Nexus Innovation Network

Member Since: June 2016

Intervention: Quality Improvement and Leadership Development for Residents Leading IP Teams

Partners:

• Thomas Jefferson University and Jefferson Health

• Sidney Kimmel Medical College at Thomas Jefferson University

• Jefferson Family Medicine Associates (JFMA)

• Jefferson Internal Medicine Associates (JIMA)

Occupations represented: Medical students, Physician Assistant students, Family Medicine and Internal Medicine residents and attendings, Nurse Practitioners and Medical Assistants

Overview: This project is centered on the development of a toolkit that will build skills among medical residents leading interprofessional teams and conducting quality improvement projects. The toolkit will contain modules for leadership development and focus on skills that support planning, implementation and evaluation of interprofessional quality improvement projects. These could include population health assessments, rapid-cycle quality improvement, root-cause analysis, safety interventions, engagement of new community partners, or interventions targeting specific health outcomes. The initial phase of this project will pilot the toolkit among a small number of residents. The final product will be made available to all residents at JFMA and JIMA for use in developing quality improvement projects. Health professions students participate on the teams in this project.

The measures for this project include a leadership efficacy scale, as well as changes in attitudes and skills associated with project management and implementation. In addition, the Jefferson Teamwork Observation Guide will be used to evaluate team function, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey will be used to measure changes in patient satisfaction.

Jefferson Family Medicine Associates and Jefferson Internal Medicine Associates are two primary care medical homes that serve a racially and economically diverse area of Philadelphia.

Intervention Study Questions:

• For two primary care clinics, can a quality improvement toolkit increase interprofessional team leadership and project management skills for residents serving as team leaders?

• Does the toolkit improve the quality and relevance of system improvement projects completed by resident-led IPE teams?