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House Staff Quality Improvement Council (HSQIC)

House Staff Quality Improvement Council (HSQIC). Bringing QI and patient safety to residency and fellowship. What is HSQIC?. Multi-disciplinary group of house staff (residents and fellows) at BIDMC interested in QI and patient safety

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House Staff Quality Improvement Council (HSQIC)

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  1. House Staff Quality Improvement Council (HSQIC) Bringing QI and patient safety to residency and fellowship

  2. What is HSQIC? • Multi-disciplinary group of house staff (residents and fellows) at BIDMC interested in QI and patient safety • Representatives from Anesthesiology, OB/GYN, ED, Psychiatry, Pathology, Surgery, Medicine, Podiatry, Geriatrics, GI, Heme/Onc, Neurology, Radiology, Infectious Disease, Cardiology

  3. What are the goals of HSQIC? Facilitate resident-generated quality improvement (QI) and patient safety (PS) projects Provide resident input on Hospital QI/PS initiatives Serve as a confidential forum for house staff QI and PS concerns Deliver a QI/PS educational curriculum Mentor house staff interested in QI and PS

  4. Axis 2: Resident development The “HSQIC Diamond” • QI Education • Regular learning topics and presentations • HousestaffOutput • “Bottom up” • Housestaff have ideas or concerns for • administration Housestaff Input “Top down” - Administration needs housestaff for projects Axis 1: Patient care and safety HSQIC • Career Development • Mentorship

  5. What does HSQIC do? • Resident-generated projects • HSQIC members play lead role in QI/PS projects of their own making • Hospital-generated projects • HSQIC members work on QI/PS projects coming from hospital administration that involve house staff • Consults • HSQIC serves as a forum for advice and making connections on QI/PS projects generated by house staff or the administration • Recently consulted for IS on how a future electronic inpatient documentation system could work best for residents • Forum for QI/PS concerns • House staff can speak to HSQIC representative about QI/PS concerns confidentially (an ACGME requirement BIDMC was not previously meeting!) • Educational curriculum • Regular teaching topics on QI and PS • Mentorship • Facilitate academic projects, connections to QI mentors, LOR’s for involved members

  6. What are current projects? • Reporting adverse events • Do house staff know how to do it? Can rates be improved? Goal is to assess current resident knowledge on the subject, make an educational intervention, and follow rates of reporting afterwards • Resource Utilization and reducing paper waste • BIDMC uses 9 million pages of paper a month. This project explores the potential for double-sided printing for some documents. • Farr 7 re-design • Farr 7 may become an observation unit for patients admitted to “obs”. We are helping design what that may look like: preserving the educational experience and remaining patient centered while trying to increase patient throughput • Other requests are coming in fast…!

  7. What is the HSQIC educational curriculum? • BIDMC operations 101 • How to do a root cause analysis • Working IRB issues for QI and QA • Patient safety • Cognitive error • Malpractice • Patient disclosure • Metrics and measuring • Leading change • LEAN • Other topics to be added per interest (let us know if you want something)

  8. What is the structure of HSQIC? Chair: David Lucier; Vice-chair: Andy Hale Faculty Mentor: Anjala Tess 1+ representative from each residency/fellowship department Representatives from each department act as the voice of that department at HSQIC, and the voice of HSQIC among that department Yearly nomination process of succession

  9. What does the Hospital think? “Buy in” from high levels at BIDMC Support from Ken Sands, VP of Health Care Quality Support from Office of Graduate Medical Education (GME): Carrie Tibbles Faculty mentor Anjala Tess: national expert in QI We are filling necessary ACGME requirements and thus are in a good position to make connections to appropriate faculty and ensure longevity of HSQIC

  10. Has this been done before? • Yes. We may be the 5th such council in the US. • Cornell started the 1st in 2008 and has seen success on several projects, with several publications • Our council is unique in terms of the: • Educational curriculum • Mentorship • “bottom-up” and “top-down” approach • Availability for consults

  11. How can I get involved? • Join the HSQIC! • Email Dave Lucier, Andrew Hale, and your current departmental representative (see last slide) • Take on a QI / PS project and bring it to HSQIC • Keep track of HSQIC emails for updates on future meetings, projects, and the QI educational curriculum • Email HSQIC with QI or PS concerns • Type in “HSQIC” and name-check in Outlook email to get the core listserve

  12. Current HSQIC representatives

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