Building Quality Improvement Capacity

1. Building Quality Improvement Capacity Webinar for Full Proposal for the RWJF Quality Improvement Resource Center (QIRC) November 12, 2008

2. Project Overview Background: What do we mean by QI training? What is our definition of a QI Resource Center? Why is RWJF funding this project? About the Proposals: What are we looking for?

3. A definition of QI Training Training that increases ability to : Identify good care from scientific evidence Measure current performance Assess gaps Systematically apply tools and methods to improve performance Measure resulting changes Repeat these steps until desired performance is achieved Monitor sustainability

4. RWJF QIRC Our definition of a QI Resource Center is one that : • Provides a gateway for free quality improvement resources and tools to practitioners that will include • A basic curriculum – on-line training module • Context for quality improvement • Modules on PDSA, PDCA, or rapid cycle improvement • Modules on root cause analysis and error identification • Best practices and evidence-based guidelines • Module on basic measurement concepts • An evaluation component

5. RWJF QIRC - continued • Promotes wider adoption of evidence-based practice by practitioners that results in improved quality of care and safety for patients • Coordinates and disseminates a variety of QI resources • Markets the availability of this new resource to professional associations, RWJF Scholars and Fellows, Alumni network and the Health Professions Education Consortia (HPEC), IHI fellow and other formal networks

6. Why is RWJF funding this project The QI environmental scan was commissioned to : • Identify and review current available QI training options • Assess QI training needs among health and health care professionals and identify gaps • Explore options for meeting these needs – how and where training could be provided to those who need it • Recommend approaches RWJF may use to address gaps, help spread QI skills and build competency

7. Environmental Scan Methods • Literature Search • Review of QI training programs • Key Informant Interviews – health care and public health leaders, academic and quality improvement experts • Focus groups with front line staff ( MDs, nurses, other clinical staff, public health & community workers, and QI managers)

8. QI training opportunities exist… The findings from the scan suggests that there is: • No place to find out what exists and how to get it • No place to compare experiences • No evidence showing impact • No place where a community of QI learners are virtually connected • No research showing what works

9. Frontline staff are least familiar Focus group participants : • Had no formal training in QI • Were unfamiliar with QI training resources, including IHI • Some had been exposed to one-time training ( e.g. consultants provided via their organization) • Those seeking training would research options on the Web or request advice from colleagues • Participants indicated that their organizations would pay for training if they could make a case for it.

10. Roles for RWJF Build basic knowledge of QI among health and healthcare workers Help connect learners with resources Fund the development of a web-based program Support the development of curriculum-based QI training and implementation Develop a credible, independent web-based repository of QI resources including training modules for new and advanced learners

11. Quality Improvement Training • QSEN • ABIM • ABMS • AAMC • ACT • MedEd Portal • TCAB Academic Case Studies Advanced Virtual Hospital

12. Selected questions Who is eligible to receive a grant under this program? Applicants may be universities, for-profit training firms, or nonprofit training organizations. Preference may be given to applicant organizations that are tax-exempt under section 501(c) 3 of the Internal Revenue Code. Applicants must be based in the United States or its territories. If my organization does not have 501(c)(3) status, is my organization eligible? Yes.

13. The 20 page proposal Grant Process How does the grant proposal process work? Applicant organizations should submit a proposal, budget and budget narrative. The proposal should not exceed 20 pages, and should be double-spaced in 12 point Arial font. The budget and budget narrative are not included in the 20-page limit.

14. Selection Process How will my proposal be evaluated? All proposals are reviewed for completeness and eligibility, and then sent to expert reviewers. One applicant will be recommended to RWJF by the expert panel for funding in early 2009. Please refer to the Call for Proposals for specific eligibility and selection criteria.

15. How does selection work? The selection process has five main steps: • Applicants submit proposals, budget and budget narrative to RWJF. • Staff from RWJF screens proposals for completeness and eligibility and sends proposals to an expert committee of outside reviewers. • The expert committee reviews eligible proposals. • The expert committee provides recommendations to RWJF. • The finalist is notified pending Board approval.

16. What does RWJF expect? The grantee selected to develop the QI resource center will be responsible for developing a stand-alone Web site to house the training modules described in this CFP, as well as a variety of other QI resources. They will develop both the overall architecture and technical specifications for the site. They will be guided in their work by the Foundation and an advisory board of QI training experts. The Foundation will expect you to work closely with the curriculum vendor so that the repository you develop is consistent with specifications for the overall site. The repository site grantee will be responsible for convening meetings, conference calls, etc. to facilitate coordination between all parties.

17. To be most helpful to RWJF Please use the preferred Foundation format when submitting your detailed budget Submit a timeline for implementation Submit a budget and budget narrative Submit your proposal online Submit your proposal on time

18. Questions? Proposal Process Content Other issues

19. Contact information Feel free to contact: Dr. Denise Davis, Dr P.H., M.P.A. Catherine Malone, M.B.A. All questions should be directed to email address: info@rwjf-qirc.org