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Applying Improvement to the CS&E Course

Bringing improvement to the Clinical Safety and Effectiveness Course was the project of one team in Session 10.

Dr. Tom Burke, executive vice president and physician in chief, and John Bingham, vice president for performance improvement and chief quality officer, led the team that evaluated the course using the Plan-Do-Check-Act model of improvement. Completing the team were Doris Quinn, Ph.D., director of Process Improvement and Quality Education; Victoria Jordan, Ph.D., director of Quality Measurement and Engineering; Elizabeth Girotto, project director for the Institute for Cancer Care Excellence; and Niquole Dunham, hospital administrative fellow.

The team presented at Session 10 graduation April 17 on the project that has three phases. Phase 1 was assessment of CS&E curriculum for content, redundancy, sequencing and knowledge retention. In the future, the team in phase 2 will assess whether CS&E is aligned with MD Anderson’s business strategy, is directed at the appropriate audience and identify gaps in course content and deployment. Phase 3 will redesign the course to meet needs identified in the first two phases.

The team reported on several rapid cycle changes made during Session 10 including use of a new fill-in-the-blank template for developing the aim statement, establishment of a Facilitators Network, using Scantron forms for satisfaction surveys to increase response and quizzes to assess and evaluate learning .

The team also developed the following long-term recommendations:

  1. Re-define the aim of the CS&E course as an introductory multi-disciplinary quality improvement course to selected staff.
  2. Frame the CS&E eight-day course within broader, scientifically-rigorous quality improvement curricula.
  3. Charter participants and teams through Core Senior Operations Team (CSOT) to include project selection directly linked to the strategic priorities and project team members approved by the CSOT.
  4. Formally integrate CS&E training into each team member’s individual learning/mentorship plan.
  5. Provide ongoing project facilitation during and after the course by trained facilitators.
  6. Provide extensive data support for project teams including independent (Finance Division) determination of the ROI.
  7. Measure, report and act upon speaker and project evaluations using all phases of the Kirkpatrick model.
  8. Present completed CS&E projects with ROI to the Quality Operations Team (QOT).
  9. Track projects, participants, results and costs in a single data base and provide reports to the CSOT.

Data from Session 11, which is currently underway, will be used as the team works on the remaining phases of the project. Session 12 is set as the first session that will include major changes to the sequence of courses. 

The presentation is available on the Session 10 page on the MD Anderson intranet CS&E site.


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