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Welcome to the Department of Medicine's Quality Improvement Program. Below is the outline of the various tasks that you will be guided through as you learn more about QI. We have included a project timeline checklist for you to use to help keep your QI project on track during the next year. Specific "milestones" serve as smaller checkpoints to help keep you on track. Remember, this timeline contains suggested target dates. Your project is self-paced and should be flexible to accommodate your schedule!
Note: You will receive links to each module at checkpoints throughout the program.
Module I: Identifying the Quality Gap (In-Person Meeting)
The fellows in your division meet with the course directors and your faculty mentors to provide an overview of the curriculum. During this meeting, the difference between QI and research will be discussed. Additionally, we will determine how to identify a quality gap in your practice and brainstorm a list of perceived problems that you might choose to address for your unique project. After the meeting, you will choose to work either individually or as a team before submitting a project proposal. You can expect feedback from the course directors on your proposal to help focus and guide your QI project.
Assignment: Project Proposal
Module II: Is There a Problem?
You and/or your team will complete a fishbone diagram and a process map to identify the factors leading to the quality gap or problem you perceive. You will learn what makes an effective quality measure, and select the best measure for your project. You will apply this measure to the clinical problem to obtain baseline data which will help you determine whether that problem indeed exists. You will then submit this data. Along the way, information about HIPAA and IRB as it applies to QI will be reviewed.
This module consists of Part A and Part B.
Assignment:
Part A: Fishbone Diagram, Process Map, Determining a Measure
Part B: Baseline Measured Data
Module III: How Can We Intervene for Improvement?
You will learn how to develop an intervention, including factors that make systematic changes sustainable. You will implement the a plan in an attempt positively impact the care provided in our healthcare system.
Assignment: Description of the planned intervention
Module IV: Re-measure to Test Impact
You will re-measure your data after you have made the changes developed through your intervention. You will learn how to analyze this data to determine if the intervention has had an effect on the delivery of care in the health care system. You will have the opportunity to share your results with the rest of the DOM through a poster session in Spring/Summer and/or consider publication.
Assignment: Report the post-intervention data, create a poster for the Quality Improvement Symposium, Fill in the conclusion survey for the program
*Each module has at least one feedback checkpoint that must be submitted before receiving access to the next module. These checkpoints will provide you with feedback from a member of the QI team. The feedback you receive at each checkpoint will include a link for accessing the next module or module segment.
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