A Comprehensive Model to Build Improvement Capability in a Pediatric Academic Medical Center.

Cincinnati Children's Hospital Medical Center developed a comprehensive model to build quality improvement (QI) capability to support its goal to transform its delivery system through a series of training courses. Two online modules orient staff to basic concepts and terminology and prepare them to...

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Bibliographic Details
Published in:Academic Pediatrics Vol. 14; no. 1; pp. 29 - 40
Main Authors: Kaminski, Gerry M., Schoettker, Pamela J., Alessandrini, Evaline A., Luzader, Carolyn, Kotagal, Uma
Format: review tables/charts Journal Article
Published: Elsevier B.V. Jan/Feb2014
Online Access:View this record in EBSCOhost
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        atl: A Comprehensive Model to Build Improvement Capability in a Pediatric Academic Medical Center.
      aug:
        au:
          Kaminski, Gerry M.
          Schoettker, Pamela J.
          Alessandrini, Evaline A.
          Luzader, Carolyn
          Kotagal, Uma
        affil: James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
      sug:
        subj:
          Pediatrics Education
          Academic Medical Centers
          Curriculum Development
          Quality Improvement
          Decision Support Techniques
          Leadership
          Interprofessional Relations
          Clinical Competence
          Funding Source
      ab: Cincinnati Children's Hospital Medical Center developed a comprehensive model to build quality improvement (QI) capability to support its goal to transform its delivery system through a series of training courses. Two online modules orient staff to basic concepts and terminology and prepare them to participate more effectively in QI teams. The basic program (Rapid Cycle Improvement Collaborative, RCIC) is focused on developing the capability to use basic QI tools and complete a narrow-scoped project in approximately 120 days. The Intermediate Improvement Science Series (I2S2) program is a leadership course focusing on improvement skills and developing a broader and deeper understanding of QI in the context of the organization and external environment. The Advanced Improvement Methods (AIM) course and Quality Scholars Program stimulate the use of more sophisticated methods and prepare Cincinnati Children's Hospital Medical Center (CCHMC) and external faculty to undertake QI research. The Advanced Improvement Leadership Systems (AILS) sessions enable interprofessional care delivery system leadership teams to effectively lead a system of care, manage a portfolio of projects, and to deliver on CCHMC's strategic plan. Implementing these programs has shown us that 1) a multilevel curricular approach to building improvement capability is pragmatic and effective, 2) an interprofessional learning environment is critical to shifting mental models, 3) repetition of project experience with coaching and feedback solidifies critical skills, knowledge and behaviors, and 4) focusing first on developing capable interprofessional improvement leaders, versus engaging in broad general QI training across the whole organization, is effective.
      pubtype: Academic Journal
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    language: English
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