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 MU Health's patient care services. CHCQ directs, conducts, and develops and delivers the content for the program. Projects and participants are chosen by the MUHC Operations Committee and SOM Leadership based on organizational priority.

  • Improving HCAHPS Medication Communication Scores
  • Improving Recognition of Primary Physician in Charge of Inpatient Care
  • Improving HCAHPS Peds Experience Scores
  • Reducing ABN / Pre-Auth Denials
  • Increasing Therapy Order Accuracy
  • Implementation of Pre-Operative Anemia Protocols
  • Improving Risk-Adjusted Inpatient Mortality - Care/Observed Mortality
  • Improving Risk-Adjusted Inpatient Mortality - Documentation/Expected Mortality
  • Reducing Inpatient Readmissions - COPD
  • The Transition Process
  • Post-Acute Care Transitions
  • Clinics: Analysis of Scheduling
  • Monitoring IM Resident Performance in the Ambulatory Care Setting to Achieve Better Health Outcomes for Patients
  • Shrinking the Gap Between the Patient Call to the Resolution
  • Accommodating Urgent & Pending Cardiology Testing
  • Referring Physician Communication
  • Improving Turnaround Time of Test Results to Patients
  • A Patient Centered Approach for Coordinating & Streamlining Care
  • Conversion of Entering Patient Information for Glucometer Testing to Bar-Coding from a Manual Entry Process
  • Surgical Services/Sterile Processing Relations
  • Improving Family-Centered Care at the MU Thompson Center for Autism & Neuro-Developmental Disorders
  • Improve the Green Meadows Green Team’s Performance on Diabetes Performance Measures by Implementing New Processes
  • GIM
  • Improving Communication between Multi-Disciplines, such as Hand-offs or Fall Prevention at Missouri Rehabilitation Center
  • Using Quality Improvement to Improve Interprofessional Education Curriculum
  • Pharmacy Antimicrobial Stewardship
  • Improving Resolution of Patient Complaints
  • 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
  • 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)
  • 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

The CL-QIP was developed specifically to provide QI/PI education and training for Dyad Managers (e.g., Unit Managers and Medical Directors). This training also emphasizes basic management techniques specifically targeted to QI/PI initiatives.


This group was a mix of outpatient, inpatient, and ancillary leaders. The groups focused on individual improvement goals for their departments.


This cohort was made up of Inpatient Medical Directors and Nurse Managers. The groups focused on improving bedside communication with patients.


This cohort was made up of Outpatient Medical Directors and Clinic Administrators. The groups focused on improving patient access.

The purpose of the Achieving Competence Today (ACT) is to educate integrated residents, School of Medicine faculty, graduate nursing, and staff learners on quality improvement basics through the use of interprofessional teams working on real projects to improve the University of Missouri Health Care system. Eric Franks serves as the co-director for the program with Dr. Kristin Hahn-Cover. The Center also provides support through presenting subject matter during the learning sessions, team facilitation, and contributing funding for the program.

MU Health Sharing Days, led by Eric Franks, provides an opportunity for system-wide sharing and dissemination of the wide range of exciting innovations and improvement initiatives occurring within the Schools of Health Professions, Medicine and Nursing; University Physicians (UP); and University of Missouri Health Care. Sharing Days has become a three day event in which posters of improvement work from all areas (i.e., clinical care, education, support services, and improvement/health services research) are displayed on a rotating basis in seven different sites with all logistics coordinated by CHCQ.

The goal of the supervisor modules is to increase Managers', Supervisors’, and PDSA Team Leaders’ improvement knowledge. Each year three rounds of modules are provided to MU Health employees.

The goals for improvement work module are to increase Managers', Supervisors’, and PDSA Team Leaders’:

  • Ability to use the annual MUHC PDSA Project Engagement Goal to improve their units’/departments’ performance using a PDSA Project Portfolio approach
  • Understanding of core QI/PI methods and tools used by their staff in QI/PI project work
  • Ability to monitor and coach staff working QI/PI projects
  • Utilization of the QI Tracker

Utilize an interactive case study approach participants gain firsthand experience in using the most commonly used QI tools methods, and understanding of strategies and techniques for coaching PDSA teams in their use.

  • Aim Statements
  • Flowcharts Part 1 (High Level, Top Down, Detailed)
  • Brainstorming and Affinity Diagrams
  • Cause and Effect Diagrams
  • Process and Outcome Measures
  • Check Sheets

Utilize an interactive case study approach participants gain firsthand experience in using the most commonly used QI tools methods, and understanding of strategies and techniques for coaching PDSA teams in their use.

  • Pareto Charts
  • Flowcharts Part 2 (Swimlane analysis, identifying potential sources of errors and waste)
  • Special vs. Common Cause Variation
  • Histograms
  • Run Charts
  • Effort Yield Matrix
  • Stakeholder Analysis