Orlando Health, Orlando, FL
Quality Improvement Curriculum at Orlando Regional Medical Center

Abstract

Background: The ACGME now includes QI as a core competency, and many hospital institutions are implementing QI goals to improve the quality of healthcare. Our team's goal was to create a QI curriculum that is simple and adaptable to all residency programs at Orlando Regional Medical Center. This goal was important because we currently do not have standardized QI training for our residents.

Methods: Prior to implementation, a questionnaire was administered to residents across a range of disciplines to evaluate their baseline knowledge of QI. We determined project success by comparing the baseline QI knowledge of residents to a reassessment of QI knowledge after curriculum implementation. Our preintervention and postintervention measures were questionnaires developed from a literature survey.

Results: The most successful components of our work were achieving a response rate above 50% from each participating department on our baseline QI evaluation and recruiting QI interest from other programs. The largest barrier we encountered was difficulty regarding time management to complete the training modules. We worked to overcome this barrier by discussing with each program's champion the appropriate length of time to complete the QI modules.

Conclusions: There is evidence of inadequate knowledge of QI among residents. A QI curriculum is essential not only to enhance patient care but also to meet ACGME accreditation standards. Our residency programs have now chosen the IHI Open School QI modules as part of their QI training of residents.