QIF (formerly known as M&M)Melanie Baca, MDJuly 2, 2014

Objectives: 1. What is QIF (difference from M&M)? 2. Recognize value of QIF for our

residency and hospital 3. Discuss what QIF is NOT 4. Review Components for

Presentations, Goals of Project, and Resources

1. What is QIF (difference from M&M)? OPPORTUINITY to reflect on things that

go awry, near misses, situation where things could have gone better

Bring a case to colleagues for high quality discussion Case should raise questions Resident awareness of systems issues Identify ways to improve patient care

2. Value of QIF for our residency and hospital

Think outside the box Allow us to discuss our challenges with

our peers Promote growth Promote Quality Improvement Enhance patient care

3. Discuss what QIF is NOT

NOT M&M, no bad outcome needed NOT a place to blame self or others NOT a didactic or core lecture NOT a method for remediation or for

feedback NOT limited to FM (other specialties) NOT a place for gossip (EVERYTHING IS

CONFIDENTIAL)

4. Review Components for Presentations, Goals of Project, and Resources COMPONENTS/EXPECTATIONS:-detailed knowledge of case-a few learning objectives to educate your colleagues-some analysis of what didn’t go well-ideas on how to improve a process, clinical care etc.-have a “PROPOSAL FOR ACTION”, plan on how to implement changes (doesn’t have to be a detailed project)- Could we ALL implement this change?

The American Journal of Medicine, Vol 123, No 7, July 2010

Example 1:

The American Journal of Medicine, Vol 123, No 7, July 2010

Examples Tools:

The American Journal of Medicine, Vol 123, No 7, July 2010

FISHBONE

Tables, Charts are available

Articles, Example Power Points Don’t want to impose a specific structure on

you Articles and structured templates are on the

wiki for your reference YOU DON’T HAVE TO USE THEM Can be creative (speakers, audio, visual,

small groups…) Be aware of timelines!!! Email Dr. Stromberg throughout your process

CONCLUSIONS: Increase residents’ awareness of health care

systems Meaning- fully contribute to institutional quality

improvement initiatives Conduct a conference q month to focus on the

clinical aspect of cases and critically examine from a systems perspective

GOALS: =Cultural change within the residency =Less stigma or individual “shame and blame” =TEAMWORK, COLLABERATION, PATIENT SAFETY

QUESTIONS/ THOUGHTS??? Are you interested in receiving feedback

on your personal QIF from your peers? What other ideas do people have?