HERDING CATS How we wrangled our QI curriculum

The QI Team Kathleen Johnson, RN/BSN Improvement Coach Fellow Patient Safety Officer Loni Chacon,

Who is your primary QI educator? A) B) C) D) Physician Pharmacist Registered Nurse

What is your QI educators training? a) b) c) d) e) No formal training

What is your current QI curriculum structure? A) B) C) D) Longitudinal Block Didactic

What QI Methodology Do You Use? A) B) C) D) IHI LEAN SIX SIGMA

Out of town Lunch Time! Everyone leaves How? What’s QI? On call I’m busy

OUR WHY To graduate high caliber physicians with the QI skillset necessary to joyfully

LEADERSHIP SUPPORT FACULTY DEVELOPMENT DEDICATED TIME QI CERTIFIED RN INSTRUCTOR S ISU FMR CURRICULUM

Eye Contact Asking Questions On Cell Phone Side Conversations On Computer Attendance On Cell

76% AVERAGE EYE CONTACT 16% AVERAGE ASK Questions 1 0. 9 0. 8 0.

AIM STATEMENT By December 1, 2018 the QI Team will create a robust, sustainable

How do your residents and faculty interact when it comes to QI projects? A)

How do your residents and faculty disseminate their QI projects/outcomes? A) B) C) D)

Do you have data support? A) Yes B) No C) If yes from whom

What We Learned From Our Experiment Essentials For a Relevant and Sustainable QI Curriculum:

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HERDING CATS How we wrangled our QI curriculum WWAMI Network Webinar April 3, 2019 Kelli Christensen, MD; Kathleen Johnson, RN, BSN; Loni Chacon, RN; Idaho State University Family Medicine Residency

The QI Team Kathleen Johnson, RN/BSN Improvement Coach Fellow Patient Safety Officer Loni Chacon, R. N, Clinical Research Coordinator Kelli Christensen MD, Professional Improvement Coach Patient Safety officer

Who is your primary QI educator? A) B) C) D) Physician Pharmacist Registered Nurse Other

What is your QI educators training? a) b) c) d) e) No formal training IHI Model for Improvement Lean Six Sigma Other

What is your current QI curriculum structure? A) B) C) D) Longitudinal Block Didactic Other

What QI Methodology Do You Use? A) B) C) D) IHI LEAN SIX SIGMA OTHER

Our journey

Out of town Lunch Time! Everyone leaves How? What’s QI? On call I’m busy WHY? ! Uh-uh, nope Yeah. Ok Teaching QI over the years HUH? Faculty gets QI ED! Would Love to but I got a thing Grant money for QI ed What?

START WITH WHY

OUR WHY To graduate high caliber physicians with the QI skillset necessary to joyfully improve the health care for patients, families and the communities they serve.

LEARN HOW

LEADERSHIP SUPPORT FACULTY DEVELOPMENT DEDICATED TIME QI CERTIFIED RN INSTRUCTOR S ISU FMR CURRICULUM MONTHLY DIDACTICS QI CERTIFIED PHYSICIAN CHAMPION LONGITUDINA L QI PROJECTS IHI OPEN SCHOOL

WHAT WE DO

DATA

Eye Contact Asking Questions On Cell Phone Side Conversations On Computer Attendance On Cell Phone Resident Asking Questions Attendance Resident First 10 Min Eye Contact Sleeping Side Conversations Sleeping Asking Questions Second 10 Min Third 10 Min Sleeping Side Conversations Side On Computer Conversations Sleeping Eye Contact On Cell Phone On Computer Second 10 Min Sleeping Asking Questions On Cell Phone Asking Questions Side Conversations Sleeping Asking Questions On Cell Phone On Computer Eye Contact First 10 Min Third 10 Min

76% AVERAGE EYE CONTACT 16% AVERAGE ASK Questions 1 0. 9 0. 8 0. 7 0. 6 0. 5 0. 4 0. 3 0. 2 0. 1 0 AR C H 90. 00% Increased 27% Somewhat comfortable 80. 00% M FE B N O JA N V T O C T SE P G AU JU LY How comfortable are you using QI? EYE CONTACT 70. 00% ASK QUESTIONS 60. 00% 50. 00% What is your level of QI knowledge? 40. 00% Decreased by 29% 30. 00% 70. 00% 60. 00% JUNE Decreased 62% SEPTEMBER NOVEMBER 20. 00% Increased 39% 50. 00% 40. 00% 10. 00% bl bl e e bl e rta C ry Ve t. C ha ew m So om om fo fo fo om nc tu ha ew m so le d ow kn o N Kn o al m in i M Ve ge e le dg w ea b dg le Kn ow le dg ea bl le e ry 0. 00% rta bl e rta NOVEMBER fo 10. 00% un SEPTEMBER 0. 00% m JUNE 20. 00% co 30. 00% ry By December 1, 2018 the QI Team will create a robust, sustainable QI curriculum, partnering with IHI Open School, by utilizing nonphysician faculty to facilitate a multidimensional perspective that will increase knowledge, application and engagement of the QI process by 25%. ENGAGEMENT Ve AIM STATEMENT

AIM STATEMENT By December 1, 2018 the QI Team will create a robust, sustainable QI curriculum, partnering with IHI Open School, by utilizing nonphysician faculty to facilitate a multidimensional perspective that will increase knowledge, application and engagement of the QI process by 25%. 78% Engagement Average Over 8 months 25% increase Open School Usefulness 21% average cell phone use 7% Average computer use

How do your residents and faculty interact when it comes to QI projects? A) Faculty do their own thing and Residents do their own thing B) Residents do their own thing C) Faculty and residents collaborate on projects D) Other

How do your residents and faculty disseminate their QI projects/outcomes? A) B) C) D) Local Medical community seminar Publication Regional or national presentation Other

Do you have data support? A) Yes B) No C) If yes from whom

KEEP MOVING FORWARD

What We Learned From Our Experiment Essentials For a Relevant and Sustainable QI Curriculum: QI Education Team Full-time dedicated R. N. QI educators Faculty Lead Open School Formal Training Administrative Support Resident Feedback Faculty Engagement Data Support

ANY QUESTIONS?