{"id":2345,"date":"2013-07-02T14:35:00","date_gmt":"2013-07-02T18:35:00","guid":{"rendered":"https:\/\/www.med.unc.edu\/pededu\/current-residents\/requirements\/qi-project\/"},"modified":"2018-09-10T15:03:16","modified_gmt":"2018-09-10T19:03:16","slug":"qi-project","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/pediatrics\/education\/current-residents\/requirements\/qi-project\/","title":{"rendered":"Quality Improvement Project"},"content":{"rendered":"
\n
\n

Program Overview<\/h2>\n

The UNC Pediatric Residency Quality Improvement (QI) Program is designed to help prepare pediatricians to address quality of care issues during their training and career. The program is aligned with the Pediatric Residency Review Committee requirement that all residents learn QI methods and participate in a QI project during their residency.<\/p>\n

The QI Program assures that all residents:<\/p>\n

Participate in at least one QI project during their residency,<\/p>\n

Have access to a knowledgeable QI faculty advisor to assist them with their project,<\/p>\n

Understand the important role of physician leadership in QI efforts, and<\/p>\n

Understand and can perform the basic steps of a QI project:<\/p>\n<\/div>\n

\n\n<\/div>\n<\/div>\n

Select area for improvement<\/p>\n

Write project aim with measurable goals<\/a><\/p>\n

Test and implement system changes using plan-do-study-act (PDSA) cycles<\/a><\/p>\n

Understand how to use seven basic quality tools<\/p>\n

Measure process and outcome changes using the basic quality tools<\/p>\n

QI Program Requirements<\/h2>\n

Meet with selected QI faculty advisor at least twice (once at the beginning to discuss the project and develop a plan and once during the closeout)<\/p>\n

Complete all required readings and IHI modules<\/p>\n

Select QI project and submit application for IRB approval<\/a><\/p>\n

Conduct QI project<\/p>\n

Submit final report<\/a> to selected QI faculty advisor and the QI program manager<\/p>\n

Recommended Timeline for QI Project Requirements<\/h2>\n

January \u2013 June of PL-2 Year<\/b><\/p>\n

Select a project to join or create your own project<\/p>\n

Contact a faculty member to serve as advisor<\/p>\n

Submit application for IRB approval<\/a><\/p>\n

Most QI projects are exempt from IRB approval, but it is still necessary to complete this IRB form. Once the application is submitted, it takes less than 10 business days for approval. Your QI faculty advisor can provide you with examples of IRB.<\/p>\n

Required readings<\/p>\n

July \u2013 December of PL-3 Year<\/b><\/p>\n

Conduct QI project<\/p>\n

January \u2013 February of PL-3 Year<\/b><\/p>\n

Complete final report<\/a> and submit to faculty advisor and Kelly Lear (klear@med.unc.edu<\/a>)<\/p>\n

February \u2013 April of PL-3 Year<\/b><\/p>\n

Prepare Poster for Evening of Scholarship (optional)<\/p>\n

May of PL-3 Year<\/b><\/p>\n

Present QI Project at Evening of Scholarship (optional)<\/p>\n

Required Readings and Resources<\/h2>\n

Department of Pediatrics Quality and Safety Program <\/span><\/a><\/p>\n

Aim Statement Worksheet<\/a><\/p>\n

PDSA Cycle Template<\/a><\/p>\n

Final Report Template<\/a><\/p>\n

IHI Modules<\/a><\/p>\n

Register for free and complete the following courses:<\/p>\n

QI 102: Model for Improvement \u2013 Your Engine for Change: Lessons 1, 2, and 3<\/p>\n

QI 103: Measuring for Improvement: Lesson 2<\/p>\n

Batalden P, Davidoff F. Teaching quality improvement: the devil is in the details<\/a>. JAMA. 2007 Sep 5;298(9):1059-61.<\/p>\n

Reinertsen JL. Physicians as leaders in the improvement of health care systems<\/a>. Ann Intern Med. 1998 May 15;128(10):833-8.<\/p>\n

Langley, G., Nolan, K., Norman, C. L., Provost, L., & Nolan, T. (1996). The Improvement Guide: A practical approach to enhancing organizational performance. New York, NY: Jossey-Bass.<\/p>\n

Chapter 1<\/a><\/p>\n

Chapter 2<\/a><\/p>\n

Chapter 3<\/a><\/p>\n

Chapter 4<\/a><\/p>\n

Chapter 5<\/a><\/p>\n

Chapter 6<\/a><\/p>\n

Tague, N. (2005). Quality Toolbox (2nd ed.). Milwaukee: ASQ Quality Press. Read the following sections: check<\/span> sheets<\/span><\/a>, fishbone diagrams<\/span><\/a>, flow charts<\/span><\/a>, histograms<\/span><\/a>, pareto charts<\/span><\/a>, run charts<\/span><\/a> , and scatter diagrams<\/span><\/a>.<\/p>\n

