Quality & Patient Safety - INTEGRATED CURRICULUM - QHI

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QHI
          INTEGRATED
          CURRICULUM

Quality & Patient Safety
INTEGRATED CURRICULUM
QUALITY & PATIENT SAFETY | INTEGRATED CURRICULUM

 Table of Contents
  Introduction.................................................................................................................................... 3
  Core Capabilities............................................................................................................................. 4
  QHI Integrated Curriculum Certificates....................................................................................... 5
       AIW Yellow Belt Certificate.....................................................................................................................................5
             Alberta Health Services Improvement Way (AIW) Fundamentals................................................................................................................6

       Patient Safety Certificate........................................................................................................................................5
             Disclosing Unanticipated Medical Outcomes (DUMO)....................................................................................................................................8
             Fundamentals of Patient Safety ................................................................................................................................................................................9
             Immediate and Ongoing Management of Clinically Serious Adverse Events ..................................................................................... 10
             Introduction to Human Factors.............................................................................................................................................................................. 11
             Reporting & Learning System: How to Submit a Report ............................................................................................................................ 18
             AHS Systems Analysis Methodology (SAM) ..................................................................................................................................................... 21
             Teamwork at Times of Transition .......................................................................................................................................................................... 22

       Patient Safety Online Learning Suite for Managers........................................................................................... 5
             Appropriate Accountability Decision Support Tool...........................................................................................................................................7
             Immediate and Ongoing Management of Clinically Serious Adverse Events ..................................................................................... 10
             Managing Patient Concerns for Leaders: Patient Relations - ReLATE | ReSPOND© .......................................................................... 13
             Reporting & Learning System: How to Submit a Report ............................................................................................................................ 18
             Reporting & Learning System Advanced User: How to Generate Data ................................................................................................ 19
             Reporting & Learning System Advanced User: Reading, Processing and Sharing Reports .......................................................... 20
             AHS Systems Analysis Methodology (SAM) ..................................................................................................................................................... 21

       Partnering with Patients Certificate......................................................................................................................5
             Patient & Family-Centred Care .............................................................................................................................................................................. 14
             Patient Engagement 101 .......................................................................................................................................................................................... 15
             Annual Continuing Education (ACE): Patient Relations - ReLATE | ReSPOND© .................................................................................. 16

       Quality is Everyone’s Business Certificate............................................................................................................ 5
             Alberta Health Services Improvement Way (AIW) Fundamentals................................................................................................................6
             Fundamentals of Patient Safety ................................................................................................................................................................................9
             Living a Just Culture video ...................................................................................................................................................................................... 12
             Annual Continuing Education (ACE): Patient Relations - ReLATE | ReSPOND© .................................................................................. 16
             Quality is Everyone’s Business video ................................................................................................................................................................... 17
             Reporting & Learning System: How to Submit a Report ............................................................................................................................ 18

       Targeting Teams Certificate....................................................................................................................................5
             Teamwork at Times of Transition............................................................................................................................................................................ 22

  Advanced Learning ...................................................................................................................... 23
       AIW Green Belt ......................................................................................................................................................24
       AHS Systems Analysis Methodology (SAM).......................................................................................................25
       Workshop in Simulation Education (WISE)........................................................................................................26

  Meaning from Evidence Mini-Modules...................................................................................... 27
  Patient Safety Snapshot............................................................................................................... 28
  Education Pyramid....................................................................................................................... 29
  Appendix A – Obtaining Continuing Medical Education (CME) Credits................................. 30

                                                                                                                                                                                                                                     2
QUALITY & PATIENT SAFETY | INTEGRATED CURRICULUM

  Introduction
  The core quality and patient safety capabilities provide a framework for the Quality & Patient Safety Integrated
  Curriculum designed for all AHS staff and medical staff.
  The intent of the curriculum is to engage and support AHS employees and to incorporate and apply quality and
  patient safety principles into their respective roles - so that together we can transform our organization and improve
  healthcare outcomes for Albertans.

