12 Elements of Better

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II. OBJECTIVES

By the conclusion of 4 weeks of BETTER curriculum, the resident:

1. Understands the causes of errors and importance of investigation using standardized QI tools and processes (Human factors, root cause analysis, fishbone and process flow maps).  (SBP2)    

2. Identifies types of medical error and demonstrates how to report those errors at BUMC-P and the VA. (SBP2)          

3. Demonstrates ability to self-assess and identify gaps in personal practice patterns that contribute to quality and safety. (SBP2, PBLI1, PBLI2)         

4. Appropriately applies quality improvement principles and techniques (fishbone diagram, process flow map, etc.) to analyze systemic causes of suboptimal care and plans a strong intervention. (SBP2, PBLI2, PBLI4)          

5. Demonstrates ability to identify and apply structural, process, outcome, and balancing measures and graphically displays results from a QI project with control chart/tables/figures/statistical analysis. (PBLI4)       

6. Demonstrates effective leadership by presenting to faculty, adjusting PDSA cycles based on feedback, presenting to institutional leadership and preparing a poster for dissemination. (SBP1, PBLI1, PBLI3, PROF1)        

7. Utilizes information technology with sophistication as evidenced by a thorough description of the project background and complete references. (PBLI4)          

8. Demonstrates the ability to communicate effectively with all members of a multidisciplinary team to build consensus for system improvement. (PROF1, SBP1, ICS2)         

9. Completed assigned activities without the need for reminders (web based modules, pre-reading, project worksheets, final poster, etc).  (PROF2)        

10. Applies the equation value = quality/cost and becomes familiar with the  “Choosing Wisely” campaign and its impact on the quality of care and application for their quality improvement project (MK2, SBP3)       

11. Describes the impact that accurately billing and coding has on patient care, reimbursement, and sustainability of health care (SBP3) ​

12. Demonstrates integrity, honesty and accountability including being present for all assignments and is prepared for faculty mentor meetings (PROF2, PROF4).