Thursday, Oct. 19
14:30 – 16:30 (2 hrs)
Meeting Room: Junior Ballroom C (3rd floor – North Tower)
Kamini Vasudev*, MBBS, MD, MRCPsych (UK); Tara Burra, MA, MD,FRCPC; Aditya Nidumolu, MD; Andrea Waddell, MD,MEd,FRCPC

CanMEDS Roles:

1. Medical Expert
2. Scholar
3. Collaborator

At the end of this session, participants will be able to: 1) Identify and apply common quality improvement (QI) tools to analyze a quality problem; 2) Write an aim statement and select a team for a QI project; and 3) Describe and apply the QI model for improvement, including plan-do-study-act cycles, to a clinical case.

Continuous quality improvement (CQI) and patient safety training has become a top priority for residency training programs. The launch of Competence by Design in Canada, along with new accreditation standards for residency programs, has led to the increased demand for CQI training resources in psychiatry residency programs. However, many clinician-educators have not been trained in QI. This course aims to help address this gap by teaching clinicians core QI principles relevant to both their own practice and the supervision of trainees. First, participants will be introduced to core CQI concepts, including the dimensions of healthcare quality, principles of patient safety, approaches to picking a quality problem, and strategies to build a QI team (including trainees). In small groups, they will learn to apply common CQI tools, such as process maps, Ishikawa diagrams, aim statements, CQI measures, and plan-do-study-act cycles, to a clinical case. Just-in-time feedback provided by small group facilitators and peers will help participants identify various approaches to analyze and solve quality gaps.

Structure:
1) Presenter 1: Didactic introduction to CQI covering the Institute for Healthcare Improvement model
2) Breakout 1: Root cause analysis using fishbone to understand suboptimal physical health monitoring of mental health patients on atypical antipsychotic medications
3) Big group discussion
4) Presenter 2: Overview of CQI methods and tools
5) Breakout 2: Develop an aim statement, think about the team members for this QI project, and identify change ideas to improve the physical health monitoring in the above patients
6) Big group discussion

References:

1. Royal College of Physicians and Surgeons of Canada. Psychiatry competencies 2020. Ottawa (ON): Author; 2019. Available from: https://www.royalcollege.ca
2. Backhouse A, Ogunlayi F. Quality improvement into practice. BMJ 2020;368:m865.