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Pablo Moreno Franco 2 nd year fellow CC-IM. Practice Chief Fellow

Pablo Moreno Franco 2 nd year fellow CC-IM. Practice Chief Fellow. Intro. What is QI? Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used. Some commonly discussed include: Lean PDSA Six Sigma (DMAIC).

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Pablo Moreno Franco 2 nd year fellow CC-IM. Practice Chief Fellow

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  1. Pablo Moreno Franco 2nd year fellow CC-IM. Practice Chief Fellow

  2. Intro • What is QI? • Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used. Some commonly discussed include: • Lean • PDSA • Six Sigma (DMAIC)

  3. Lean

  4. Plan Act! DO Study

  5. Six Sigma: D M A I C

  6. QI vs QA

  7. QI in Health Care

  8. QI at Mayo

  9. By end of July By end of first year By second year

  10. QI Classes • August to November • Curt Hale and Gene Dankbar • Noon- 1 • PRN QUIZ • QRB app

  11. What will QI bring to you? • Mindfulness: • Attention to details • Accountability • Learn from defects • Connection: • Communication • Support each other • Have Qs and receptive attitude

  12. What will QI bring to you? • Excellence Fair and Just Culture • Human Error: • Inadvertent action • Console-Learn • Risky Drift: • Unrecognized/justified risk • Coach-Learn • Reckless: • Conscious Disregard/ Unjustified risk • Corrective Action - Lean

  13. What will QI bring to you? • Safety • Creates trust • Eliminates Preventable Harm • System competencies • Behavioral competencies • Transitions and Hands off

  14. What will QI bring to you? • Patient and Staff Satisfaction • Transparent • Celebrate Success • Outcomes: • Working in “crisis mode” • Quick response • Affordable Care

  15. What will QI bring to you? • Long term: • Boards • QI in you CV • QI in your day-to-day patient care • Intensivists as • Leaders and • Health Care Managers

  16. The Teams: • Each team will have 3-4 fellows • Maybe an RN or PharmD • Each team should look for a Champion • Consultant, (ie Timothy Aksamit, Kaiser Lim) • Second Year Fellow (ie John, Pablo) • Choose projects by November • Tracking on monthly bases

  17. Report to: • MICU QI Committee • CC QI panel presentations: • 3 times • The last is a competition • Poster presentations: • Mayo QI conference • National • International

  18. Step 1: Science of Quality Education Purpose To bring everyone on the unit on the same page with regard to concepts and knowledge. To highlight how they can make a difference Process

  19. Step 2: Staff Identify Defects Purpose Tap into expertise and knowledge of front-line providers Empower and engage in Quality Process Challenges

  20. Step 3: Senior Executive Partnership Purpose Connect senior management with frontline providers Address Quality issues and remove barriers for implementing improvements Process

  21. Step 4: Learning from Defects Purpose Investigate why system (s) failed and implement improvement efforts For eliminating sources of potential harm at a steady but sure pace Process

  22. Step 5: Teamwork Tools to Improve • Purpose • Practical tools to implement improvements • Enable culture conducive to quality improvement • Examples of tools

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