  Getting Started
     •   It is recommended that all new AHS employees fulfill the online AHS orientation and passport to Quality
         & Healthcare Improvement (QHI) through MyLearningLink, and then pursue the Quality & Patient Safety
         Integrated Curriculum.

     •   All AHS Staff are encouraged to complete the Quality is Everyone’s Business module

     •   The learner is encouraged to collaborate with their leader/manager to build an individualized quality
         and patient safety learning plan, based on the course descriptions, learning outcomes and target audience
         guidelines provided.

     •   Quality & Patient Safety Education Certificates help the learner to target quality and patient safety
         education as it applies to their role.

     •   The learner can expect to complete a brief pre- and post-knowledge assessment at the time of the session,
         and may be contacted 4-6 weeks thereafter via e-mail survey to assess how they have applied their learning
         into their role within the organization.

     •   The course outline offers:
           • course title and description
           • target audience
           • learning outcomes
           • registration details
           • next steps
           • core capabilities the session addresses

     •   Questions about the Quality & Patient Safety Curriculum, and requests for targeted sessions or continuing
         education credits can be directed to: QPSE@albertahealthservices.ca

 RETURN TO TABLE OF CONTENTS                                                                                              3
QUALITY & PATIENT SAFETY | INTEGRATED CURRICULUM

  Core Capabilities
  Throughout the Curriculum, Core Capabilities are identified to capture the knowledge, skills, attitudes and
  behaviours required to support and enhance quality and patient safety within AHS. As you browse through the
  course descriptions, you will note that all Core Capabilities are listed, however only those highlighted in BOLD are
  applicable to that course.

               CORE CAPABILITIES                                               DEFINITIONS

    1. Advocating and demonstrating patient          Actively engaging and partnering with patients and families in
        centred care                                  their care

                                                      Collaborating with team members, demonstrating mutual
    2. Practicing effective communication and
                                                      respect, appropriately sharing accountabilities, and inter-
        teamwork
                                                      dependent decision-making

                                                      Anticipating and recognizing that a constellation of dynamic,
    3. Applying complex adaptive systems
                                                      interdependent factors within the healthcare system may
        theory to patient safety
                                                      contribute to patient outcomes and unexpected events

                                                      Applying the AHS Improvement Way (AIW) as a common
    4. Participating in Continuous Quality
                                                      organization-wide approach for increasing efficiency,
        Improvement
                                                      decreasing waste, managing variation, and measuring change

                                                      • Consistently demonstrating behaviours and attitudes in
                                                         accordance with our AHS values, code of conduct and just
    5. Modelling safe and ethical behaviour              culture principles
                                                      • Practice in accordance with professional codes of conduct
                                                         and ethical principles

                                                      Disseminating leading practices and applying evidence to safe
    6. Advancing evidence informed practice
                                                      and effective care

                                                      Employing situational awareness, recognizing our collective
    7. Improving patient safety through
                                                      human fallibility, and appreciating how the human-
        maximizing human factors
                                                      environment interface influences our cognition and behavior

    8. Managing, reporting, analyzing,               Preventing adverse events, employing risk awareness,
        disclosing and learning from hazards,         recognizing and appropriately responding to hazards, close
        close calls and adverse events                calls and adverse events

 RETURN TO TABLE OF CONTENTS                                                                                            4
QHI CURRICULUM | Certificates
                                                 Quality & Healthcare Improvement offers Quality & Patient Safety Education
                                                 Certificates to Alberta Health Services staff and Medical staff for quality &
                                                 patient safety learning

