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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
  • 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
  • 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?

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

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Act

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?

Measurement

  • Outcome measures
  • Process measures
  • Balancing measures
quality improvement is
Quality Improvement is:
  • 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

“Saskatchewan is a

Centre of Excellence in Education and Research for Quality Improvement”

strengths and opportunities
Strengths and Opportunities
  • 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

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
  • 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

Katherine Stevenson

Phone: 668-8810 (Ext 1107)

Email: kstevenson@hqc.sk.ca

Sinead McGartland

Phone: 668-8810 (Ext 143)

Email: smcgartland@hqc.sk.ca

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