A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting

Introduction Since the release of the Institute of Medicine's To Err Is Human, there has been an increased focus on quality improvement (QI). QI training is now a requirement monitored via ACGME's clinical learning environment review committees. Given the significant cost of health care wa...

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Autores principales:	Anne Cioletti, Suzanne Sweidan
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Quality Improvement Curriculum Development High-Value Care Resident Training Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/0618b63a97db488199335cfcc9de1e02
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spelling	oai:doaj.org-article:0618b63a97db488199335cfcc9de1e022021-12-03T14:16:04ZA Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting10.15766/mep_2374-8265.105452374-8265https://doaj.org/article/0618b63a97db488199335cfcc9de1e022017-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10545https://doaj.org/toc/2374-8265Introduction Since the release of the Institute of Medicine's To Err Is Human, there has been an increased focus on quality improvement (QI). QI training is now a requirement monitored via ACGME's clinical learning environment review committees. Given the significant cost of health care waste, teaching physicians to incorporate costs and value into medical decision making is crucial. Increasing information is available on methods to teach high-value care (HVC), but there is little information on combining HVC with QI. As these topics are intimately linked in efforts to provide effective, efficient care, a joint curriculum is a feasible solution. Methods We adapted material from two online resources—(1) Institute of Healthcare Improvement Open School and (2) American College of Physicians High Value Cost-Conscious Care Curriculum—to create a combined curriculum for use in a limited-resource setting. Our curriculum is divided into 10 seminars, each including both QI techniques and HVC theories, which are reinforced using a series of patient scenarios. Residents apply their knowledge in self-directed projects presented in the final seminar. Evaluation includes a pre-/postexposure QI knowledge application test, survey of self-assessed knowledge, and anonymous course feedback. Results For the 46 residents who completed the series, a statistically significant improvement in both tests was measured, and feedback was positive overall. Tailoring our in-seminar patient scenarios allowed residents to demonstrate their HVC knowledge acquisition. Discussion This seminar-based curriculum can be adapted to the time availability in any residency program and transfer to other disciplines with modification of the patient scenarios.Anne CiolettiSuzanne SweidanAssociation of American Medical CollegesarticleQuality ImprovementCurriculum DevelopmentHigh-Value CareResident TrainingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality Improvement Curriculum Development High-Value Care Resident Training Medicine (General) R5-920 Education L
spellingShingle	Quality Improvement Curriculum Development High-Value Care Resident Training Medicine (General) R5-920 Education L Anne Cioletti Suzanne Sweidan A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
description	Introduction Since the release of the Institute of Medicine's To Err Is Human, there has been an increased focus on quality improvement (QI). QI training is now a requirement monitored via ACGME's clinical learning environment review committees. Given the significant cost of health care waste, teaching physicians to incorporate costs and value into medical decision making is crucial. Increasing information is available on methods to teach high-value care (HVC), but there is little information on combining HVC with QI. As these topics are intimately linked in efforts to provide effective, efficient care, a joint curriculum is a feasible solution. Methods We adapted material from two online resources—(1) Institute of Healthcare Improvement Open School and (2) American College of Physicians High Value Cost-Conscious Care Curriculum—to create a combined curriculum for use in a limited-resource setting. Our curriculum is divided into 10 seminars, each including both QI techniques and HVC theories, which are reinforced using a series of patient scenarios. Residents apply their knowledge in self-directed projects presented in the final seminar. Evaluation includes a pre-/postexposure QI knowledge application test, survey of self-assessed knowledge, and anonymous course feedback. Results For the 46 residents who completed the series, a statistically significant improvement in both tests was measured, and feedback was positive overall. Tailoring our in-seminar patient scenarios allowed residents to demonstrate their HVC knowledge acquisition. Discussion This seminar-based curriculum can be adapted to the time availability in any residency program and transfer to other disciplines with modification of the patient scenarios.
format	article
author	Anne Cioletti Suzanne Sweidan
author_facet	Anne Cioletti Suzanne Sweidan
author_sort	Anne Cioletti
title	A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
title_short	A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
title_full	A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
title_fullStr	A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
title_full_unstemmed	A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting
title_sort	joint quality improvement and high-value care curriculum in a limited-resource setting
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/0618b63a97db488199335cfcc9de1e02
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A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting

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