Online Training

QI Curriculum at BMC

Activity Details
  • Credit Amounts:
    • CME: 1.50
    • CNE: 1.50
  • Cost: Free
  • Release: Feb 23, 2016
  • Expires: Feb 23, 2019
  • Estimated Time to Complete:
    1 Hour(s)  30 Minutes
  • System Requirements:
  • Average User Rating:
    (4 Ratings)

Faculty

Needs Statement

What is the BMC QI Curriculum?

The BMC QI Curriculum is a collection of 12 slide sets representing 11 basic QI skills that will benefit every clinician at BMC and affiliated CHCs. It is meant to provide a foundation of basic QI concepts and skills and offer tools to help clinicians as they engage in QI on campus.

 

Who is this for?

Physicians, nurse practitioners, physician assistants, registered nurses, nurses, dentists, pharmacists, other allied healthcare professionals and students on campus.

 

How is this Used?

We encourage quality leaders to present these slides in a group setting during department meetings or grand rounds sessions, however, the content in these slides can be accessed independently by individuals as well. All participants must claim credit online by completing a short posttest.

Objectives

Table of Contents and Associated Learning Objectives: 

Skill Set # 1: Quality Aims

  • Identify the 6 quality aims as outlined by the IOM report Crossing the Quality Chasm
  • Explain how quality improvement relates to the 6 quality aims

Skill Set # 2: Aim Statement

  • Explain how to define a quality improvement aim, i.e. the specific components that need to be included to define an aim appropriately

Skill Set # 3: System of Profound Knowledge

  • State the importance of understanding the complex system in which your change is being introduced
  • Utilize Deming’s System of Profound Knowledge to help you understand your complex system

Skill Set # 4: Importance of Measurement

  • Explain the role measurement plays in QI and define 3 kinds of measures: outcome measures, process measures and balancing measures

Skill Set # 5a and 5b: Identifying Initial Changes and Key Drivers

  • Interpret Cause and Effect diagrams
  • Demonstrate how Cause and Effect diagrams can be leveraged to identify changes/solutions to test in your QI efforts to improve care
  • Create a Cause and Effect Diagram for your own project
  • Explain the role of Key Driver Diagrams in helping QI teams understand the larger ‘context’ of your ‘tests of change’

Skill Set # 6: PDSA Cycles

  • State the specific steps in doing PDSAs
  • Explain that the true purpose of PDSAs is to LEARN so your next test of change is even better

Skill Set # 7: Degree of Belief

  • Define ‘Degree of Belief’ and demonstrate relationship to determining Scale of Tests/PDSAs

Skill Set # 8: Data Over Time

  • State why data is collected over time in QI

Skill Set # 9: Understanding Common and Special Cause Variation

  • State why understanding variation is important in knowing how to improve your care process of interest
  • Explain the difference between Common Cause and Special Cause Variation

Skill Set # 10: Stable and Unstable Systems

  • Define Stable and Unstable Systems explaining how this relates to common and special cause variation

Skill Set # 11: Running with Run Charts

  • State the purpose(s) of Run Charts
  • Explain basic principles of constructing a Run Chart
  • Understand how Common Cause/Special Cause Variation and Stable/Unstable Systems relate to using Run Charts

Accreditation

Physicians
Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Boston University School of Medicine designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Accreditation Provider Number: 0000185


This program meets the criteria of the Massachusetts Board of Registration in Medicine for 1.5 hours of risk management study.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participanttoearn up to 1.5 MOC points [and patient safety MOC credit] in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity.It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


Nurses
Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


Contact Hours: 1.5


In order to receive credit, participants must view all the content and complete the posttest and evaluation. Participants who receive a grade of 70% or greater on the posttest will receive credit.

 

Faculty Disclosure

Boston University School of Medicine asks all individuals involved in the development and presentation of Continuing Medical Education (CME) activities to disclose all relationships with commercial interests. This information is disclosed to CME activity participants. Boston University School of Medicine has procedures to resolve any apparent conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed.

Acknowledgment

This activity was developed as part of the BMC Portfolio Program, offering MOC Part IV credits for physicians engaged in QI at BMC.

Disclaimer

THIS CONTINUING MEDICAL EDUCATION PROGRAM IS INTENDED SOLELY FOR EDUCATIONAL PURPOSES FOR QUALIFIED HEALTH CARE PROFESSIONALS. IN NO EVENT SHALL BOSTON UNIVERSITY BE LIABLE FOR ANY DECISION MADE OR ACTION TAKEN IN RELIANCE ON THE INFORMATION CONTAINED IN THE PROGRAM. IN NO EVENT SHOULD THE INFORMATION CONTAINED IN THE PROGRAM BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE. NO PHYSICIAN-PATIENT RELATIONSHIP IS BEING ESTABLISHED.

Planners And Reviews

James Moses, MD, MPH
Course Director
Medical Director of Quality Improvement, BMC
Associate Chief Quality Officer, BMC

Dr. Moses has nothing to disclose with regard to commercial interests.

Physician and Nurse Content Reviewers

Ron Iverson, MD
Vice-chair, Obstetrics, Department of Obstetrics and Gynecology, BMC
Medical Director, Labor and Delivery, BMC
Assistant Professor of Obstetrics and Gynecology, BUSM

Dr. Iverson has nothing to disclose with regard to commercial interests.

Karin Sloan, MD
Director of Clinical Quality, Department of Medicine, BUSM
Assistant Professor of Medicine, BUSM

Dr. Sloan has nothing to disclose with regard to commercial interests.

Judy Clarke, RN, BSN
Stroke Nurse, Stroke & Cerebrovascular Center, BMC

Ms. Clarke has nothing to disclose with regard to commercial interests.