Capacity building for excellence in health care quality improvement
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Capacity Building for Excellence in Health Care Quality Improvement. Marlene Smadu, Vice Chair, Board of Directors Katherine Stevenson, Senior Knowledge Exchange Consultant Sinead McGartland, Knowledge Exchange Consultant Health Quality Council June 2007. Objectives.

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Capacity building for excellence in health care quality improvement

Capacity Building for Excellence in Health Care Quality Improvement

Marlene Smadu, Vice Chair, Board of Directors

Katherine Stevenson, Senior Knowledge Exchange Consultant

Sinead McGartland, Knowledge Exchange Consultant

Health Quality Council

June 2007


Objectives
Objectives Improvement

  • Present an overview of Quality Improvement and Implementation Science

    • Why, what, how

  • Discuss a vision for Saskatchewan as a Centre of Excellence in Quality Improvement

  • Discuss strengths, opportunities, challenges and priorities for realization of the vision, including best approaches to enable and embed QI training in pre-professional healthcare curricula


Lag times to best practice
Lag times to Best Practice Improvement

  • The lag between publication of landmark clinical trials and application in practice (to 50% use) is unnecessarily long, in the range of about 15 to 20 years.

    Balas and Boren, 2000


Implementing change

What are the usual methods to attempt change in practice? Improvement

Trial & error

Detailed prior study

Chaos

Paralysis

Too much action,

not enough thinking

Too much thinking,

not enough action

“Something must be done,

this is something,

therefore we must do it…”

“We can’t do anything

until we know exactly

what to do…”

“Trial and Learning” Approach

Implementing Change

versus


Act Improvement

Plan

Study

Do

Model for Improvement

What are we trying to

accomplish?

How will we know that a

change is an improvement?

What change can we make that

will result in improvement?


How will we know that change is an improvement
How will we know that change is an improvement? Improvement

Measurement

  • Outcome measures

  • Process measures

  • Balancing measures



Quality improvement is
Quality Improvement is: Improvement

  • Competency based

  • Interprofessional

  • Patient-centred

  • Systems focus

    • The health care system is people and processes working together for a common purpose

    • The vast majority of improvements in the system can be gained through improved processes and improved linkages between processes around a common purpose: the patient’s perspective on quality


The vision
The vision Improvement

“Saskatchewan is a

Centre of Excellence in Education and Research for Quality Improvement”


Strengths and opportunities
Strengths and Opportunities Improvement

  • Saskatchewan’s innovative history

  • Saskatchewan’s Health Quality Council

  • Opportunity exists to promote SK educational programs as Centres of Excellence in QI training

  • Potential for impact on:

    • Recruitment

    • Retention

  • Quality as a business case:

    • Savings through improved care, outcomes, systems and processes

  • The time is right

    • QI movement is gaining prominence with world-wide success

  • Interprofessional Education


Strategies building capacity
Strategies: Building Capacity Improvement

Continuing Education

Training Programs

  • TLQITs, Coach Approach, Workshops, Collaboratives, formal CE

    Faculty Development

    Summer Faculty Institute

    In-person training (year round)

    Health Professional Education Collaborative (HPEC)

    On-line modules

    Case development work

    Student Development

    Classroom training

    Clinical Placements

    On-line QI modules

    Case competition/Simulated QI project with IT

    Research

    Applied chair program application: CIHR

    Emerging team grant program application: CIHR


Next steps
Next Steps Improvement

  • Ongoing consultation and partnering with provincial stakeholders

  • HQC sponsoring faculty member attendance at HPEC (April)

  • PCITE funding to run 2 undergraduate courses 2007/08

  • Two Faculty Summer Institutes

    • Saskatoon: August 16 & 17

    • Regina: August 23 & 24

  • HQC Strategic Plan

  • Workplan and budget developed by fall, 2007


Contact information
Contact Information Improvement

Katherine Stevenson

Phone: 668-8810 (Ext 1107)

Email: [email protected]

Sinead McGartland

Phone: 668-8810 (Ext 143)

Email: [email protected]


Comments Improvement

and

questions


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