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Quality Improvement

Every housestaff participates in the Quality Improvement (QI) curriculum during their second year. Residents complete online modules and apply principles learned to QI projects that align with residency, departmental, or institutional goals, opening the door for meaningful deliverables. Some project work time is provided during the Ambulatory Medicine week; the Department of Medicine Director of Quality Improvement and the Chief Resident for Quality Improvement provide guidance with these projects. The QI model is based on LEAN principles and the Institute for Healthcare Improvement (IHI) Model for Improvement. Projects culminate with a poster presentation at the end of the second year.

QI Integrated Curriculum

 

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Didactics and Workshops

  • Formulating AIM Statements
  • Outcome, Process and Balancing Measures
  • PDSA Cycle Implementation
  • Root Cause Analysis
  • Run Chart Analysis

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QI Project Development + Implementation

In the PGY-2 year, residents learn and apply basic principles of Lean and the Institute for Healthcare Improvement (IHI) Model for Improvement—a coveted skill set amongst leading post-residency employers.  Teaching is delivered via a flipped classroom format using online modules that are then applied to ongoing projects, completed with the assistance of stakeholders.

Here is a sampling of recent QI projects.

  • Improving naltrexone prescription for alcohol use disorder during hospital discharge
  • Creating a workflow by which refill requests from outside pharmacies are reliably addressed
  • Reducing the rate of patient no-shows to the Next Day Clinic