Te4Q Educational Project Review

Project Title: Engaging contemplative faculty in continuous process improvement

Participant Names: Sumant Ranji, MD; Jeffrey Tabas, MD; Shonul Jain, MD; Lorriana Leard, MD; Lee-May Chen, MD

Goal/Aim• Develop a brief, targeted faculty development

curriculum targeting clinical faculty who have minimal to no prior experience with quality improvement and patient safety

• Encourage broad faculty participation in continuous process improvement activities

• Identify a group of faculty interested in becoming CPI champions and educators

• Align the training goals of the medical center and the School of Medicine

MasterExpertProficient

E D U C A T I O N

P A T I E N T C A R E

Clinical faculty – Clinic/Unit leaders – Unit-based leadership teams – QI/Patient Safety leadership

Teaching faculty – CMC lead faculty – Clerkship directors – GME directors – Faculty developers

Our model recognizes that there is, and should be, overlap between teaching systems skills and applying such skills to patient care

Model for proficiency in systems skills

Foundational training in core CPI domains

Integrate with institutional training initiatives

Identify targets for further CPI development activities

Inspire all staff to

participate in CPI

CPI 101 goals

Learning Objectives

Specific learning objectives for curriculum:

• Define the Model for Improvement using Plan/Do/See/Act cycles

• Identify the local resources available for QI – i.e. who can provide data and who can develop/implement a QI project

• Identify an activity in your clinical environment that would like to improve and describe how you could improve the performance of that activity

Educational Design and Strategies• Series of 5 educational modules

• Brief: 10-12 minutes each• Topics covered:

• “Why CPI” and introduction to Lean• Introduction to Quality Improvement• Patient Safety• The Patient Experience• Finance and Cost

• Partnering with UCSF Educational Technology office to use novel instructional methods

Learner Assessment• Measure prior knowledge/attitudes toward CPI

through brief embedded survey

• Curriculum uptake will be measured through video data analytics

• Post-curriculum evaluation through qualitative approach (focus groups)

Program Evaluation• Process evaluation

• Rollout / buy-in of clinical divisions• Number of faculty who complete curriculum• Qualitative perceptions of curriculum

effectiveness

• Outcome evaluation• Faculty participation in CPI activities (ie, Lean

events)• Faculty interest in further QI/PS training (ie,

UCSF Teach for Quality certificate)

Summary of progress to date• Agreement with UCSF Educational Technology

division to develop modules

• Contract with outside video production company to develop visually appealing, inspirational introductory video

• Development of specific learning objectives and draft content for first 3 modules

• Initial planning and preparation work for module completion and rollout

• Will be incorporated into CMC pilot in 2015

• Cooperative effort between SOM and Medical Center

Barriers/challenges

• Dissemination / rollout• Will need to have buy-in from SOM

department/divisional leadership• Top-down rollout could impair engagement

• Targeting broad range of learners• Te4Qfaculty• Medical centerall staff

Next steps/timeline• Plan to implement first 2 modules in July/August

• Remaining 3 modules to be completed and disseminated by fall/winter 2015

• Ultimate goal is to include modules as part of orientation for all medical center staff (including non-clinical staff) – timeline TBD

• Evaluation pan needs to be finalized

Dissemination Plan and Additional Activities

• Discussions ongoing regarding open dissemination of modules (ie, YouTube, social media)

• Will share our experience with engaging contemplative faculty at regional and national meetings

• Integration with overall UCSF Te4Q faculty development plan (ie, does this stimulate interest in career development in QI/PS education)