Engaging the Next Generation of Health Professionals in Improving Care for Patients
21st Annual National Forum on Quality Improvement in Health Care
December 9, 2009
Our Objectives
1. Introduce the IHI Open School for Health ProfessionsProfessions
2. Identify ways you can help your local IHI Open School Chapter—and how it can help you
About IHI
• Who we are─ We are a reliable source of energy knowledge and support for aWe are a reliable source of energy, knowledge, and support for a
never-ending campaign to improve health care worldwide.
• What we will accomplish─ We will improve the lives of patients, the health of communities,
and the joy of the health care workforce.
• What we will become─ We will be a recognized and generous leader, a trustworthy
partner, and the first place to turn for expertise, help, and encouragement.
IHI & the IHI Open School
Institute for HealthcareInstitute for Healthcare Improvement
IHI Open School
Andy Jacaruso, Project AssistantCarly Strang, Project Manager
Deepa Ranganathan, Content ManagerGreg Ogrinc, MD, MS, Faculty and Network Advisor
Jane Roessner, PhD, WriterJane Roessner, PhD, WriterJill Duncan, RN, MS, MPH, Director
Jon Finkelstein, MD, MPH, Senior Academic AdvisorPenny Carver, MEd, Senior Vice PresidentShannon Mills, MHS, Community Manager
Why the IHI Open School?Why the IHI Open School?
A survey of students taught us...
• 33% receive information about quality improvement in their current school curriculumimprovement in their current school curriculum
• 78% express interest in gaining these skills
• 85% believe QI skills would be important to future employers
• 91% see QI as important to their personal effectiveness
Source: IHI student survey, 2008
“Advance health care improvement
Our Mission
Advance health care improvement and patient safety competencies in the next generation of health
professionals worldwide.”
What does the IHI Open School do?
The IHI Open School
Curriculum Content
Experiential Learning
Social LearningNetworks
CurriculumCurriculum Content
Experiential Learning
Social Networks
Curriculum and Content
─Online courses─Case studies─Audio recordings─Videos─Recommended readingRecommended reading─Contests
Curriculum Content
Experiential Learning
Social Networks
IHI Open School Chapters
Curriculum Content
Experiential Learning
Social Networks
Experiential Learning
• Projects initiated by students
• Projects initiated by faculty
• Projects initiated by the IHI Open• Projects initiated by the IHI Open School team
Macy Initiative
• Retooling for Quality and Safety• Nursing and medical studentsNursing and medical students• Health system• 6 sites
Coming Soon - Content• New courses and resources:
• Patient- and family-centered care • Teamwork and communication• Population health• Operations management
• Advanced courses in safety and improvement
• Certificate of CompletionCertificate of Completion
• Continuing education credits
Coming Soon - Community• Graduate Medical Education (GME) network• Faculty developmentFaculty development• Results of mentor hospital test• 2010 International Forum student events
Faculty: What’s in it for you?
• Free teaching materials to complement your courses
• Eager students who want your advice• Opportunities to network and share best
practices with like-minded facultyRecognition for scholarly contributions• Recognition for scholarly contributions
Health professionals: What’s in it for you?
• Ready-made learning materials for f i l d l tprofessional development
• Students who want to help improve your organization—for free
• A fresh group of health professionals trained in quality improvementtrained in quality improvement methodology
Thank you to our generous donors
The Rx Foundation
The Kaiser Permanente Community Benefit
The John D. and Catherine T. MacArthur Foundation
The Josiah Macy, Jr. Foundation
The Robert Wood Johnson Foundation…and many individual donors too numerous to mention:
http://www.ihi.org/IHI/Programs/IHIOpenSchool/IHIOpenSchoolFundraising.htm
Featured ChaptersUniversity of Michigan, Ann Arbor, MI
Duke University Durham NCDuke University, Durham, NC
University of Dundee, Dundee, Scotland
Mayo Clinic-Jacksonville, Jacksonville, FL
University of MichiganEva Luo, Amy Silverstein, Dr. AkkeNeel Talsma
Presentation to the 21st Annual National Forumon Quality Improvement in Health Care
December 9, 2009
Our ChapterEDUCATION COLLABORATION IMPROVEMENT
[COMING SOON: insert pie chart of chapter composition & size]
Other characteristics:• Previous experience• Student interests/demands
[COMING SOON: insert pie chart of chapter composition & size]
• Connect with local organizations─ MPRO
Chapter Activities
─ MPRO─ University of Michigan Health
System• Hands-on improvement projects
─ MI-STAAR Project─ Transitions Ticket to Ride─ Discharge Simulation Project─ Needs assessment, local clinics
• Monthly guest speakers─ Discussions and case studies
• Evaluate existing resources on campusId tif t d t d d / d
Future Activities
• Identify student demands/needs• Write case studies• Challenges • Goals and next steps
Questions?• Eva Luo, Medical Student,
eva m luo@gmail [email protected]
• Amy Silverstein, Public Health Student, [email protected]
Akk N l T l PhD RN A i t t P f• AkkeNeel Talsma, PhD, RN, Assistant Professor School of Nursing, [email protected]
Thank you!
