Part 2. Core Competencies for Practice Facilitators

Approaches to Quality Improvement

Module 4 Trainer's Guide

Time

  • Presession preparation for learners: 40 minutes
  • Session: 95 minutes

Materials Checklist

__ Computer, Internet access, projector, and speakers.

__ Online access to:

__ Online access to or paper copies of:

__ Paper copies of or online access to:

  • Plan Do Study Act (PDSA) planning template (one per learner). Go to Module 4 Appendix.

__ Access to Institute for Healthcare Improvement’s (IHI) Open University for training on key quality improvement (QI) tools and methods at: http://app.ihi.org/lms/onlinelearning.aspx.

Objectives

Learners will able to:

  • Describe the key components of the Model for Improvement (MFI).
  • Describe best practices research and how practice facilitators can use it for practice improvement.
  • Identify resources for additional training on QI tools, including using PDSA cycles, workflow analysis, and root cause analysis and preparing run charts.

Exercises and Activities To Complete Before, During, and After the Session

Presession Preparation

Read (20 minutes)

  1. Module 4.
  2. Mold JW, Gregory ME. Best practices research. Fam Med 2003 Feb;35(2):131-4. Available at: http://www.stfm.org/fmhub/fm2003/feb03/pm.pdf.

Explore (20 minutes)

  1. Visit Institute for Healthcare Improvement’s Open University on QI. Available at: http://app.ihi.org/lms/onlinelearning.aspx.
  2. Select modules to complete based on gaps identified in your learning assessment from Module 1 and list these to report to the group. (Complete modules as you are able over the next few sessions.)

During the Session

Present (10 minutes)

  1. Module 4.

View (15 minutes)

  1. Video introduction of the Model for Improvement. Available at: http://www.aafp.org/practice-management/pcmh/overview/videos.html.

Discuss (15 minutes)

  1. What experience have you had in using the Model for Improvement?
  2. What are the key points of the Model for Improvement?
  3. What implications do these have for your work with your practices?

Act (20 minutes). Ask learners to:

  1. Break into pairs or small groups. Assign roles – Practice Facilitator and Participant(s). (Optional)
  2. Complete a PDSA worksheet for an improvement they would like to make to this training program.

Discuss (10 minutes)

  1. Describe the PDSA you propose for improving an aspect of this training program.
  2. What lessons did you learn in completing the PDSA template that you will want to apply when you go out to work with your practices?
  3. Discuss any modules you plan to complete or have completed from the IHI Open University. What did you learn?

Review (10 minutes)

  1. Mold JW, Gregory ME. Best practices research. Fam Med 2003 Feb;35(2):131-4. 

Discuss (10 minutes)

  1. What experience have you had using a best practices approach to improving a process in a practice or another setting?
  2. How might you use best practices research with your practices to improve their processes?

Discuss (5 minutes)

  1. Discuss any modules you identified that you plan to complete or have completed from the IHI Open University. Discuss what you learned or why you made these selections.
Current as of May 2013
Internet Citation: Part 2. Core Competencies for Practice Facilitators: Approaches to Quality Improvement. May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4trainers.html