     QUALITY IS EVERYONE’S                            PATIENT SAFETY CERTIFICATE                         PATIENT SAFETY ONLINE
     BUSINESS CERTIFICATE                           Systems thinking and just culture principles          LEARNING SUITE FOR
      Foundational Learning in Quality               informing reporting, disclosing, analyzing,               MANAGERS
       Improvement & Patient Safety                 learning and improving relative to hazards,
                                                           close calls and adverse events               Just in Time Patient Safety Learning
COMPONENTS:                                                                                                for the Operational Manager
ÂÂQuality is Everyone’s Business: 10-minute        COMPONENTS:
                                                    ÂÂFundamentals of Patient Safety (FPS):
                                                                                                    COMPONENTS:
   video                                                                                            ÂÂReporting & Learning System (RLS) How
ÂÂLiving a Just Culture: 3-minute video               4-hour facilitated learning course
                                                                                                       to Submit a Report: eLearning
ÂÂFundamentals of Patient Safety (FPS):            ÂÂIntroduction to Human Factors (HF):
                                                                                                    ÂÂReporting & Learning System (RLS)
   4-hour facilitated learning course                  4-hour facilitated learning course
                                                                                                       Advanced User Module - Reading,
ÂÂAlberta Health Services Improvement              ÂÂTeamwork at Times of Transition (T3):
                                                                                                       Processing and Sharing Reports: eLearning
   Way (AIW) Fundamentals: 4 or 8 hour                 4-hour facilitated learning course
                                                                                                    ÂÂReporting & Learning System (RLS)
   facilitated learning course                      ÂÂReporting & Learning System (RLS) How
                                                                                                       Advanced User Module - Generating Data
ÂÂAnnual Continuing Education (ACE): Patient         to Submit a Report: eLearning
                                                                                                       Summaries: eLearning
   Relations – ReLATE | ReSPOND©: eLearning         ÂÂImmediate and Ongoing Management of
                                                                                                    ÂÂImmediate and Ongoing Management of
ÂÂReporting & Learning System (RLS): How              Clinically Serious Adverse Events (IOM):
                                                                                                       Clinically Serious Adverse Events (IOM):
   to Submit a Report: eLearning                       eLearning
                                                                                                       eLearning
                                                    ÂÂAHS Systems Analysis Methodology (SAM):
      Time Commitment: 12 Hours                                                                     ÂÂAHS Systems Analysis Methodology (SAM):
                                                       eLearning
                                                                                                       eLearning
     All AHS staff and Medical staff                ÂÂDisclosing Unanticipated Medical
                                                                                                    ÂÂAppropriate Accountability Decision
                                                       Outcomes (DUMO): 4-hour facilitated
                                                                                                       Support Tool: eLearning
                                                       learning course
                                                                                                    ÂÂPatient Relations - ReLATE | ReSPOND©
                                                          Time Commitment: 20 Hours                    Managing Patient Concerns for Leaders:
                                                                                                       eLearning
                                                    AHS Clinical staff, Operational Leadership,
                                                      Medical staff and Patient Safety staff            Time Commitment: 4 to 6 Hours
                                                                                                      Operational Managers and Leaders

AIW YELLOW BELT CERTIFICATE
  Foundational performance improvement
          learning leading to an                           PARTNERING WITH
    AHS Green and Black Belt Certificate
                                                          PATIENTS CERTIFICATE
COMPONENTS:                                          Partnering with Patients and Families is key
ÂÂAlberta Health Services Improvement                to positive outcomes, patient satisfaction    TARGETING TEAMS CERTIFICATE
   Way (AIW) Fundamentals: 4 hour/8 hour                          and Patient Safety
   facilitated learning course                                                                      Teamwork contributes to system efficiencies,
ÂÂAIW Yellow Belt Module 1: Process                COMPONENTS:                                       shared mental models and Patient Safety
   Mapping                                          ÂÂPatient Engagement 101: eLearning
ÂÂAIW Yellow Belt Module 2: 5S Workplace           ÂÂPatient & Family-Centred Care 101:           COMPONENTS:
   Organization                                        eLearning                                    ÂÂTeamwork at Times of Transition (T3):
ÂÂAIW Yellow Belt Module 3: Standard Work          ÂÂAnnual Continuing Education (ACE): Patient      4-hour facilitated learning course
                                                       Relations – ReLATE | ReSPOND©: eLearning
      Time Commitment: 10 Hours                           Time Commitment: 3 Hours                        Time Commitment: 4 Hours
     All AHS staff and Medical staff                               All AHS staff                                AHS Clinical teams

