"Hi everyone! Greetings from Huntington, WV! Everything is well on my end (not quite, but it's along story) and I'm trying to set myself up to do a little quality improvement work here. During the residency, I sometimes felt that DHMC wasn't conducive to improvement work, but now I realize that thingscould be worse. Barriers here abound! But then again,we all had doses of trench warfare training andadvanced diplomacy skills.
Now for my first question: I have started talking to one of the associate deans for allied health at the technical college and she's very interested inintroducing healthcare quality improvement strategies to her students. This is all exploratory, but I found myself stumped on where to begin. How do I start?Should I start with a journal club reviewing a QIarticle and deconstructing it into its parts? Should I talk about the IOM reports? Should I start with personal improvement projects?
Second, do you have any suggestions on the best way to approach the medicine residency program director to try to get him to support QI initiatives. Should I meet with him and ask him how the program is helping residents develop skills in systems-based practice?Should I ask if I can give a noon conference on QI? If he says to a noon conference, the next question is again where do I begin?
Hope to hear from you guys soon.
Hand hygiene saves lives, Mao"
please leave a comment here for all of us to read, or feel free to contact mao directly at:
jmfontanilla@yahoo.com
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2 comments:
I will try to address the second question.
While you might get some traction by suggesting some QI initiatives to the Dept of Medicine chair, perhaps it might be better to start by asking the Chair where he/she THINKS the problems lie. Then you'll have immediate buy-in. Do they measure performance, or is there a perceived shortcoming?
I'll be encountering a new environment within the next year and I plan to be dealing with many of the same issues. Of course, GI is now coming up with organizational quality measures and as practitioners we willbe expected to live up to them. Does this sort of pressure affect your department in WV? Can you use that as leverage to enact some QI initiatives?
Hi mao== good questions here-- clearly no shortage of "opportunities"- in terms of the Int Med program director- I would suspect the "systems based practice" curriculum would be desired, as that seems to be the area most program directors struggle with== in terms of the Allied Health professions Dean- I would look to emphasize the interdisciplinary nature of quality improvement work as a way to highlight the importance of QI competency in allied health professionals-- look for projects/research etc that highlights the crucial role of allied health workers in improvement of care== I think QI really empowers those who traditionally had little power in health care settings so would be well received--- good to hear from you and keep us posted=
Carolyn
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