring a case to colleagues for high quality discussion  Case should raise questions  Resident awareness of systems issues  Identify ways to improve patient care

4. 2. Value of QIF for our residency and hospital  Think outside the box  Allow us to discuss our challenges with our peers  Promote growth  Promote Quality Improvement  Enhance patient care

5. 3. Discuss what QIF is NOT  NOT M&M, no bad outcome needed  NOT a place to blame self or others  NOT a didactic or core lecture  NOT a method for remediation or for feedback  NOT limited to FM (other specialties)  NOT a place for gossip (EVERYTHING IS CONFIDENTIAL)

6. 4. Review Components for Presentations, Goals of Project, and Resources  COMPONENTS/EXPECTATIONS: -detailed knowledge of case -a few learning objectives to educate your colleagues -some analysis of what didn’t go well -ideas on how to improve a process, clinical care etc. -have a “PROPOSAL FOR ACTION”, plan on how to implement changes (doesn’t have to be a detailed project) - Could we ALL implement this change?

7. Example 1: The American Journal of Medicine, Vol 123, No 7, July 2010

8. Examples Tools: The American Journal of Medicine, Vol 123, No 7, July 2010

9. FISHBONE The American Journal of Medicine, Vol 123, No 7, July 2010

10. Tables, Charts are available

11. Articles, Example Power Points  Don’t want to impose a specific structure on you  Articles and structured templates are on the wiki for your reference  YOU DON’T HAVE TO USE THEM  Can be creative (speakers, audio, visual, small groups…)  Be aware of timelines!!!  Email Dr. Stromberg throughout your process

12. CONCLUSIONS:  Increase residents’ awareness of health care systems  Meaning- fully contribute to institutional quality improvement initiatives  Conduct a conference q month to focus on the clinical aspect of cases and critically examine from a systems perspective  GOALS:  =Cultural change within the residency  =Less stigma or individual “shame and blame”  =TEAMWORK, COLLABERATION, PATIENT SAFETY

13. QUESTIONS/ THOUGHTS???  Are you interested in receiving feedback on your personal QIF from your peers?  What other ideas do people have?