                              (CLICK ON EACH COURSE TITLE TO HYPERLINK TO THE PAGE FOR COURSE DESCRIPTION)                                         5
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Alberta Health Services
  Improvement Way (AIW) Fundamentals
  Target Audience
  All AHS staff and Medical staff

  Description
  This eight-hour course (which can also be offered as a four-hour targeted session) provides an overview of the
  Alberta Health Services Improvement Way, with particular focus on immediate problem-solving opportunities for
  quick wins and activities that will allow participants to directly apply their learning using a simulated process.
  Participants will learn about the Alberta Health Services Improvement Way, practice AIW thinking and methods and
  will be equipped to apply learning solutions to every day problem-solving opportunities.
  To obtain a Yellow Belt certificate, participants must also complete three AIW online sessions on key aspects of
  improvement: Process Mapping, 5S Workplace Organization Methodology, and Standard Work. The modules are
  available on MyLearningLink. All three modules are required to receive a Yellow Belt certificate.

  Learning Outcomes
  Demonstrate understanding of key quality improvement principles, via post-knowledge assessment by:
    • Awareness of AIW tools and principles to make improvements in work area
    • Identifying a quick win upon returning to the workplace
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                            6
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Appropriate Accountability
  Decision Support Tool
  Target Audience
  Clinical leads, Supervisors, Managers, Medical staff, and Senior Administrative staff

  Description
  The AHS Appropriate Accountability Decision Support Tool is a module designed to provide a consistent,
  standardized approach to assessing the need for an individual accountability review when the unexpected or
  unanticipated occurs in the system.
  Best used after the unexpected occurs, the manager considers if the situation warrants an Administrative Review,
  employing the AHS just culture principles. This does not impact whether a Systems Review would occur and both
  would be conducted independently.

  Learning Outcomes
  Demonstrate understanding of complex adaptive systems theory and just culture in relation to appropriate
  accountability by:
     • Distinguishing between when care is reasonable and when care is not reasonable as evidenced by professional
       standards of practice and codes of conduct, organizational policies and procedures, the substitution test of
       what a similarly trained and experienced, and what the prudent and ethical practitioner would do in these
       circumstances
     • Making the distinction between a Patient Safety Systems Review and a Quality Administrative Review
     • Recognizing that in exceedingly rare circumstances is there intent to harm
  Relate application of just culture, via follow-up electronic surveys, as evidenced by:
     • Appreciating that although we are all accountable for our own actions, we cannot control system deficiencies
     • Valuing human fallibility in that holding one person responsible for an error does not prevent the error from
       recurring in the system

  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                            7
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Disclosing Unanticipated
  Medical Outcomes
  Target Audience
  Healthcare professionals such as Nurses, Managers and Medical staff who will be involved in disclosure
  conversations with patients and families

  Description
  This powerful four-hour facilitated course provides the participant with insight into the patient and family experience
  following an unanticipated outcome; how expectations are created and what happens when the organization’s
  response does not meet these expectations. The class provides the opportunity to learn about and discuss
  disclosure as a large group and to practice disclosure discussions in small groups.
  The significance of an apology, the ALEE Technique when care is reasonable, and the TEAM Technique when care is
  not reasonable, are all employed.

