Quality Improvement Projects Factors in Success Kristen Hood

Quality Improvement Projects: Factors in Success Kristen Hood Watson, MD; Vanessa Diaz, MD; Alec Chessman, MD; Lisa Mims, MD; Alec De. Castro, MD Medical University of South Carolina (MUSC)

Disclosures • No financial relationships or conflicts of interest to report

Objectives • Describe methods for evaluating quality improvement projects • Identify factors that may influence the caliber of the project • Utilize findings of this project to assist students in developing a successful quality improvement project

QI Background • Required component of clerkship • Encouraged to pick topic with preceptor • Students may continue prior project

QI Grading

Methods • 1 st: Evaluation of projects – 163 projects reviewed by 5 evaluators • 2 nd: Preceptor surveys distributed

QIKAT-R • 9 point dichotomous scale • Assesses aims, measures, change • High intra- and interrater reliability

QIKAT-R Singh MK, Ogrin G, Cox KR, et al. The Quality Improvement Knowledge Application Tool Revised (QIKAT-R). Acad Med. 2014; 89(10): 1386 -91.

Quality Score

QI Project Variables Other. Provider 3% Survey 6% Provider/ Staff Education 7% Patient Education 38% Screening Tool 13% Systems Change 14% Patient Survey 19%

Project Variables • Products • Interprofessional • Ongoing/Individual

Project Variables

Preceptor Variables

Preceptor Data 30 25 Strongly Disagree 20 Disagree 15 Neutral Agree 10 Strongly Agree 5 0 improved practice staff enjoy adequate resources

Preceptor Data 30 25 20 All Most 15 Some 10 None 5 0 projects in practice

Preceptor Data 35 30 25 Most Important 20 2 nd 15 3 rd 4 th 10 Least Important 5 0 importance of interprofessionalism

Preceptor Feedback • Students continue to…carry on or add to projects already started • Send samples of other QI projects • All the students in a year agree on one project • Continuity of the project • Too little time • Must be relative and proactive • Longer preceptor terms

Conclusions • Interprofessional projects are rated more highly • Preceptors value the idea of continuity

Future Directions • Analyze preceptor data • Look into other project variables • Provide further guidance to students

Questions

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