Moving Beyond the Numbers: Actionable Data for Continuous Quality Improvement

May 22, 2018 8:00 AM – 9:15 AM

Jamie Fox, Wayne State Unviersity School of Medicine
Robert Reaves, Wayne State Unviersity School of Medicine
Kanye Gardner, Wayne State Unviersity School of Medicine
Jason Booza, Wayne State Unviersity School of Medicine

The application of Continuous Quality Improvement (CQI) within the medical education enterprise has been steadily increasing over the past decade due in part to its codification in the Liaison Committee on Medical Education accreditation standards. While CQI methods are an effective means of ensuring quality improvement within an organization, success is not guaranteed. One of the key factors in the success of CQI initiatives is the ability to properly diagnosis the root cause of problems. A proper root cause analysis requires valid and reliable data, which cannot always be obtained from readily available data sources (e.g., AAMC's Y2, GQ). The most effective and efficient way to provide the data necessary for CQI purposes is to use quality improvement methods (e.g., Plan, Do, Study, Act) combined with the principles of empowerment evaluation, which involves stakeholders during all stages of the CQI process including data collection for the root cause analysis.  This approach, which has been used at Wayne State University School of Medicine (WSUSOM), has resulted in improved outcomes. We found that stakeholder involvement during data collection resulted in not only more valid data but in data that was more actionable. As a result, the solutions that were developed were more likely to address the root cause of the problem. Our proposal is to present conference attendees with a case-study of this approach from WSUSOM and how this intervention can be applied other issues and at other  institutions.