HERDING CATS How we wrangled our QI curriculum

1. HERDING CATS How we wrangled our QI curriculum WWAMI Network Webinar April 3, 2019 Kelli Christensen, MD; Kathleen Johnson, RN, BSN; Loni Chacon, RN; Idaho State University Family Medicine Residency

2. The QI Team Kathleen Johnson, RN/BSN Improvement Coach Fellow Patient Safety Officer Loni Chacon, R.N, Clinical Research Coordinator Kelli Christensen MD, Professional Improvement Coach Patient Safety officer

3. Who is your primary QI educator? • A) Physician • B) Pharmacist • C) Registered Nurse • D) Other

4. What is your QI educators training? • No formal training • IHI Model for Improvement • Lean • Six Sigma • Other

5. What is your current QI curriculum structure? Longitudinal Block Didactic Other

6. What QI Methodology Do You Use? IHI LEAN SIX SIGMA OTHER

7. Our journey

8. Lunch Time! Everyone leaves How? Out of town What’s QI? On call Yeah. Ok Teaching QI over the years I’m busy HUH? Would Love to but I got a thing WHY?! Faculty gets QI ED! Grant money for QI ed Uh-uh, nope What?

11. START WITH WHY

12. OUR WHY To graduate high caliber physicians with the QI skillset necessary to joyfully improve the health care for patients, families and the communities they serve.

13. LEARN HOW

15. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

16. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

17. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

18. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

19. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

20. QI CERTIFIED RN INSTRUCTORS LEADERSHIP SUPPORT QI CERTIFIED PHYSICIAN CHAMPION ISU FMR CURRICULUM LONGITUDINAL QI PROJECTS FACULTY DEVELOPMENT IHI OPEN SCHOOL DEDICATED TIME MONTHLY DIDACTICS

21. WHAT WE DO

25. DATA DATA

27. AIM STATEMENT By December 1, 2018 the QI Team will create a robust, sustainable QI curriculum, partnering with IHI Open School, by utilizing non-physician faculty to facilitate a multidimensional perspective that will increase knowledge,application and engagement of the QI process by 25%. 76% AVERAGE EYE CONTACT 16% AVERAGE ASK Questions Increased 39%

28. AIM STATEMENT By December 1, 2018 the QI Team will create a robust, sustainable QI curriculum, partnering with IHI Open School, by utilizing non-physician faculty to facilitate a multidimensional perspective that will increase knowledge, application and engagement of the QI process by 25%. 78% Engagement Average Over 8 months 25% increase Open School Usefulness 21% average cell phone use 7% Average computer use

31. How do your residents and faculty interact when it comes to QI projects? Faculty do their own thing and Residents do their own thing Residents do their own thing Faculty and residents collaborate on projects Other

32. How do your residents and faculty disseminate their QI projects/outcomes? Local Medical community seminar Publication Regional or national presentation Other

33. Do you have data support? Yes No If yes from whom

34. KEEP MOVING FORWARD

35. What We Learned From Our Experiment • Essentials For a Relevant and Sustainable QI Curriculum: • QI Education Team • Full-time dedicated R.N.QI educators • Faculty Lead • Open School • Formal Training • Administrative Support • Resident Feedback • Faculty Engagement • Data Support

36. ANY QUESTIONS?