At the University of Missouri Health Care system (UMHC) physicians, nurses, allied health, and support staff work within a highly complex and fiscally restrained environment. Developing better patient care and patient care support processes is essential to improving patient care quality and safety, as well as improving the professional and job satisfaction of UMHC workers. The purpose of the Performance Improvement Leadership Development Program (PI-LDP) is to prepare a cadre of performance improvement leaders with the knowledge and skills to make significant improvements related to quality, safety and value of UMHC's patient care services. The development of this cadre addresses three distinct goals:
- Strategically develop and deploy performance improvement knowledge, skills and competencies of current and emerging clinical and non-clinical leaders throughout UMHC.
- Strengthen the UMHC performance improvement organizational culture.
- Improve UMHC's ability to provide high quality and safe patient care in a patient centered and cost effective manner.
Course participants are made up of physicians, nurses and administrators working within UMHC. All participants are members of an improvement team that is working on an improvement process that relates to one of UMHC's strategic goals. Participants take part in one-full day and six half-day sessions. Key design principles used in developing this program include:
- Performance Improvement Capacity Building. Small teams comprised of leaders and emerging leaders will be selected to participate. Participants will be expected to serve as local resources for future performance improvement efforts.
- Learning by Doing. Everyone going through the course will be working on an improvement project in their area. Projects will offer opportunity for application of specific knowledge and tools acquired during the course, while serving as an opportunity to address real, important, and high-value improvement initiatives.
- Performance Improvement Organizational Culture Building. The design of the course will be highly interactive and create multiple opportunities for using existing and developing new networks. In addition, the course content and use of specific process improvement tools and software / decision support tools are selected to support long-term organizational culture goals of improved inter-professional and inter-departmental communications, problem solving, decision making and implementation skills and practices.
Course participants develop the following specific competencies:
- Identifying high value improvement opportunities
- Developing effective aim statements
- Organizing and leading performance improvement teams
- Using selected process analysis, design, and monitoring tools and technique
- Designing and leading change management strategies.
Course Co-Directors are Doug Wakefield (CHCQ) and Les Hall (OCE) and faculty are primarily UMHC faculty/staff; however, occasional outside speakers are utilized.
Below are the titles for the group presentations for the third cohort of PI-LDP, along with a photo of the class participants::
- Talk! - About Wait Times: UP Clinics Team
- Clinical Engineering and Information Technology Systems Team
- Diabetes Education and Consult Timeliness: Team MRC
- Right Tests, Right Time, Every Time: Radiology Team
- Reducing Unnecessary Patient Calls: Callaway Physicians Telephone Project
Winter 2009 Cohort
Below are the titles for the group presentations for the second cohort of PI-LDP, along with a photo of the class participants::
- Improving Preventive Health Care in the Fairview Internal Medicine Resident Practice
- Project AAA: Improving Abdominal Aortic Aneurysm Screening
- Pediatric Handoffs
- Columbia Regional Hospital Cardiac Cath Lab Flow Process
- Pre-Ob Antibiotic
- Improving the Speed of Discharge Planning
- Improvement in Process for Transfers of Patients between Trauma Service and Rusk
- Reducing Chemotherapy Treatment Delays on the Ambulatory Infusion Unit (AIU)
Spring 2008 Cohort
Below are the titles for the group presentations for the first cohort of PI-LDP, along with a photo of the class participants:
- Implementation of a Best Practice Model for Patient Care Conferences at Missouri Rehabilitation Center
- A Review of Unrecorded Liability Expense
- Safe Patient Handling and Mobilization
- Improving Satisfaction Data Actionability
- Decreasing First Start Delays in the Operating Room
- Developing Supervisor Rounding Expectations with a Focus on Improving Outcomes in the BICU
- Implementing a Rapid Response Team at Columbia Regional Hospital
- Call Tracking System
Fall 2007 Cohort
