TY - JOUR T1 - Wayne State University and Crittenton Hospital Medical Center, MI<br/>Aligning Graduate Medical Education with Hospital's Quality Improvement and Safety Strategies JF - Ochsner Journal JO - Ochsner J SP - 11 LP - 12 VL - 14 IS - Spec AIAMC Iss AU - T Markova AU - F Sottile AU - P Morris AU - K Zakaria AU - W Murdoch Y1 - 2014/03/20 UR - http://www.ochsnerjournal.org/content/14/Spec_AIAMC_Iss/11.abstract N2 - Background: We designed a QI and safety initiative for interprofessional teams of residents involving QI knowledge acquisition, teambuilding, and experience-based strategies. Our GME program worked to align ACGME core competency curricula with the hospital's strategic planning to improve patient care, quality, and safety; reduce overutilization of healthcare resources; and improve efficiency.Methods: After 6 days of training sessions including didactics, team exercises, and project charter completion, participants created 3 projects that were evaluated for their clinical, organizational, and financial outcomes. These evaluations indicated QI knowledge, participant satisfaction, presentations and publications, teamwork and safety climate, and ROI. Project 1 focused on global immunization, particularly the influenza vaccination for all patients (6 mos +) and the pneumococcal vaccine for all (50+ yrs) and high-risk patients (6–50 yrs), to ensure patients were assessed and vaccines are delivered. Project 2 focused on reducing COPD readmissions. Project 3 focused on addressing rapid response to septic shock in patients admitted to the general floors, using keystone sepsis EBM tools.Results: The immunization project saw an increase in percentage vaccinated in all pneumonia and influenza categories. The COPD project studied data from 2011 readmission rates within 30 days (19.85%) to identify factors that would decrease readmission. The sepsis project analyzed compliance with EBM requirements, developed a sepsis order set, activated a rapid response protocol, and educated clinical staff. Overall, participants showed a QI knowledge improvement from 3/5 pre to 3.4/5 post (QIKAT). We learned residents and staff were lacking in QI competencies but were able to engage with and lead interdisciplinary teams and were motivated by patient care improvements. We encountered some challenges in coordinating schedules and had no funding.Conclusion: We demonstrated that aligning GME process improvement projects with the hospital's strategic objectives can lead to superior educational outcomes, reduce overutilization of resources, improve PS, and deliver more efficient care through teamwork.View this table:FINAL WORK PLAN – Wayne State University and Crittenton Hospital Medical Center ER -