Milestone 15: Practice builds QI capability in the practice and empowers staff to innovate and improve.

Goal: Practice has developed QI capability within the practice and empowers staff/ providers to participate in QI activities by allocating time for QI activities, including QI within defined job duties, recognizing and rewarding innovation and improvement.

Strategies

  • Include the transformation agenda and QI skills in new staff/provider orientation
  • Train all staff in how to act on data: how to interpret graphs and where to go and what do with the information to continue, accelerate or initiate improvement
  • Include involvement in QI as part of individual job expectations and job descriptions
  • Hire for fit with the organizational quality culture through effective pre-employment screening
  • Align the organization’s QI plan with its strategic, operational, and business plans
  • Track progress toward goals at each site (if applicable) and individual provider level
  • Make inclusion of the patient/ family voice an element of every QI initiative
  • Train all staff in quality improvement methods
  • Integrate practice change/quality improvement into staff duties
  • Engage all staff in identifying and testing practices changes
  • Designate regular team meetings to review data and plan improvement cycles
  • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff
  • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families
  • Develop an education model to teach use of PDSAs, lean, sigma, etc.
  • Use informal champions in each role to align language of quality
  • Engage patients and families in improvement via patient and family advisory councils (PFACs)
  • Recruit and train families to develop PDSA and root cause analysis skills
  • Include concept of partnering with patients and families in position descriptions and performance evaluations
  • Regular meetings of site leaders and individual care teams to review data, celebrate success, identify opportunities, and develop improvement plan
  • Recognize and share best practices
  • Train staff in TeamStEPPS or other approach to enhance teamwork skills

What our enrolled practices are doing:

  • Held a Retreat for all staff to attend to introduce and develop QI capability.

Resources

Training Checklist.docx