A Novel, Web-Based Quality Improvement Platform to Address ACGME CLER Requirements
Autor: | Geoffrey Ho, Courtney Paul, Jeffrey S. Berger, Kathryn I. Marko, Anne Cioletti |
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Rok vydání: | 2020 |
Předmět: |
Program evaluation
Quality management 020205 medical informatics Computer science Graduate medical education MEDLINE 02 engineering and technology Health informatics Accreditation 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Humans Educational Innovation 030212 general & internal medicine Societies Medical Internet Medical education business.industry Internship and Residency General Medicine Quality Improvement Education Medical Graduate Needs assessment business Medical Informatics Needs Assessment Program Evaluation Health care quality |
Zdroj: | J Grad Med Educ |
ISSN: | 1949-8357 1949-8349 |
Popis: | Background In 2014, the Accreditation Council for Graduate Medical Education (ACGME) formally mandated trainee (resident and fellow) participation in health care quality improvement (QI) projects as one of the Clinical Learning Environment Review (CLER) Pathways to Excellence. Subsequent national reviews showed large variations in how QI education is conducted, as well as a significant mismatch between educational and organizational goals. Objective We developed a web-based platform to engage trainees in QI that better aligned with best practice methodology and matched identified institutional priorities. Methods A needs assessment survey was distributed to trainees to understand the obstacles to compliance with ACGME QI requirements. Based on the results, a web-based clearinghouse, called the QI Platform, was developed and launched in July 2016, and utilization was analyzed in February 2019. Results A total of 196 of 440 needs assessment surveys (45%) were completed. Themes extracted from surveys to identify barriers in QI participation included difficulties designing projects, lack of mentorship or expert support, and difficulty engaging an interprofessional team. Over 2.5 years, 151 projects were registered on the platform. Of these, 17 (11%) were collaborative entries. At the time of analysis, 166 of 437 trainees (38%) were listed as participants in active QI projects. A total of 22 projects were archived as complete, and 68 incomplete projects were reassigned to the “Ideas” section as works in progress after lead trainee graduation. Conclusions An institutional QI Platform clearinghouse for GME QI projects was feasible to develop and maintain, and it appeared acceptable to most GME programs and trainees for recording and tracking QI projects, and linking these to hospital QI priorities. |
Databáze: | OpenAIRE |
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