CS&E News - Summer 2011
- Changes in CS&E Curriculum at MD Anderson
- MD Anderson’s QIAB Reviews Quality Projects
- Time Running Out for IHI Open School Courses on Quality College
- Want to see Quality in Action? Become a Quality Texas Examiner!
- Sept. 6 Submission Deadline for CS&E San Antonio Meeting
The Clinical Safety and Effectiveness program teaches physicians and clinical staff how to improve processes to make care safer and more effective. The improvement process has also been applied to the curriculum of CS&E.
The changes range from the class scheduling, changes in the order of content and the length and use of outside speakers.
The changes to CS&E began in Session 10, when a team led by Executive Vice President and Physician-in-Chief Thomas Burke, M.D., used the session to apply improvement tools to the program. Key recommendations from the team included redefining the aim of the CS&E Course to provide an introductory multi-disciplinary quality improvement course to selected staff, make the education adhere to a broader, scientifically-rigorous quality improvement curricula and charter participants through senior clinical leadership.
Another driver of change is the call by UT System Chancellor for Health Affairs Ken Shine, M.D. And MD Anderson President John Mendelsohn, M.D. to improve utilization rate for services at the cancer center and other UT System institutions. This spurred the addition of one training day on Lean methods to CS&E participants. For more on the Lean, see the Winter 2011 CS&E Newsletter.
From its inception as an 8-day course, the schedule was set with four meetings of two-days each, with the last day reserved for graduation presentations. The new schedule calls for a single introductory day followed by three two-day meetings for instruction that included presentations by outside speakers, a long break for the teams to complete their projects, followed by the last meeting day set for graduation presentations.
Based on Session 15, here is a breakdown on the flow of the CS&E course:
|1||MD Anderson Vision, Introduction to QI, Customer Focus, Process Mindedness, Team Effectiveness, Process Analysis, Team Process, Managing projects and Change|
|2||Leadership: Applying Quality Principles – James Reinertsen, M.D.; Quality Overview; Understanding Variation|
|4||Quality: An Imperative for Organizational Survival – Brent James, M.D., M.Stat.|
|5||Statistical Process Control; Baldrige National Quality Program; Review of Past Project|
|6||Human Performance Limitations and Reducing Error – Alan H. Morris, M.D.; Measuring Errors and Adverse Events; Patient Safety and Standards|
|7||Reviews of Past Projects; Executive Presentations; Facilitated Review of Participant Projects|
The new schedule also reflects the current use of only three outside speakers: James, Reinertsen and Morris. These speakers have had the highest evaluation rankings overall by CS&E participants.
The curriculum also includes introduction to the Baldrige National Quality Program and use of the Baldrige criteria for improving organizations.
Teams working on quality projects, including teams in CS&E, need to register their projects with the Office of Performance Improvement.
Registering the project submits it into a QI project database, which is monitored by OPI staff, and begins the process for possible review by the Quality Improvement Assessment Board (QIAB). The review determines if the project is QI or if it is research that involves human subjects. If the QIAB determines the project is research, the team is referred to the Institution Review Board and its application for approval process.
Also, the QIAB determines if the project is a good improvement project. If there are improvements needed, the team receives feedback to improve their project. Review by the QIAB is also important if the team plans to publish information about the project in peer-reviewed journals.
Time is running out for MD Anderson staff to complete courses in the Institute for Healthcare Improvement (IHI) Open School under a special arrangement through the Quality College.
These courses are designed to give students the skills to become change agents in health care improvement. The Quality College is providing the courses to MD Anderson employees at no charge, but the classes must be completed by August 31. Completed courses will appear on your Education Center transcript.
Quality Texas, the state program for use of the Baldrige Criteria for Performance Excellence to improve organizations, is seeking volunteers to serve as examiners.
The examiners review applications by organizations based on the quality criteria and give feedback to the applicant on how to improve.
Quality Texas Foundation provides three days of training on using the Baldrige criteria. There will be a is a training session scheduled for Sept. 14-16 in Houston. Fees for the training are $350 for new examiners. For more information, see Quality Texas.
The University of Texas System is seeking projects for poster rounds and presentations at the October 27-28 Clinical Safety and Effectiveness Conference in San Antonio.
The deadline for submission of abstracts is Sept. 6. For information on submissions see Building The Bridge: Excellence through Innovation, Education and Financial Stewardship.