  Learning Outcomes
  Demonstrate understanding of disclosure principles, via pre- and post-knowledge assessment by:
    • Differentiating between the appropriate information to be shared in the initial phase of disclosure and the
      stages of disclosure thereafter
    • Understanding how patients and families experience adverse outcomes, how expectations develop, and how
      not meeting expectations can result in disappointment
  Relate application of disclosure principles by managing disclosure with a patient and family through to resolution,
  via follow-up electronic surveys by:
      • Acknowledging and apologizing
      • Participating in disclosure meetings with the patient and family
      • Offering practical and/or emotional support
      • Investigating and committing to disclosure of findings
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                                 8
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Fundamentals of Patient Safety
  Target Audience
  All AHS staff and Medical staff

  Description
  This four-hour facilitated course introduces patient safety principles, illustrated through healthcare examples and
  participant activities.
  The following key principles serve as a framework for the course:
     • Complex adaptive systems theory
     • Identifying and reporting hazards, close calls and adverse events
     • Defining just culture
     • Optimizing human factors
     • The value of inter-professional and collaborative teamwork, and the significance of the patient and family’s role
       in patient safety

  Learning Outcomes
  Demonstrate understanding of key patient safety science principles, via pre- and post-knowledge assessment by:
    • Differentiating hazards, close calls and adverse events
    • Identifying aspects of how patients want to be involved in their care
    • Recognizing characteristics of a just culture
  Relate recognition and application of patient safety processes via follow-up electronic surveys, as evidenced by:
     • Reporting of hazards, close calls and adverse events via the Reporting and Learning System for patient safety
     • Modeling patient safety practices with peers, teams, patients and their families
     • Providing examples of a shift to systems thinking from person thinking
     • Advocating and encouraging an active role for patients and families in the promotion of patient safety
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                                9
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Immediate and Ongoing Management of
  Clinically Serious Adverse Events (IOM) Module
  Target Audience
  Clinical leads, Supervisors, Managers, Medical staff, and Senior Administrative staff

  Description
  When the unexpected happens, a clear understanding of roles and responsibilities becomes even more important.
  This 30-minute interactive eLearning module provides just-in-time learning of the prioritized steps involved in the
  Immediate and Ongoing Management of Clinically Serious Events guideline, embedded in the Just Culture Guiding
  Principles and complex adaptive systems theory.

  Learning Outcomes
  Demonstrate understanding of responding appropriately when an adverse event has occurred by:
    • Defining a clinically serious adverse event
    • Describing the immediate and ongoing roles and responsibilities of AHS staff, Medical staff and leaders when a
      clinically serious adverse event occurs
    • Defining the acronym RESPOND as it relates to the Immediate and Ongoing Management of a Clinically
      Serious Adverse Event
  Relate application of responding appropriately to an adverse event, via electronic surveys by:
     • Conducting an initial assessment as the Accountable Leader, or referring to the Accountable Leader to
       determine the appropriate immediate and ongoing organizational response
     • Demonstrating compassion and empathy to patient, family and staff in the immediate response and
       management of a clinically serious adverse event
     • Citing adherence to the Immediate and Ongoing Management of Clinically Serious Adverse Events guideline
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                             10
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Introduction to Human Factors
  Target Audience
  Frontline healthcare professionals interfacing with devices, equipment and complex environments

  Description
  This four-hour facilitated course applies human capabilities and human limitations to the interaction between
  people, equipment and environments. The history of human factors and how it transitioned into healthcare, the
  principles of human factors as they relate to healthcare, as well as specific human factors projects instituted within
  AHS are presented.
  Exercises in the course help participants to discover our shared human fallibilities. The course concludes with
  practical tips on how to recognize potential human factors-related complications in the workplace and strategies to
  address them.

  Learning Outcomes
  Demonstrate understanding of human factors, via pre- and post-knowledge assessment by:
    • Recognizing how human factors is applied in healthcare
    • Categorizing types of error
    • Identifying ways to apply human factors to practice
  Relate application of optimizing human factors, via follow-up electronic surveys by:
     • Reporting and removing faulty equipment and devices from practice setting
     • Referring unsafe work-arounds and variable processes to appropriate educator or leader
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                                11
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Living a Just Culture Video
  Target Audience
  All AHS staff and Medical staff

  Description
  An engaging three-minute video that defines what living a just culture looks like within Alberta Health Services
  (AHS).
  This video serves as an introduction to and promotion of the AHS Just Culture Guiding Principles.

