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Training a Key in Quality Improvement

Several healthcare reforms and education mandates are tied to patient safety and quality improvement (PSQI), yet institutions and practitioners have struggled to meet these requirements. Panelists at a Wednesday Miniseminar will present strategies to make quality improvement programs part of resident training and clinical practice to meet accreditation, regulatory, and reimbursement requirements.

“Bringing Quality Improvement into Clinical Practice: A How-To Guide” will be presented from 10:00 am-12:00 pm Wednesday in Room 29AB.

“The session will empower participants to get quality improvement efforts up and running in their own training programs and clinical practices. Too many such efforts are stalled,” said Michael J. Brenner, MD, session moderator. “We will cover the current state, the impetus for change, and—most importantly—implementation. We will explore how best to mobilize the resources necessary to succeed in quality improvement endeavors.”

The two-hour session will be divided into two sections. The first part will cover quality improvement for practices and residency programs, outlining some exemplar programs. The second part will focus on practical implementation, said Dr. Brenner, co-chair of the AAO-HNS Patient Safety and Quality Improvement Committee and associate professor at the University of Michigan School of Medicine, Ann Arbor.

Sarah N. Bowe, MD, will discuss the Accreditation Council for Graduate Medical Education requirements and how they were addressed at her institution through a didactic and web-based learning program. She is a pediatric otolaryngology fellow in the Department of Otolaryngology at Massachusetts Eye and Ear, Boston.

“A comprehensive curriculum is necessary to provide a solid foundation of QI principles upon which to engage residents in meaningful experiential learning,” Dr. Bowe said.

Robert J. Morrison, MD, will review his experience forming and expanding an institutional PSQI council with more than 100 members across medical and surgical disciplines. He chairs a multidisciplinary institution-level PSQI council for the University of Michigan and completed the AAMC Teaching 4 Quality curriculum. He serves on an institutional PSQI curriculum steering committee and will address the challenges and opportunities of PSQI curriculum integration into residency training.

Morbidity and mortality conferences have become teaching vehicles for quality improvement, an evolution that will be examined by Carl H. Snyderman, MD, MBA, professor of otolaryngology and neurological surgery at the University of Pittsburgh Medical Center. “The goal is for these conferences to be forward-looking, instead of backwards-looking, forums. Better reporting, root cause analysis, and identification of systems failures allow for improvement in the quality of future care,” Dr. Brenner said.

In the second part of the session, Michael Weiss, MD, Chesapeake Ear, Nose, & Throat, will discuss QI from a private-practice perspective. His presentation will provide insights on quality measure development and reimbursement. He also will share experience from negotiations with five major carrier contracts for ENT services for more than 80 otolaryngologists in the mid-Atlantic area.

Michael E. McCormick, MD, will explore how mid-level providers, such as advanced practice nurses and physician assistants, can leverage quality improvement efforts. He will share his institution’s experience in QI projects. He is an assistant professor in the Department of Otolaryngology & Communication Sciences at the Medical College of Wisconsin, Milwaukee.

Phillip S. LoSavio, MD, MS, will examine the role of faculty development and QI education of practicing otolaryngologists. Increasing the number of practitioners able to mentor trainees cultivates leaders in quality improvement. He is head of the Section of Sleep Surgery and a patient safety officer at Rush University Medical Center, Chicago, IL.

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