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A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: Th

A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean Way. Gouri Gupte PhD, School of Public Health Charlene Weigel MD, Department of Medicine, Mount Auburn Hospital

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A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: Th

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  1. A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean Way • Gouri Gupte PhD, School of Public Health • Charlene Weigel MD, Department of Medicine, Mount Auburn Hospital • Winnie Suen MD, MSc, Department of Internal Medicine, Section of Geriatrics, Boston Medical Center

  2. Exercise: • Step 1: Please watch the video • Step 2: Please arrange the index cards (steps) in chronological order • Step 2: Identify those steps that are not necessary to the process.

  3. GOALS

  4. Schedule

  5. Session 1: Intro to QI at BMC

  6. Session1 cont’d: 4 pods x4 groups = 16 projects

  7. Projects: Identified by the students • Outpatient Medication Review • Inpatient Medication Review • Seeing patients efficiently in clinics • Patient awareness of members of the inpatient team (improved patient satisfaction) • Eliminate number paging • Improving resident-nursing communication • Improving inpatient workflow • Improving team roles in Emergency response team • Improving notification of when labs aren’t drawn • Improving prerounding experience • Improving missed appointments • Discharge appointment process

  8. Session 2: Process Mapping

  9. Session 2: Process Mapping

  10. Session 3 & 4 • Session 3: Identifying Wastes and Inefficiencies • Session 4: Presentations, Recommendations, Judges/Prizes

  11. Challenges: For the residents • TIME, TIME AND TIME • Too many systems involved • Very complex subject • Resistance to change

  12. Challenges: For Public Health students • Lack of QI knowledge among residents • Lack of awareness about systems thinking amongst residents • Lack of time to work on QI projects • Priority issues • Lack of urgency for the project

  13. Challenges: For us • No administrative support • No funding support • Difficult to find mentors • Lack of sponsorship for the projects • Limited time line

  14. Main learning points for the Residents and Students • QI projects are time intensive • There are simple, cost-effective solutions for frustrating problems • We can change the system in a systematic way and not just whining • Small steps can make a difference in overall process

  15. Final presentation • http://www.youtube.com/watch?v=bqKMeetS_lc

  16. Next Steps… • Further implementation and expansion of current curriculum • Collaboration with other schools and students • More mentors • Longer duration program • Taking the show on the road

  17. Questions? • Resources: • http://sph.bu.edu/otlt/gouri_check/lean

  18. A Collaborative Quality Improvement Curriculum for Internal Medicine Residents and Masters of Public Health Students: The Lean Way • GouriGuptePhD, School of Public Health, gourig@bu.edu • Charlene WeigelMD, Department of Medicine, Mount Auburn Hospital, charlene.weigel@gmail.com • Winnie SuenMD, MSc, Department of Internal Medicine, Section of Geriatrics, Boston Medical Center, winnie.suen@bmc.org

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