PDSA Cycles Slideshow<\/a><\/p>\n

QI Methods Slideshow<\/a><\/p>\n

Current and Past Projects<\/h2>\n

Current Projects:<\/p>\n

Marquita Genies, Stevie Rowe and Emily Vander Schaaf: Improving MDI Spacer Use in a General Pediatrics Clinic<\/p>\n

Andrew Heling, Mary Currie and Melissa Cabellon: Inpatient Treatment of Community Acquired Pneumonia in Children<\/p>\n

Jenn Stiff: Car Seat Education in the Newborn Nursery<\/p>\n

Andrew Heling: Usage of Supplemental Prenatal Counseling Tool in Counseling Expectant Parents of Very Premature Babies<\/p>\n

Jackie Patterson: Communication Between Pediatrics and Obstetrics Regarding Maternal Diagnosis of Chorioamnionitis<\/p>\n

Class of 2013 Projects:<\/p>\n

Mark Connelly and Dan Lercher: Use of the Physician Portal to Improve Asthma Care<\/p>\n

Natalie Austin: Improving the Conversation about Attaining a Healthier Lifestyle<\/p>\n

Ginger Locklear and Kasey Joyner: Keeping Up With Kids \u2013 Improving Anticipatory Guidance for the School Age Child<\/p>\n

Steven Pattishall: Laptops and Electronic Resources to Improve the Pediatric Resident\u2019s Continuity Clinic Experience<\/p>\n

Krystle Perez: Linking the Newborn Nursery and Resident Clinic: The Key to Continuity Success?<\/p>\n

Nick Potisek: The Use of Spirometry in Patients with Asthma in the UNC Pediatric Continuity Clinic<\/p>\n

Kristen Rogers and Elizabeth Tucker: Improving Resident Documentation of Pediatric Obesity in Continuity Clinic<\/p>\n

Rebekah Savage: Substance Use Screening in Adolescents<\/p>\n

Megan Speare: Postpartum Smoking Cessation<\/p>\n

Cara Cannon: New Lab Reporting System in the Continuity Clinic<\/p>\n

Pinar Gumus: Is Chronic Disease a Risk Factor for the Adolescent Driver?<\/p>\n

Christy Hanofee: Use of TeamSTEPPS to improve communication during mock code scenarios<\/p>\n

Beth Turney and Priti Elkins-Williams: Wait 48: Reducing Readmission Rates for Late Preterm Infants<\/p>\n

Class of 2012 Projects:<\/p>\n

Jaya Barina: Guidance at the First Newborn Visit in Continuity Clinic<\/p>\n

Erica Bartelt: MCHAT in Spanish<\/p>\n

Mary Boruta: E-Scripts<\/p>\n

R.J. Boruta: E-Scripts<\/p>\n

Theresa Kallman: Rapid Response System<\/p>\n

Kelly Kimple: MCHAT in Spanish<\/p>\n

Joseph Powers: Adolescent PPE on Saturdays<\/p>\n

Jennifer Rochette: Guidance at the First Newborn Visit in Continuity Clinic<\/p>\n

Rhiannon Smith: Curriculum Advancement by Implementing a Critical Care Lecture Series with Simulation<\/p>\n

Ashley Sutton: Call Backs in Clinic<\/p>\n

Thomas Sutton: Call Backs in Clinic<\/p>\n

Jennifer Vincent: Creating a Cocoon of Protection: Tdap Vaccination for Caregivers of Newborns at UNC Pediatric Resident Clinic<\/p>\n

Lindsey Wilfley: Continuity in Clinic<\/p>\n

Class of 2011 Projects:<\/p>\n

Christy Anderson: Preventing Readmission Rates for Hyperbili by Educating Physicians and Using a Standardized Method of Checking and Assessing Bilirubin<\/p>\n

Ryan Barbaro: Newborn Drug Screening Protocol<\/p>\n

Justin Godown: Optimizing Efficiency in General Pediatric Clinic<\/p>\n

Caroline Hobbs: Educational Intervention for Improving Asthma Management<\/p>\n

Yemisi Jones: The Impact of an Otitis Media Outpatient Training Program on Resident Performance<\/p>\n

Meg Kihlstrom: Crowd Control During PRRT<\/p>\n

Matt Lewis: Improving the Quality of Discharge Communication with an Educational Intervention<\/p>\n

Tim Moran: Educational Intervention for Improving Asthma Management<\/p>\n

Lindsey Murphy: Facilitating Communication to Improve the Quality of Care in the North Carolina Children\u2019s Hospital<\/p>\n

Chrystal Rutledge: Using Visual Aid to Improve the PICU Transfer Process<\/p>\n

Nicole Sammons: Facilitating Communication to Improve the Quality of Care in the North Carolina Children\u2019s Hospital<\/p>\n

Angie Scott: Optimizing Efficiency in General Pediatric Clinic<\/p>\n

Zeb Spector: Enhancing Resident Education in Evidence Based Medicine<\/p>\n

Liz Thompson: Crowd Control During PRRT<\/p>\n

Six Valdelievre: Pain in Children\u2019s Hospital; Which Intern Do I Page?; and Asthma Medications and Illiteracy<\/p>\n","protected":false},"excerpt":{"rendered":"

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