familymedicine.uottawa.ca the resident qi project: what is it & what is my role as faculty?...

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The Resident QI Project:

What is it & what is my role as faculty?

Lunch time Webinar – October 22, 2015NEED TECHNICAL SUPPORT?

Call 613-854-0949

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MAINPRO-M1• This event is an Accredited Group Learning

Activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada for  .5 credits..  This program has also been accredited by the College of Family Physicians of Canada  for up to .5  Mainpro-M1 credits.

• This program has been reviewed and approved by the University of Ottawa, Office of Continuing Professional Development.

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Disclosures

Commercial Support: Elizabeth Muggah, Ruth Dimopoulos, Tamara Fortin and Liz Jackson have nothing to disclose

Potential for conflict(s) of interest: Elizabeth Muggah, Ruth Dimopoulos, Tamara Fortin and Liz Jackson have no conflicts to declare

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Introduction FACILITATORS:

Liz Muggah, Director of QI for the DFM

Liz Jackson, Ruth Dimopoulos & Tamara FortinPrimary Care Quality Practice Facilitators for Champlain LHIN

• SUPPORT FROM: Dr Paul Hendry and Mr Bob Parsons from the Faculty Development office at the Faculty of Medicine

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TECH HELP 613-854-0949

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IPAD Dashboard

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Who is on the call?

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Learning Objectives 1. Review what is (& isn’t) Quality Improvement.

2. Outline the expectations for the resident for the Quality Improvement Project (QIP).

3. Clarify the faculty role for the QIP.

4. Explore how you can coach your resident in the first part of the QIP.

5. Share key QI resources

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QI – what it is and isn’t

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What is Quality Improvement?

Quality Improvement

Quality Assurance

Research

PURPOSE To improve To judge To discoverTESTS Small tests of

changeNo tests One large

blinded testDATA “just enough” All relevant data As much as

possible “just in case”

BIAS Stabilize bias from tests to test

Adjust to reduce bias

Control for bias

HOW TO KNOW IF CHANGE WORKED?

Repeated tests of change

No focus on change

Hypothesis testing (t-test, chi square), p-value

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QI Project• Goals

• Resident expectations

• Faculty Role

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QI Project: Resident Goals and ExpectationsPractice Audit (alone)Goal: Ask is there a “problem” in the clinic? (15-20 charts). What is the standard of care? Formerly “epearls”

Written report due: Dec 18, 2015

Practice Improvement: (groups)Goal: Explore root cause of gap, engage clinic team to understand gap, identify & plan improvement idea

Written report due: April 1, 2016

FMRSPGoal: Could implement improvementDue: March 1,2017

Practice Audit (alone)Goal: Ask is there a “problem” in the clinic? (15-20 charts). What is the standard of care? Formerly “epearls”

Written report due: Dec 18, 2015

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QI Project: Faculty Role is to help resident to…..

Practice Audit• Identify a question about

how your clinic is doing • Think about how to

assess practice• Link to their FMRSP• Read and give feedback

on report

Practice Improvement: • Explore why there is a gap• Connect with clinic team• No evaluation (this is done

by Unit QI lead)

FMRSP : Scholarly Project in QI• Supervise their FMRSP

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Practice Audit reportDue Dec 18, 2015

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Supervisor Feedback FormDue Dec 18, 2015

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Questions?

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QI Project and Faculty Coaching…

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Task 1: Coach your Resident to Identify the QI Problem

Faculty:Let’s talk about your QI project.Resident:

Ok…I’ve got a great idea!

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Resident:I would like to implement a patient “HIV toolkit” in your practice.

Faculty: How might that might work?

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WAIT!!! DOES THIS SOUND FAMILIAR?

What would you do next? Type your answer into the CHAT BOX

A. Congratulate resident on an excellent idea and tell them to get started on implementation.

B. Ask for more details to see if this matches with the QI project goal.

C. Think that the resident may be off track but you are not sure what to do next.

D. Do something else (type in what you would do)

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Faculty:Let’s try the 5W 2H tool.

Resident: Well I haven’t really got that far...

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Let’s Investigate a Bit…

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Stay tuned for the next episode:What the practice audit told us.....

Faculty: Maybe we need to audit my practice to find out more.

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Now let’s reflect…

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WANT TO KNOW MORE about the QIP and your role as faculty? • Resident webpage, DFM Curriculum page

• Liz Muggah – QI Director for DFM

• QI UNIT LEADS Bruyere – Courtney MaskerinePrimrose – Sharon JohnstonCivic/Riverside – Vanessa MurleyCommunity – Ed/David or associated Academic Unit leadPembroke – Todd GauthierMontfort – Manon Denis-LeblancWinchester – all faculty

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WANT TO KNOW MORE About QI Tools & Ideas?

Health Quality Ontario Institute for Healthcare Improvement (IHI)

Mike Evans’ IHI video on QI (8 minutes)

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“A significant impact on how I view workplace issues. Practice Facilitators bring a wealth of background QI knowledge.”~ Dr. A.F. Program Alumni

www.PracticeExcellence.ca 613-820-4922 ext 3395

Support for primary care practices to improve :o practice processeso patient experienceo provider and staff experienceo patient outcomes

WANT TO KNOW MORE about supporting QI in your practice?

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Feedback – what did you think?

Would you recommend the webinar to a colleague?

With your “pen” indicate from 0 (no) to 10 (absolutely!)

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Feedback – please help us help you!• Did this work for you? Should we do it again?

• What are your learning needs in QI?

A short survey will be sent to you by email after this webinar or click the link in chat now

https://www.surveymonkey.com/r/QI_Resident_Webinar2015

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ReferencesHealth Quality Ontario – Primary Care resources:

http://qualitycompass.hqontario.ca/

Institute for Health Care Improvement:http://www.ihi.org/education/ihiopenschool/Pages/default.aspx

Mike Evans QI Video: http://www.ihi.org/resources/pages/audioandvideo/mikeevansvideoqihealthcare.aspx

5W2H: www.hqontario.ca/Portals/0/documents/qi/.../pc-5w2h-method-en.docx

Practice Facilitation in Primary Care:Baskerville BN, Liddy C, Hogg W. Systematic review and meta analysis of practice facilitation within primary care settings. Ann Fam Med 2012;10(1):63-74. Available at: www.annfammed.org/content/10/1/63.full

How to find the QI resources

Click anywhere on the wheel

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Click the “Other” folder

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FMRSP resources in this folder

QI resources in this folder

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Thank-you!