Empowering Student Leaders Empowering Student Leaders in Patient Safety and Quality
Improvement
YiDing Yu Amelia Walling YiDing Yu, Amelia Walling, Karen Frush, BSN MD
Duke University
Who We Are:
• Multidisciplinary student representation, 60+ students60 stude ts
•Medicine•Nursing•Public Policy
•Public Health•Business•Law
•Medical Informatics
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Monthly Guest Speaker Series:Connecting students with mentors
Kshitij Mistry, MD MSc, Victor J. Dzau,MD,Kshitij Mistry, MD MSc, Pediatric Cardiac Intensive Care
Victor J. Dzau, MD, Chancellor of Health Affairs
Bill Burton, Director of Performance Services
Ed Buckley, MD, Vice Dean of Medical Education
Laura Maynard, Administrative Director Patient Safety Office
Jeff Ferranti, MD MS, Associate Chief Information Officer, DUHSSafety Office DUHS
Dori Sullivan, PhD RN, Associate Dean, School of Nursing
David Needham, PhDProfessor of Mechanical Engineering and Material Science
Page 34
“HandsOn” StudentOriented Projects• Curriculum Reform – School of Medicine
RCA Medication Safet TeamSTEPPS orkshops– RCA, Medication Safety, TeamSTEPPS workshops
– Three 2‐hour “Health Care Team Visit” sessions with non‐MD professionals
• Implementation of the WHO Surgical Checklist– Data monitoring and reporting
• Durham Chamber of Commerce• Durham Chamber of Commerce– Focus Group Surveys; Cost Modeling; Cost‐Benefit Analysis
• Interprofessional Working Group35
Page 36
Recognized Student Leadership• MDConnector Competition Finalist – Second Place
• Presentation to the Duke Board of Visitors– Enthusiastic support from Chancellor Victor J. Dzau and senior leadership
Looking Ahead:• January 2010: North Carolina IHI Open School Regional Conference with UNC, NC State U, Wake gForest
• Duke Interdisciplinary Case Conference
• Ongoing Curriculum Reform
Page 37
“From Ritual and Rivalry to Roles and Respect”“From Ritual and Rivalry to Roles and Respect”
Dundee IHI Open School Chapter
Thomas Johnston and Liam Shields
Dundee ChapterThe Origin of the Dundee Chapter
Dundee Chapter
September 2008
Medicine Nursing ComputingDentistry
Dundee Chapter
Global AimPromote teaching and assessment in QI and PS
AIM – Promote inter-professional student learningin QI and PS
IHI at the School of Nursing
New patient safetyFirst UK IHI Open School Congress
IHI Open School
Nursing sub-chapterNew patient safety
moduleg
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Continued IP development Students in all years
School Forum
Check out our posters for more details
Interprofessional Education
Ideas• Interprofessional education• Chaotic environment exercise
H d h iIdeas
Will
• Hand hygiene• MDT meeting• Doctor and nurse as teacher
• Timetabling commitment• Shared learning outcomes• Overcoming rivalry and hierarchy• Communication network
Execution • From projects to a shared curriculum• IHI Open School courses• WHO curriculum guide
Check out our posters for more details
Students can make a difference
But we need to be educated in QI and PSBut we need to be educated in QI and PS
IHI Open School helps to fill this gap
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As a health care professional, what can you do to help us?
Mayo Clinic Florida
Chapter Leaders: Ramone Cancino, MDKatie Bietenholz, MD
Faculty Advisor: Perry S. Bechtle, DOPresentation to the 21st Annual IHI National Forum
on Quality Improvement in Health Care
Story
Our Chapter
• Started in the Department of AnesthesiologyAnesthesiology
• Slowly involving other departments• Staff, Residents, SRNA’s, CRNA’s, and
Pharmacy students• We meet monthly (appx) usually around• We meet monthly (appx) usually around
conference calls
What Mayo Clinic Florida has done since October 2008:
• Conference Calls, Webex
• 1st Open School Congress in Cambridge, MA1st Open School Congress in Cambridge, MA
• Interdisciplinary Patient Safety and Improvement Journal Club
• Mandatory Resident Safety Training
• My “Starbucks Pledge” has gone to over 400 staff, nurses, id d lli d h l h ff
CP1344729-46
residents and allied health staff
• “Sister” Site in Mombasa, Kenya
• IHI Open School Team at the National Breast Cancer Marathon Feb 2010
Anesthesia Resident Requirements• Feb 2009: All anesthesiology residents required to take all 3
Patient Safety Courses
• May 2009: Letter to all incoming anesthesiology residents: take all 3 Patient safety courses before you arrive in July
• Sep 2009: All anesthesiology residents must have all 3 QI courses completed
S 2009 R id S C l d (P )
CP1344729-47
• Sep 2009: Resident Survey Completed (Poster)
• Oct 2009: MCR Conference Call
• Dec 2009: Leadership course must be completed
Join Us
Vi it b itVisit our website: www.ihi.org/openschool
Email the IHI Open School team: h l@[email protected]