HSPH QA/QI Boot Camp D EVELOPING AND M AXIMIZING THE P OTENTIAL OF A QA/QI D ATABASE Michele Gomez, CIP Senior QA/QI Analyst Partners Healthcare Quality

HSPH QA/QI Boot Camp

DEVELOPING AND MAXIMIZING THE POTENTIAL OF A QA/QI DATABASE

Michele Gomez, CIP

Senior QA/QI Analyst

Partners Healthcare Quality Improvement Program

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OUTLINE

Developing A QA/QI Database An Insightful Tale Quality as Defined by the QA/QI Customer Selecting a Database Model Translating Customer Needs into a Design Additional Design Considerations for QA/QI Databases Using MS Access Wizards to Develop Database Objects

Maximizing the Potential of a QA/QI Database Splitting a Database Creating Queries in MS Access Practical Advantages of Queries Re-inventing the Wheel

Helpful Resources

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THE ICE CREAM MAKER

Subir Chowdhury’s insights into quality:

Quality is defined by the customer and you can get their definition only by listening to them

The real key isn’t so much to fix things as it is to design them right in the first place…(Chowdhury, 2005)

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QUALITY AS DEFINED BY THE QA/QI CUSTOMERCustomer Type Needs Format Details

QA/QI Staff Internal Document audit findings

Form Observations

Research Teams

Internal Describe corrective action

Report Corrective Actions

IRB Leadership

Internal Assess gaps in policies

Query Observations by rank

Institutional Officials

Internal Overall non-compliance

Pie Chart

Summary of findings

HRPP External QI Program metrics

Query Audits by type

IRB metrics Query Types of IRB submissions by department

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SELECTING A DATABASE MODEL

Relational Databases A database model developed by E. F. Codd that makes it simple

for end users to efficiently “store, modify and access data” through a collection of linked tables (Chappell & Trimble Jr, 2002)

Database Terms Tables Fields Keys Relationships

Examples FileMaker 8 MS Access MS SQL Server

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TRANSLATING CUSTOMER NEEDS INTO A DESIGN Peter Chen’s Entity Relationship Diagram (ERD)

Visual representation of a database’s tables, fields and relationships (Shiflet, 2002)

ERD symbols and description

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Symbol Description

Tables (entities)

Fields (attributes)

Connection between tables (relationships)

ERD EXAMPLE

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Protocol#

Dept ID

Protocol

Associated with

Dept ID

DeptName

Department

can have

1

IRBSubmission

s

Submission ID Protocol

#

SubmissionType

M

1

1

Types of IRB submissions by

department

QA/QI Need Design


ADDITIONAL DESIGN CONSIDERATIONS

Considerations

Fields

Audit (type, date, conducted by)

Observation (description, corrective action, references)

Conclusion/concerns

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QA/QI Needs

• Count of audits by type

• Observations by rank

• Summary of findings


USING MS ACCESS WIZARDS TO DEVELOP DATABASE OBJECTS MS Access contains built-in support (Wizards) for creating

database objects: Tables (main and lookup) Forms Reports

Wizards provide sample layouts for data entry forms and printed reports

Using Wizards does not require prior programming experience (e.g. Visual Basic for Applications)

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9Database Window


THE ICE CREAM MAKER

Subir Chowdhury’s insights into quality:

Encourage each other in a way that lets everyone know they are part of ... the team

Get a few people around a table, pick a concern and generate as many ideas for solving it

If you want to stay ahead in your business…you need to keep re-inventing the wheel (Chowdhury, 2005)

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SPLITTING A DATABASE

Susan

SallyBack End (BE)

Front End (FE)

John

Joe

Dan

Desktop copies of linked tables and FE

Password Protected Data

Warehouse

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CREATING QUERIES IN MS ACCESS

Options Built-in Query Wizard Screen for developing SQL statements

Types of Queries Select Query (select, sort, group, calculate) Cross-tab Query (summarize)

Selection criteria Operators

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12Design View


PRACTICAL ADVANTAGES OF QUERIES

Provide education Develop resources Close gaps Develop customized solutions

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GROUP DISCUSSION

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RE-INVENTING THE WHEEL

Version 2.0 Sustainable system Online request forms for IRB members & study

staff Web-based interfaces for QA/QI staff Instruction Manual

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BIBLIOGRAPHY Chappell, D., & Trimble Jr., H. J. (2002). A Visual Introduction to SQL.

New York: John Wiley & Sons.

Chowdhury, S. (2005). The Ice Cream Maker An Inspiring Tale about Making Quality the Key Ingredient in Everything you Do. New York: Currency Doubleday.

Shiflet, A. (2002). Entity Relationship Model. Retrieved April 2014, from Data and Visualization : http://wofford-ecs.org/DataandVisualization/ermodel/material.htm

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Other Resources

Choosing between Microsoft Access and FileMaker Pro by Miriam Engelberg

Splitting a Microsoft Access Databasehttp://office.microsoft.com/en-us/access-help/split-an-access-database-HA010342026.aspx


QUESTIONS

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HYPERLINKS

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Documents

HSPH QA/QI Boot Camp D EVELOPING AND M AXIMIZING THE P OTENTIAL OF A QA/QI D ATABASE Michele Gomez, CIP Senior QA/QI Analyst Partners Healthcare Quality