RT Journal Article
SR Electronic
T1 TriHealth, Cincinnati, OH<br/>A Systemwide Resident Quality Improvement Program
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 32
OP 33
VO 14
IS Spec AIAMC Iss
A1 D Dhanraj
A1 L Stephens
A1 R Welling
A1 A Fulbright
A1 L Galvin
A1 A Kumar
A1 A Uebele
A1 B Singletary
A1 F Warsi
A1 B Khan
YR 2014
UL http://www.ochsnerjournal.org/content/14/Spec_AIAMC_Iss/32.abstract
AB Background: This project focused on developing an organized approach to incorporating quality and patient safety into the resident program. The goal was to provide a strong foundation in performance improvement that can sustain residents into their careers as licensed independent practitioners.Methods: We performed an assessment of existing resources across the 4 residency programs and a gap analysis of the assessment findings. A reporting structure was established, as well as a scorecard and metrics for monitoring improvement efforts. We administered baseline and postintervention surveys of residents' QI knowledge.Results: We successfully defined metrics for each residency program; formalized a residency council; and aligned a reporting structure with the organizational quality, safety, and service council. Resident projects were incorporated into existing quality and patient safety days. Survey results aided in defining residents' understanding of current quality, patient safety, and service standards. Varied resident schedules made it difficult to find a common time for meetings. Cultural shift will be slow, due to changing groups of residents; project impact will not be fully realized for 3 years. Changing ACGME requirements add complexity to formalizing the program.Conclusions: Our next steps include standardizing documentation for accurate reporting, developing a scorecard for clinical and academic performance that aligns with defined metrics, continuing resident involvement in quality and patient safety projects, and administering a postintervention survey.View this table:FINAL WORK PLAN – TriHealth