  Learning Outcomes
  After viewing this video you will:
     • Describe what a just culture is
     • Describe the seven Just Culture Guiding Principles
     • Identify why a just culture is important
     • Demonstrate what a just culture looks like
     • Describe what you can do to promote a just culture
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on just culture, visit http://insite.albertahealthservices.ca/4742.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                           12
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Managing Patient Concerns for Leaders:
  Patient Relations - ReLATE | ReSPOND©
  Target Audience
  Supervisors, Managers and Medical staff

  Description
  The resolution of patient concerns is the responsibility of all AHS staff, Management and Medical staff, and
  contributes to continuous system improvements in the delivery of quality care.
  This 30-minute self-paced eLearning module uses a case study to prepare managers and leaders to work through
  the patient feedback review process and to manage patient concerns, as outlined in the AHS Patients Concerns
  Resolution policy and procedure.

  Learning Outcomes
  Demonstrate understanding of the role and responsibilities of the leader in managing concerns, via electronic
  surveys by:
     • Describing a leader’s responsibilities as it relates to patient concerns
     • Identifying how to respond to a complainant in an effective manner
     • Applying the appropriate steps to take when managing a concern
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
     •    MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
     •    Patient Relations webpage http://insite.albertahealthservices.ca/1883.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                           13
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Patient & Family-Centred Care 101
  Target Audience
  All AHS staff with patient and family encounters

  Description
  A 30-minute eLearning module that demonstrates how, when we listen and value patient and family perspectives
  and choices, patients and families are encouraged to actively participate in the process of, and decision-making in
  their care.

  Learning Outcomes
  Demonstrate understanding of practicing Patient & Family-Centred Care by:
    • Differentiating between patient engagement and Patient & Family-Centred Care
    • Describing why Patient & Family-Centred Care applies to collaborative practice
    • Identifying the four principles of Patient & Family-Centred Care
    • Describing what Patient & Family-Centred Care looks, sounds and feels like for each guiding principle
  Relate application of effective Patient & Family-Centred Care, as evidenced by follow-up electronic surveys by:
     • Demonstrating how we listen and value the patient and family’s perspectives and choices, by encouraging
       them to actively participate in decision-making relative to their care
     • Describing how to apply Patient & Family-Centred Care to practice by implementing tools and practices to
       improve the patient experience

  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                             14
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Patient Engagement 101
  Target Audience
  All staff with patient and family encounters

  Description
  A 30-minute eLearning module that introduces the concept of patient engagement to AHS staff and Medical staff,
  designed to improve quality outcomes by effectively engaging patients at all levels of decision making across the
  organization.

  Learning Outcomes
  Demonstrate understanding of effectively engaging patients and families by:
    • Differentiating between patient engagement and Patient & Family-Centred Care
    • Identifying five factors to consider for successful patient engagement
    • Describing the levels of patient engagement
    • Defining leading practices for patient engagement
  Relate application of effective patient engagement, as evidenced by follow-up electronic surveys by:
     • Appreciating the importance of involving patients and families through all aspects of the healthcare system
     • Actively seeking input and feedback from patients and families
     • Determining a team’s readiness when working with a patient advisor
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                           15
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Annual Continuing Education (ACE):
  Patient Relations - ReLATE | ReSPOND©
  Target Audience
  All AHS staff with patient and family encounters

