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Creating a Quality Improvement Program

March 1, 2019

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Agenda

Importance of QI

QI Team Structure

Project Example

Questions

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The Beginnings

Importance of QI	QI Team Structure	Project Example	Q & A

PNC serves the underserved through:

Acute and Chronic Care - (Medical, Nursing, Physical Therapy, Pharmacy, etc.)
Specialty Care (Dermatology, Ophthalmology, Audiology, etc.)

Quality Improvement is

a recent addition!

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What: Focus on patient experience, operations, cost savings, engagement, etc

Why: Increase quality of care delivered

When: Meet in the Fall, Identify the problem, collect data, present solutions in February

QI Basics

QI Background	Importance of QI	Project Example	Q & A

How: Project teams identify areas of opportunity

Importance of QI	QI Team Structure	Project Example	Q & A

Why: improve the quality of care delivered in the clinic and create an opportunity for student volunteers to problem solve complex clinical issues together.

How: Identifying opportunities for improvement in the clinic and forming multidisciplinary student project teams

to address these needs.

What: The projects are usually focused on critical components of PNC such as patient experience, clinic operations,

cost savings, or volunteer engagement.

When: Each fall the QI board member begins to recruit volunteers that will serve on various teams. The teams are selected with team leaders by mid October. They have until February to research and create solutions to a complex clinic issue. At the end of February each team presents to the clinic board and begins implementation.

This year the Quality Improvement program has 20+ volunteers with pharmacy, medicine,

nursing, physical therapy, and healthcare administration disciplines. These volunteers are organized into teams of 4 with a project

manager, QI coordinator, and a QI executive board member. They are provided with a project idea and given 7 months to research,

collect data, formulate solutions, and implement their solutions.

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QI Structure

QI Background	Importance of QI	Project Example	Q & A

QI Board Member

QI Role Coordinator

Project Manager

QI Volunteer

Importance of QI	QI Team Structure	Project Example	Q & A

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Project Example

Introductions	Expectations	QI Concepts	Q & A

Project Example

Importance of QI	QI Team Structure	Project Example	Q & A

Importance of QI	QI Team Structure	Project Example	Q & A

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Value Stream

Background Short-term Recommendations Long-term Recommendations Conclusion

Importance of QI	QI Team Structure	Project Example	Q & A

Importance of QI	QI Team Structure	Project Example	Q & A

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Value Stream

Time with Provider

75 Minutes

Time Waiting

120 Minutes

Time in Clinic

195 Minutes

Value-Added Time 38.46%

Background Short-term Recommendations Long-term Recommendations Conclusion

Importance of QI	QI Team Structure	Project Example	Q & A

Importance of QI	QI Team Structure	Project Example	Q & A

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Summary

Opportunity for Improvement	Recommendations
Reception	Information triage, further training, equipment
Nurse Intake	Use open rooms, acquire additional equipment
Volunteers unfamiliar with roles	Consider balance between quality and quantity of volunteer experience
Overall wait time	Consider balance between educational mission and increasing healthcare access

Importance of QI	QI Team Structure	Project Example	Q & A

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Questions?

Q

A

&

Introductions	Expectations	QI Concepts	Q & A

Importance of QI	QI Team Structure	Project Example	Q & A