Pablo Moreno Franco 2 nd year fellow CCIM

Pablo Moreno Franco 2 nd year fellow CC-IM. Practice Chief Fellow

Intro • What is QI? • Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used. Some commonly discussed include: – Lean – PDSA – Six Sigma (DMAIC)

Lean

Act! Plan Study DO

Six Sigma: D M A I C

QI vs QA

QI in Health Care

QI at Mayo

QI Classes • • • August to November Curt Hale and Gene Dankbar Noon- 1 PRN QUIZ QRB app

What will QI bring to you? • Mindfulness: – Attention to details – Accountability – Learn from defects • Connection: – Communication – Support each other – Have Qs and receptive attitude

What will QI bring to you? • Excellence Fair and Just Culture – Human Error: • Inadvertent action • Console-Learn – Risky Drift: • Unrecognized/justified risk • Coach-Learn – Reckless: • Conscious Disregard/ Unjustified risk • Corrective Action - Lean

What will QI bring to you? • Safety – Creates trust – Eliminates Preventable Harm • System competencies • Behavioral competencies – Transitions and Hands off

What will QI bring to you? • Patient and Staff Satisfaction – Transparent – Celebrate Success • Outcomes: – Working in “crisis mode” – Quick response • Affordable Care

What will QI bring to you? • Long term: – Boards – QI in you CV – QI in your day-to-day patient care – Intensivists as • Leaders and • Health Care Managers

The Teams: • Each team will have 3 -4 fellows • Maybe an RN or Pharm. D • Each team should look for a Champion – Consultant, (ie Timothy Aksamit, Kaiser Lim) – Second Year Fellow (ie John, Pablo) • Choose projects by November • Tracking on monthly bases

Report to: • MICU QI Committee • CC QI panel presentations: – 3 times – The last is a competition • Poster presentations: – Mayo QI conference – National – International

Step 1: Science of Quality Education • Purpose – To bring everyone on the unit on the same page with regard to concepts and knowledge. – To highlight how they can make a difference • Process

Step 2: Staff Identify Defects • Purpose – Tap into expertise and knowledge of front-line providers – Empower and engage in Quality • Process • Challenges

Step 3: Senior Executive Partnership • Purpose – Connect senior management with frontline providers – Address Quality issues and remove barriers for implementing improvements • Process

Step 4: Learning from Defects • Purpose – Investigate why system (s) failed and implement improvement efforts – For eliminating sources of potential harm at a steady but sure pace • Process

Step 5: Teamwork Tools to Improve • Purpose • Practical tools to implement improvements • Enable culture conducive to quality improvement • Examples of tools