teaching for quality ( te4q ):

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Teaching for Quality (Te4Q): Closing the Education Gap in Quality Improvement and Patient Safety Nancy Davis, PhD Director, Practice Based Learning & Improvement AAMC

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Teaching for Quality ( Te4Q ): Closing the Education Gap in Quality Improvement and Patient Safety Nancy Davis, PhD Director, Practice Based Learning & Improvement AAMC. What is Te4Q?. - PowerPoint PPT Presentation

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Page 1: Teaching for Quality ( Te4Q ):

Teaching for Quality (Te4Q): Closing the Education Gap in Quality Improvement and

Patient Safety

Nancy Davis, PhDDirector, Practice Based Learning & Improvement

AAMC

Page 2: Teaching for Quality ( Te4Q ):

What is Te4Q?

Teaching for Quality (Te4Q) is a faculty development certificate program that trains clinical faculty how to teach quality improvement & patient safety (QI/PS)

across the medical educational continuum

Page 3: Teaching for Quality ( Te4Q ):

Why Te4Q? The Faculty Development Dilemma

AAMC’s Teaching for Quality Report: 2013

The Goal:

“Every academic health center will have a critical mass of faculty ready, able and willing to engage in, role model, and teach about patient safety and the improvement of health care.”

Quality Improvement is core to what it means to be a physician

www.aamc.org/te4q

Page 4: Teaching for Quality ( Te4Q ):

Te4Q Recommendation:

“Every academic health center will have a critical mass of faculty ready, able and willing to engage in, role model, and teach about patient safety and the improvement of health care”

Page 5: Teaching for Quality ( Te4Q ):

Faculty Competencies

Proficient Expert Master

Core knowledge of QI/PS

Common language

Doing basic improvement in practice

Modeling w/learners

Prepared as good improvement team member

Participating in MOC Part IV

Proficient, plus…

Increased experience in QI/PS projects (eg, lead)

Leader in education and curricular implementation

Able to create experiential and didactic learning activities for students, residents, others

Able to understand and create metrics to assess learner progress

Expert, plus…

Curricular reform and/or clinical leadership roles related to QI/PS

Scholarship in QI/PS

Career focus in QI/PS

Te4Q

Page 6: Teaching for Quality ( Te4Q ):

The Te4Q Faculty Development Certificate Program

Designed for ‘QI-savvy’ clinical faculty

Requirements: On-site Workshop (1.5 days) Educational QI/PS Project (individual or team) Dissemination of Projects

Page 7: Teaching for Quality ( Te4Q ):

How Te4Q Works

Page 8: Teaching for Quality ( Te4Q ):

Workshop CurriculumPre-Work-Competency Self-Assessment

-Educational Project Identification

-Reading Assignments

-Organization Readiness Assessment

Workshop-Adult Learning Principles

- Learning Strategies/Formats

- ‘What’ to Teach (QI/PS principles)

-Learner Assessment

-Program Evaluation

-Leading Change

Page 9: Teaching for Quality ( Te4Q ):

Workshop Curriculum

Post Workshop

- Project critiques Presentations with feedback from faculty and peers

- Project Dissemination Presentation Publication

- Community of Learners Activities AAMC IQ Meeting—June, Chicago

Page 10: Teaching for Quality ( Te4Q ):

Educational Project Examples

Educational Project Goal Targeted Learners

Use QI in daily practice by measuring adherence to ‘Bright Futures’ guidelines

Pediatric Residents

Use patient registry; follow a guided performance improvement activity; and evaluate performance over time

Family Medicine Residents

Integrate current QI educational objectives into a coordinated, intentional, and longitudinal curriculum where nursing and medical students work together in learning and practicing QI

Year 1 Nursing & Medical Students

Page 11: Teaching for Quality ( Te4Q ):

Additional Program Resources

Coaching/mentoring

eWorkbook

Website (resources, materials)

Community of Learners

Page 12: Teaching for Quality ( Te4Q ):
Page 13: Teaching for Quality ( Te4Q ):
Page 14: Teaching for Quality ( Te4Q ):

Creating an Educational Activity for QI/PS

1. GOAL/AIM: What is the gap or problem you want to address? What are the Quality Improvement/Patient Safety competencies you want the learners to exemplify?

Think SMART: specific, measurable, actionable, relevant and time bound

2. OBJECTIVES: What are the learning objectives? Use the term ‘performance expectation’ to guide you here. What do you want learners to do after the activity?

3. LEARNERS: Who are your learners? What is their stage of learning, whether physician or other health professional individuals or teams? Are they novices or more advanced? What are their educational needs?

Page 15: Teaching for Quality ( Te4Q ):

Creating an Educational Activity for QI/PS

4. EDUCATIONAL DESIGN: What learning methods/formats will you use? Develop 2-3 bullet points to outline your educational idea, project or innovation and what QI/PS content you want to include.

5. LEARNER ASSESSMENT: How will you assess your learners? What methods will you use to assess what your learners have accomplished?

Page 16: Teaching for Quality ( Te4Q ):

Creating an Educational Activity for QI/PS

6. PROGRAM EVALUATION: How will you evaluate your initiative? How will you know its impact and how it might be improved?

7. IMPLEMENTATION: How will you implement? Who will be your partners? What resources will you need? From whom will you need ‘buy-in”?

Page 17: Teaching for Quality ( Te4Q ):

Other considerations…..

Timeframe: Estimated Implementation Date:

Confidence Level: How confident are you that you will be able to complete your project?

Very Moderately Unlikely

What barriers to you anticipate?

Additional Activity(ies): What educational QI activities aside from this project will you implement?

Page 18: Teaching for Quality ( Te4Q ):

Questions

Nancy Davis, [email protected]

www.aamc.org/te4q