Presentation on theme: "A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean Way Gouri Gupte PhD, School."— Presentation transcript:
1 A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean WayGouri Gupte PhD, School of Public HealthCharlene Weigel MD, Department of Medicine, Mount Auburn HospitalWinnie Suen MD, MSc, Department of Internal Medicine, Section of Geriatrics, Boston Medical Center
2 Exercise: Step 1: Please watch the video Step 2: Please arrange the index cards (steps) in chronological orderStep 2: Identify those steps that are not necessary to the process.
4 GOALS GOALS COMPETENCIES MET Improve the quality and cost-effectiveness of healthcare delivery and QI education in multiple clinical microsystems at BMCSystems-based practice- Learner will gain an appreciation of the complex system of health care and how to approach improving one piece of it.Practice-based learning and improvement- Leaner will use self-reflection of their own practice in order to use this as a way to make improvementsUse Lean methodology principles to create a Quality Improvement curriculum for interdisciplinary teams.- Learner will gain knowledge about Lean Methodology, creation of process flow chart, how to identify ways to improve a systemInterpersonal and Communication Skills- Leaner will gain skills in working with an interdisciplinary team. Combine with MPH studentsProfessionalism- Learner will be accountable to and work effectively with teams- Learners will respect the interdisciplinary staff that they will be working with to gain hands on experience in a QI projectValue of collaborative quality improvement (QI) workEngaging the learnersAllow for hands-on QI experiencesProvide real world experiences in QIPositively influencing the QI culture of Boston Medical CenterEncouraging learners to work towards understanding quality and cost-effectiveness within a resource challenged, safety-net healthcare delivery system.
5 (Clinical Knowledge)Residents at Boston Medical Center(Quality improvement consultants)Public Health Students at Boston University
9 Projects: Identified by the students Outpatient Medication ReviewImproving inpatient workflowInpatient Medication ReviewImproving team roles in Emergency response teamSeeing patients efficiently in clinicsImproving notification of when labs aren’t drawnPatient awareness of members of the inpatient team (improved patient satisfaction)Improving prerounding experienceEliminate number pagingImproving missed appointmentsImproving resident-nursing communicationDischarge appointment process
15 Challenges: For the residents TIME, TIME AND TIMEToo many systems involvedVery complex subjectResistance to change
16 Challenges: For Public Health students Lack of QI knowledge among residentsLack of awareness about systems thinking amongst residentsLack of time to work on QI projectsPriority issuesLack of urgency for the project
17 Challenges: For us No administrative support No funding support Difficult to find mentorsLack of sponsorship for the projectsLimited time line
18 Main learning points for the Residents and Students QI projects are time intensiveThere are simple, cost-effective solutions for frustrating problemsWe can change the system in a systematic way and not just whiningSmall steps can make a difference in overall process
22 A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean WayGouri Gupte PhD, School of Public Health,Charlene Weigel MD, Department of Medicine, Mount Auburn Hospital,Winnie Suen MD, MSc, Department of Internal Medicine, Section of Geriatrics, Boston Medical Center,