Quality Improvement on the Frontline: Leveraging Virtual Workspace, Mentoring and Tutorials to Jumpstart Quality Improvement by Healthcare Providers
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Abstract
We identified a challenge facing the quality improvement movement in healthcare, which is that while frontline clinical staff had the direct insights into the problems and possible solutions to healthcare quality issues, they were too busy with their patient care duties to set aside time to develop the skills and then design and pursue projects to improve the quality of the care they were engaged in.
In response we convened an advisory panel of over 30 global experts in Quality Improvement (QI) in healthcare and designed an online workspace which combined ease of use, asynchronous working groups to accommodate busy clinical work schedules, online mentoring and instant tutorials throughout a step-by-step, Standards for Quality Improvement Reporting Excellence (SQUIRE http://squire-statement.org/) compliant workbook structure which would guide clinical workers from QI novice through a well-designed, well-documented, completed QI project. We offer one-click submission for publication in a peer-reviewed, pubmed indexed journal as extra reward for these efforts, and to begin to build a global database of clinical improvement evidence, one which will be increasingly metatagged, searchable and combined with a virtual community
We have enrolled users from five continents and have been excited to see the movement growing with close to 2000 projects undertaken from 2012 to 2014, and, importantly, have seen the improvement interventions described in published projects rapidly spreading from one region to another through this platform. We will describe an example in which an intervention involving redesign of the patient education process and written medication instructions for patients with low literacy, which was originally designed by a team in Lahore, Pakistan, was adapted for a similar but distinct purpose in Toronto, Canada and is now being revised for implementation by a group in Malawi.
The creation of an online collaborative workspace in publication, which combines tutorials and tools with the project work itself, is a model we hope will be applicable in many arenas. We will describe early exploration of this tool in a setting to organize an initiative to incorporate practical training in QI into a residency training program clinic, customization by a specialty organization to support their virtual learning collaborative seeking to increase QI activities throughout the specialty, and the potential for using this tool to underpin a multispecialty Maintenance of Certification (MOC) program in a large academic medical center across numerous clinical departments and multidisciplinary teams.
We will present the experiences of users from a wide range of settings and geographies deploying the platform in a variety of contexts as described above.
In response we convened an advisory panel of over 30 global experts in Quality Improvement (QI) in healthcare and designed an online workspace which combined ease of use, asynchronous working groups to accommodate busy clinical work schedules, online mentoring and instant tutorials throughout a step-by-step, Standards for Quality Improvement Reporting Excellence (SQUIRE http://squire-statement.org/) compliant workbook structure which would guide clinical workers from QI novice through a well-designed, well-documented, completed QI project. We offer one-click submission for publication in a peer-reviewed, pubmed indexed journal as extra reward for these efforts, and to begin to build a global database of clinical improvement evidence, one which will be increasingly metatagged, searchable and combined with a virtual community
We have enrolled users from five continents and have been excited to see the movement growing with close to 2000 projects undertaken from 2012 to 2014, and, importantly, have seen the improvement interventions described in published projects rapidly spreading from one region to another through this platform. We will describe an example in which an intervention involving redesign of the patient education process and written medication instructions for patients with low literacy, which was originally designed by a team in Lahore, Pakistan, was adapted for a similar but distinct purpose in Toronto, Canada and is now being revised for implementation by a group in Malawi.
The creation of an online collaborative workspace in publication, which combines tutorials and tools with the project work itself, is a model we hope will be applicable in many arenas. We will describe early exploration of this tool in a setting to organize an initiative to incorporate practical training in QI into a residency training program clinic, customization by a specialty organization to support their virtual learning collaborative seeking to increase QI activities throughout the specialty, and the potential for using this tool to underpin a multispecialty Maintenance of Certification (MOC) program in a large academic medical center across numerous clinical departments and multidisciplinary teams.
We will present the experiences of users from a wide range of settings and geographies deploying the platform in a variety of contexts as described above.
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