- N.C. Children's Center for Clinical Excellence
- UNC Institute for Healthcare Quality Improvement
- UNC Health Care Performance Improvement and Patient Safety
- IRB and Office of Human Research Ethics
Improvement projects and initiatives should be submitted to the IRB for review, especially if you are anticipating presenting or publishing results. Most QI activities are eligible for an exemption which results in fewer application and review requirements.
A copy of a sample application can be accessed here. The Exemptions Section begins on page 4. The application also provides links to helpful information. Visit the IRB and Office of Human Research Ethics webpage for complete IRB information including contact numbers for questions or clarifications.
- Agency for Healthcare Research and Quality (AHRQ). The AHRQ mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. The website is a major source of information for quality and patient safety, guidelines, evidence-based reports, data, statistics and tools.
- AHRQ Patient Safety Primers Patient Safety Primers guide you through key concepts in patient safety. Each primer defines a topic, offers background information on epidemiology and context, and highlights relevant content.
- American Academy of Pediatrics for information about EQIPP. EQIPP provides information, tools and guidance needed to make systematic and continuous practice improvements on topics as asthma, immunizations, GERD, Bright Futures, newborn screening, tobacco control and others.
- American Board of Pediatrics for information about QI and MOC. There is also helpful information for residents MOC.
- Center for Public Health Quality (CPHQ). CPHQ is a national resource for quality improvement among public health organizations.
- Community Care of North Carolina (CCNC). CCNC has primary care QI resources and data feedback. Access the Provider Portal to obtain practice-specific data feedback on selected quality measures.
- Institute for Healthcare Improvement (IHI). The IHI mission is focused on improved healthcare quality and safety. The website is a major source for education, tools, methods and publications. The IHI maintains an Open School which offers students, residents, and faculty free online courses that teach the foundations of improvement, safety, system design, and leadership.
- National Guidelines and Measures
- PROMIS Tools for patient reported health status. Patient Reported Outcomes Measurement Information System (PROMIS), funded by the National Institutes of Health (NIH), is a system of highly reliable, valid, flexible, precise, and responsive assessment tools that measure patient–reported health status.
- Solutions for Patient Safety (SPS). SPS is a network of 79 children’s hospitals across the United States working together to eliminate serious patient harm. The network focuses on 9 hospital acquired conditions (HAC) and readmissions utilizing quality improvement science and high reliability concepts to drive change. Implementation of evidence-based pediatric process bundles for care and utilization of cultural transformation strategies adapted from other high reliability industries (airlines, nuclear power, etc.) are core strategies.
External Education/Training Options
- Cincinnati Children’s Advanced Improvement Methods Course (search for AIM Course)
The AIM course is a highly interactive course designed for faculty who lead improvement projects and have some basic knowledge of QI and clinical epidemiology and/or research methods. The course includes didactic sessions, case studies, simulation exercises and projects.
- IHI Open School
The Open School provides free online courses, a practicum experience and the opportunity to receive a certificate.
- IHI Improvement Advisor Professional Development Program This program is a 10 month program designed for individuals responsible for identifying, planning, and executing improvement initiatives throughout an organization. It is comprised of three 4 day on-site sessions with webinars and experiential learning between sessions.
- Harvard School of Public Health Program in Clinical Effectiveness This program is a 15 credit summer program designed for physician-clinicians, fellows, and faculty who are seeking quantitative and analytic skills needed for clinical research or are interested in health care administration. The program provides clinical investigators with fundamental training in Clinical Epidemiology and Biostatistics.
- Intermountain Healthcare’s Advanced Training Program (ATP)
The ATP course is a practical, in-depth course for health care professionals who teach, implement and investigate quality improvement, outcome measurement and management of both clinical and non-clinical processes. It is conducted over 4 week-long sessions with experiential learning between sessions. A 9 day course, conducted over 4 sessions, is also offered.
- Nationwide Clinical Fellowship in Quality and Safety This two-year fellowship prepares fellows to become leaders in their organization and to drive improvement in the quality of care and patient safety. The program is integrated with the Masters of Business Operational Excellence at The Ohio State University Fisher College of Business. The program includes didactic education, small-groups/seminar discussions, teaching opportunities and extensive hands-on experiential learning to broaden competencies and to build experiences in leading quality improvement and safety initiatives.
Next: Guidelines and Pathways