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QIF (formerly known as M&M). Melanie Baca, MD July 2, 2014. Objectives:. 1. What is QIF (difference from M&M)? 2. Recognize value of QIF for our residency and hospital 3. Discuss what QIF is NOT 4. Review Components for Presentations, Goals of Project, and Resources.
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QIF (formerly known as M&M) Melanie Baca, MD July 2, 2014
Objectives: • 1. What is QIF (difference from M&M)? • 2. Recognize value of QIF for our residency and hospital • 3. Discuss what QIF is NOT • 4. Review Components for Presentations, Goals of Project, and Resources
1. What is QIF (difference from M&M)? • OPPORTUINITY to reflect on things that go awry, near misses, situation where things could have gone better • Bring a case to colleagues for high quality discussion • Case should raise questions • Resident awareness of systems issues • Identify ways to improve patient care
2. Value of QIF for our residency and hospital • Think outside the box • Allow us to discuss our challenges with our peers • Promote growth • Promote Quality Improvement • Enhance patient care
3. Discuss what QIF is NOT • NOT M&M, no bad outcome needed • NOT a place to blame self or others • NOT a didactic or core lecture • NOT a method for remediation or for feedback • NOT limited to FM (other specialties) • NOT a place for gossip (EVERYTHING IS CONFIDENTIAL)
4. Review Components for Presentations, Goals of Project, and Resources • COMPONENTS/EXPECTATIONS: -detailed knowledge of case -a few learning objectives to educate your colleagues -some analysis of what didn’t go well -ideas on how to improve a process, clinical care etc. -have a “PROPOSAL FOR ACTION”, plan on how to implement changes (doesn’t have to be a detailed project) -Could we ALL implement thischange?
Example 1: The American Journal of Medicine, Vol 123, No 7, July 2010
Examples Tools: The American Journal of Medicine, Vol 123, No 7, July 2010
FISHBONE The American Journal of Medicine, Vol 123, No 7, July 2010
Articles, Example Power Points • Don’t want to impose a specific structure on you • Articles and structured templates are on the wiki for your reference • YOU DON’T HAVE TO USE THEM • Can be creative (speakers, audio, visual, small groups…) • Be aware of timelines!!! • Email Dr. Stromberg throughout your process
CONCLUSIONS: • Increase residents’ awareness of health care systems • Meaning- fully contribute to institutional quality improvement initiatives • Conduct a conference q month to focus on the clinical aspect of cases and critically examine from a systems perspective • GOALS: • =Cultural change within the residency • =Less stigma or individual “shame and blame” • =TEAMWORK, COLLABERATION, PATIENT SAFETY
QUESTIONS/ THOUGHTS??? • Are you interested in receiving feedback on your personal QIF from your peers? • What other ideas do people have?