Qualis Health

Quality Basics for Providers

Webinar Series

This webinar series features expert speakers leading discussions about the basics of healthcare-focused quality improvement topics.

The sessions are tailored for healthcare staff of any position or level—new to the field or those seeking to expand their knowledge of QI.

To view Sessions 1-3, you will need WebEx Player; for sessions 4-9 you will need Flash Player.


Quality Basics
for Providers 1—

The History and Evolution of Quality in Healthcare

Session recording
Originally recorded 1/29/08

Presenter:
Nancy West, RN, MPH, CPHQ
Qualis Health


This presentation will give you the background and history of the development of quality as a specific discipline. You will learn about the contributions of quality pioneers such as Florence Nightingale, Bell Laboratory statistician Walter Shewhart, founding father of Lean Taiichi Ohno, as well as healthcare quality pioneers Ernest Codman, Avedis Donabedian, and others.

You will learn how quality efforts in manufacturing led to the present use of quality improvement in healthcare. Quality concepts such as Outcomes Measurement, PDSA Cycles, the Quality Trilogy, and the Pareto Principle will be introduced and discussed in regard to their application in healthcare. Implementation and sustainability of quality improvement will be discussed. Lastly, the future of quality in healthcare will be explored.


Quality Basics
for Providers 2—

Dimensions of Quality in Healthcare

Session recording
Originally recorded 2/21/08

Presenter:
Connie Kirkpatrick, PhD, MS, RN Franciscan Health System


This presentation will answer the questions: What is quality? How is it defined? Who sets the standards? Why is this important?

Understand the eleven key dimensions of quality: appropriateness, availability, competency, continuity, effectiveness, efficacy, efficiency, prevention and early detection, respect and caring, safety, and timeliness.

You will learn about the pillars of quality such as quality assurance, quality improvement, risk management, and others. Standards of quality will also be discussed, including those of The Joint Commission, CMS, State Departments of Health, and also risk, care, utilization, and outcomes management.


Quality Basics
for Providers 3—
Quality Measurement: A Data-Driven Approach to Healthcare Improvement

Session recording and handouts
Originally recorded 3/19/08

Presenter:
Donna Daniel, PhD
Atlantic Health


Measuring and analyzing data is critical to improving healthcare processes and outcomes. This presentation describes types, purposes, and limitations of data that are commonly used in healthcare.

Most professionals in healthcare do not have in-depth knowledge of statistics, so this presentation is aimed at providing an overview of common measurement strategies in healthcare. The types of variation are discussed, including what questions can be addressed through variation analysis in order to achieve improved outcomes. Practical statistical analysis methods are explained in order to present data in ways that are actionable in attaining actual improvements in processes and outcomes. Caveats are also delineated, so that appropriate caution is taken with the measurement approaches.


Quality Basics
for Providers 4—

Teams: Maximizing the Contribution of the Whole

Session recording and handouts
Originally recorded 4/8/08

Presenter:
Jane Taylor, EdD
Institute for Healthcare Improvement


People in every workplace talk about building and working as a team, but few understand how to create and develop an effective team. Belonging to a team, in the broadest sense, is a result of feeling part of something larger than yourself. It has a lot to do with understanding the mission or objectives of your organization. In a team-oriented environment, everyone aims to produce results and to contribute to the overall success of the organization. This webinar will provide an overview of how to produce an effective team.

At the end of this session, participants will be able to:

Discuss the four major stages of team development

List the important strategies in effective team building

Discuss the importance of negotiation, problem solving, and brainstorming in team development


Quality Basics
for Providers 5—
Engaging Physicians in Quality Improvement

Session recording and handouts
Originally recorded 5/13/08

Presenter:
Gregg Laiben, MD
Primaris


This presentation will assist participants in developing a framework on which leadership might build a written plan for physician engagement in quality and safety. Personal responsibility for quality is powerfully engrained in physicians—they are employed by a hospital, outpatient facility, or have their own private practice. In contrast, the lack of time to do a good job is a particularly strong driver of primary care dissatisfaction.

