Student Involvement in Quality & Safety at Pritzker

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Presented at Association of American Medical Colleges Integrating QI meeting in Chicago IL Jun 2010 by Pritzker student Marcus Dahlstrom. Discusses IHI Open School, improvehealth.org and new quality and safety track at Pritzker.

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Student Involvement in Quality & Safety at Pritzker

  1. 1. Integrating Quality Improvement at the University of Chicago Pritzker School of Medicine <ul><li>Marcus Dahlstrom, MS2 </li></ul>
  2. 2. Early Beginnings 2004 <ul><li>Student champion invited to participate in IHI Health Professions Collaborative </li></ul><ul><ul><li>Sam Seiden (now finishing anesthesia residency at Stanford) </li></ul></ul>
  3. 3. Role of Student Groups <ul><li>Improvehealth.org </li></ul><ul><li>Clarion Competition </li></ul><ul><ul><li>Interprofessional team competition to use patient safety techniques to solve a case </li></ul></ul>Clarion Competition Team: Sam Seiden, a medical student with extensive research in patient safety issues, William Jackman a student in the combined MD/MBA program, and Nicole Eitmann, a doctoral student at the Harris School of Public Policy who also has a law degree. Faculty advisors, Vineet Arora, MD and Julie Mohr, PhD.
  4. 4. IHI Open School <ul><li>Started by MS4 leader & faculty champion in 2007 </li></ul><ul><li>Listhost & chalk website of articles </li></ul><ul><ul><li>Over 30 students enrolled </li></ul></ul><ul><li>Discussion group for articles </li></ul>
  5. 5. <ul><li>Case Studies </li></ul><ul><li>Podcasts </li></ul><ul><li>Discussion Boards </li></ul><ul><li>Online Courses </li></ul><ul><ul><li>Quality Improvement </li></ul></ul><ul><ul><li>Patient Safety </li></ul></ul><ul><ul><li>Leadership </li></ul></ul>
  6. 7. Cultivating Student Champions <ul><li>IHI Open School leaders invited to formal QI training for residents & faculty (Drs. Oyler, Vinci, Arora) </li></ul><ul><ul><li>2 MS4 students took QAIC as elective (IM residents) </li></ul></ul><ul><ul><li>4 MS2 students from IHI open school came to lunch time Quality Scholars (faculty) </li></ul></ul><ul><ul><li>3 MS1 students audited quality & safety courses in Summer Program on Outcomes Research Training (faculty & fellows) </li></ul></ul>
  7. 9. Multi-Component Campaign A 2 year effort to improve PU care at UCMC <ul><li>Point of Care Reminders </li></ul>
  8. 10. Multi-Component Campaign A 2 year effort to improve PU care at UCMC Nurse Wound Assessment Form Physician H&P <ul><li>Point of Care Reminders </li></ul><ul><li>New Documentation Templates </li></ul>
  9. 11. <ul><li>Point of Care Reminders </li></ul><ul><li>New Documentation Templates </li></ul><ul><li>Staff Education </li></ul>Multi-Component Campaign A 2 year effort to improve PU care at UCMC
  10. 12. <ul><li>Point of Care Reminders </li></ul><ul><li>New Documentation Templates </li></ul><ul><li>Staff Education </li></ul><ul><li>Mattress Replacement </li></ul>Multi-Component Campaign A 2 year effort to improve PU care at UCMC
  11. 13. % of “Completely” Documented PUs Baseline (12%) Electronic Medical Records For Nursing Notes Resident Education Point of Care Reminders * Complete = specific mention of stage, size, and location Mattress Replacement
  12. 14. Big Break: Pritzker Initiative <ul><li>Students will complete a scholarly project in: </li></ul><ul><ul><li>Scientific Discovery </li></ul></ul><ul><ul><li>Medical Education </li></ul></ul><ul><ul><li>Community Health </li></ul></ul><ul><ul><li>Global Health </li></ul></ul><ul><ul><li>And… Quality and Safety </li></ul></ul>
  13. 15. Big Break: Pritzker Initiative <ul><li>Opportunity to formalize quality and safety in medical education </li></ul><ul><ul><li>Planning for track started 2008 </li></ul></ul><ul><ul><li>Build on existing successes with additional infrastructure for students </li></ul></ul><ul><ul><li>Needs assessment: interest in QI topics among incoming medical students high but skill level low </li></ul></ul>
  14. 16. Components of QST <ul><li>First-Year Selective in QI Methods & Safety </li></ul><ul><ul><li>Practical experience learning </li></ul></ul><ul><li>IHI Open School </li></ul><ul><ul><li>Online courses </li></ul></ul><ul><ul><li>A network of students </li></ul></ul><ul><ul><li>Case studies, podcasts, videos, featured articles </li></ul></ul><ul><li>Clinical Training </li></ul><ul><ul><li>Department specific M&M/patient safety conferences  </li></ul></ul><ul><li>Mentored Projects </li></ul><ul><ul><li>Match students and mentors with similar interests </li></ul></ul><ul><ul><li>Start a mentored QI project during their 1 st year & finish prior to graduation </li></ul></ul><ul><ul><li>Dissemination at a local, regional or national conference </li></ul></ul>
  15. 17. Progress to Date: Coursework <ul><li>4 lectures for all 1 st year students on quality and safety topics inserted into curriculum </li></ul><ul><li>Launched 10 week QST Spring elective with 5 students </li></ul><ul><ul><li>Choose an area to improve based on review of CMS Core Measures </li></ul></ul><ul><ul><ul><li>Time to antibiotic for pneumonia </li></ul></ul></ul><ul><ul><li>Guest lectures with faculty & students who provide </li></ul></ul><ul><ul><ul><li>Didactic instruction on methods (FMEA, RCA, Fishbone, quality measurement, etc.) </li></ul></ul></ul><ul><ul><ul><li>Coupled with in class exercises & homework related to their topic </li></ul></ul></ul>
  16. 18. Scholarly Project in Quality <ul><li>Mentors identified and listed on website </li></ul><ul><li>Projects listed in summer research opportunities book </li></ul><ul><li>Working with GPHAP for interdisciplinary coursework </li></ul><ul><li>Funding available for students to present their work </li></ul>
  17. 19. Next Steps <ul><li>Encourage Open School courses </li></ul><ul><li>Expand IHI Open School membership </li></ul><ul><li>Interdisciplinary shadowing opportunities </li></ul>
  18. 20. Next Steps <ul><li>Project developing a “medical” checklist </li></ul><ul><ul><li>Immunizations </li></ul></ul><ul><ul><li>Bedsores </li></ul></ul><ul><ul><li>Catheters </li></ul></ul><ul><ul><li>DVT </li></ul></ul>
  19. 21. http://pritzker.bsd.uchicago.edu/md/curriculum/QST.shtml
  20. 22. Acknowledgements <ul><li>Holly Humphrey, MD, Dean of Medical Education </li></ul><ul><li>Halina Brukner, MD, Associate Dean of Medical Education </li></ul><ul><li>Vineet Arora, MD, MAAP, Assistant Dean for Scholarship and Discovery </li></ul><ul><li>Julie Oyler, MD </li></ul><ul><li>Lisa Vinci, MD </li></ul><ul><li>Andrew Davis, MD, Quality Director for Department of Medicine </li></ul><ul><li>Sam Seiden, MD </li></ul><ul><li>Caitlin Schaninger, MS4 </li></ul><ul><li>Laura Botwinick, Director, Graduate Program Health Administration & Policy (GPHAP) </li></ul><ul><li>Megan Moore, GPHAP Student </li></ul>

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