Introduction: The Accreditation Council for Graduate Medical Education (ACGME) requires quality improvement and patient safety (QIPS) education for trainees, and faculty development in QIPS for residencies. We describe the process of co-developing and executing a group quality improvement project in the Department of Pediatrics to meet these requirements.
Materials/methods: Over the course of four Resident School lectures and several continuity clinic interactions, residents are being provided with an introduction to quality improvement topics and tools, including the Model for Improvement, Key Driver diagrams, Cause and Effect Diagrams, PDSA cycles and run charts, and are actively engaging with applying QI concepts by co-designing and executing a group QI project. To incentivize participation, the project will be IRB approved, to allow for faculty and residents to publish and present the results, and Maintenance of Certification (MOC) credits will be offered for interested faculty and residents that actively participate in the project.
Results: The first two Resident School lectures were delivered on October 24, 2019 and December 19, 2019. In that time frame, faculty and residents completed several planning activities for the group QI project. This included: co-identifying a project topic, aim and measures; co-identifying change ideas based on completion of Key Driver and Cause and Effect Diagrams; and co-planning PDSA cycles. The aim of the project is to improve overall resident satisfaction with the pediatric patient discharge process at UNMH from an average rating score of 4.8 on a scale of 10 to an average score of 6 by May 2020. Change ideas include: developing standard language for depart summaries; translating those summaries into Spanish; and working on issues related to medication reconciliation, access to the discharge summary, Powerchart upgrades, appointment scheduling and multidisciplinary collaboration. The first two change ideas are prioritized for the first set of PDSA cycles. Faculty and residents are having discussions with other involved stakeholders, including nurses, interpreters, and health literacy staff, in planning for PDSA cycles. Project launch is planned for February 2020. The IRB application is under review, and the MOC effort has been approved. Several involved faculty and residents plan to apply for MOC credits.
Conclusions: Co-development and execution of a group QI project has thus far effectively engaged residents and faculty in the Department of Pediatrics in meeting ACGME requirements.
Fath, Kelsey; Lanier Lopez; Anjali Subbaswamy; Alfonso Belmonte; Rebecca Craig; Adam Cross; Anna Duran; Maria Heubeck; Stephen Lunderman; and Elizabeth Yakes Jimenez. "Co-development and execution of a group QI project to meet ACGME QIPS requirements in the Department of Pediatrics." (2020). https://digitalrepository.unm.edu/hsc_qips/34