Dr. Laiben will discuss successful ways to identify and motivate physician champions, choose innovators, promote their work, and build successful momentum and relationships.


Quality Basics
for Providers 6—

Improvement Methodologies: How to Spur Change

Session recording and handouts
Originally recorded 6/10/08

Presenter:
Sharon Eloranta, MD
Qualis Health


PDSA, Lean....Has your team identified a quality or process improvement need but you don’t know which improvement model to choose? This presentation will provide an overview of numerous quality improvement models and theories.

You will learn basic concepts key to improvement methodologies including Lean, Human Factors, Leadership and Engaging Physicians, and the Model for Improvement. For each methodology we will discuss the format, key tools and concepts, and resources necessary to implement the model. Additionally, you will be introduced to Reliability theory—an Institute of Healthcare Improvement theory used in healthcare for expanding "projects" to systemwide improvements.

At the conclusion of this presentation you should be able to determine which models or pieces of models will best assist your team in reaching its QI goals.


Quality Basics
for Providers 7—

Applying Lean Methodology to Improve Clinical Workflow Processes

Session recording and handouts
Originally recorded 7/8/08

Presenters:
Peggy Evans, PhD
Qualis Health

Jeff Hummel, MD MPH
Qualis Health


Lean methodology is a tool to assist organizations with identifying the wastes in any given clinical workflow that may impede process efficiency and lead to poorer workflow outcomes.

A key tool in adopting Lean methodology is process mapping. Process mapping allows organizations to bring together a cross-sectional group of people who are entrenched in the process to create a diagram of the current workflow so that inefficiencies can be clearly identified. Once these "wastes" are identified, focused solutions can be generated resulting in more organized efforts at quality improvement.

Participants of this webinar will learn

How Lean workflow redesign fits into the conceptual framework of quality improvement

The basic components of organizing a Lean workshop

How Lean workshops are structured

The presenters will show how to organize and facilitate a Lean workflow workshop and will offer an opportunity for participants to review sample materials.


Quality Basics
for Providers 8—

Incident Investigation and Root Cause Analysis: Learning From Unexpected Events

Session recording and handouts
Originally recorded 9/16/08

Presenters:
Mike Silver, MPH
HealthInsight

Sharon Eloranta, MD
Qualis Health


Unexpected and unwanted outcomes, accidents, and injury are, like desired results, the product of systems design. The challenge in incident investigation and root cause analysis is a design challenge—identifying system design features that cause accidents and developing effective redesign strategies.

This webinar will describe the role of root cause analysis (RCA) in the context of comprehensive safety management function and the importance of learning from “near-miss” events. It will review barriers and risks to effective RCA that are specific to healthcare including system and process complexity, separation of decision makers from the consequences of their decisions, and others.

This presentation will provide related training resources to help patient safety professionals, leadership, governance, safety committee members, and healthcare staff in implementing effective programs of incident investigation and RCA in their organizations.


Quality Basics
for Providers 9—

The How-To of Root Cause Analysis

Session recording and handouts
Session date: 10/28/08

Presenter:
Linda Furkay, PhD RN
Community Health Systems Office, Washington State Department of Health


Are you ready to do a root cause analysis but aren’t sure how? Then this webinar is for you. It will cover a practical application on a real scenario.

Systems produce intentional results, but unexpected and unwanted outcomes, accidents, and injury may also be products of systems design. A previous Quality Basics for Providers session discussed how to utilize a root cause analysis (RCA) methodology in the context of comprehensive safety management function and the importance of learning from "near-miss" and adverse events.

During this webinar Linda Furkay, PhD, RN, will share her findings after review of 250+ RCAs received by the Washington State Patient Safety Adverse Event Reporting Program. She offers insights about how to plan and conduct a successful, time-efficient root cause analysis.

An actual adverse event review will be used to guide participants through the process of conducting an analysis that leads to the root causes and successful action plans. Participants will leave this session with tools and tips to conduct their own RCA.


 

This webinar series was developed by the Performance Improvement QIO Support Center, a 2005-2008 initiative funded by Medicare and managed by Qualis Health.