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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
4
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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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familymedicine.uottawa.ca
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
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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!