  Description
  Managing the feedback presented by patients is a component of delivering quality care and is an important learning
  resource for care issues and service improvements.
  The Patient Relations online videos review the Patient Relations - ReLATE | ReSPOND© processes:
     • Uneasy Listening Part 1: Patient Relations - Understanding and Using the Patient Concerns Resolution
     • Uneasy Listening Part 2: Using ReLATE to engage patients and families
     • Uneasy Listening Part 3: Using ReSPOND to resolve concerns as they arise
     • Uneasy Listening Part 4: When Patient Relations becomes involved
  Learning Outcomes
  Demonstrate understanding of effective communication with patients and families through:
    • Accessing the AHS Patient Concerns Resolution Process policy
    • Supporting patients and families on how to make a complaint
    • Awareness of some potential reasons as to why patients complain
  Relate application of effective communication with patients and families, as evidenced by follow-up electronic
  surveys by:
     • Anticipating, actively listening, acknowledging and responding to patient and family expressed needs
     • Advocating for, and engaging patients and families, in collaboratively defining and achieving care goals
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
     •    MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
     •    Patient Relations webpage http://insite.albertahealthservices.ca/1883.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                            16
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Quality is Everyone’s Business
  Target Audience
  All AHS staff and Medical staff

  Description
  A 10-minute video that defines the dimensions of quality, as well as patient safety science, Patient & Family-Centred
  Care principles, and performance improvement methodologies.
  This module serves as an introductory gateway to the Quality & Patient Safety Integrated Curriculum.

  Learning Outcomes
  Demonstrate an understanding of how quality influences healthcare providers at the frontline by:
    • Describing key quality principles, as defined under the HQCA Dimensions of Quality
    • Identifying the core capabilities that underlie the Quality & Patient Safety Integrated Curriculum
    • Recognizing services provided through Quality & Healthcare Improvement are represented in the Quality &
      Patient Safety Integrated Curriculum

  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                               17
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Reporting & Learning System (RLS):
  How to Submit a Report
  Target Audience
  All AHS staff and Medical staff

  Description
  This 20-minute module was designed to help AHS staff and Medical staff become proficient in submitting an RLS
  Report for adverse events, close calls and hazards as well as understand how reporting improves patient safety.

  Learning Outcomes
  Demonstrate an understanding of how a just culture informs reporting of adverse events, close calls and hazards,
  contributing to organizational learning, via electronic surveys by:
     • Applying reporter responsibilities as outlined in the Alberta Health Services Reporting of Clinical Adverse
       Events, Close Calls and Hazards policy
     • Gaining proficiency in submitting reports into the Reporting & Learning System (RLS)
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
     •    MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
     •    Patient Safety webpage http://insite.albertahealthservices.ca/3383.asp
  For more information on Reporting and Learning System education and resources, visit:
  http://insite.albertahealthservices.ca/1668.asp

  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                           18
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Reporting & Learning System (RLS):
  Advanced Users - Generating Data Summaries
  Target Audience
  RLS Advanced Users

  Description
  This 20-minute eLearning module was designed to support Advanced Users, including managers and administrative
  leaders, to become proficient in using the analysis functions in the Reporting & Learning System (RLS) by generating
  graphical data analysis based on RLS Reports received from the area(s) of responsibility.
  This is the second of two modules developed for Advanced Users. You are encouraged to review the module -
  Reporting & Learning System (RLS): Advanced Users - Reading, Processing and Sharing Reports.

  Learning Outcomes
  Demonstrate an understanding of how a just culture informs reporting of adverse events, close calls and hazards,
  contributing to organizational learning, via electronic surveys by:
     • Gaining proficiency in creating data summaries from Reporting & Learning System (RLS) reports and applying
       results to system improvements
     • Gaining awareness of the following Reporting & Learning System (RLS) functions:
         • My Reports
         • New Search
         • Design a Report
         • Dashboards
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
     •    MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
     •    Patient Safety webpage http://insite.albertahealthservices.ca/3383.asp
  For more information on Reporting and Learning System education and resources, visit:
  http://insite.albertahealthservices.ca/1668.asp

  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                              19
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Reporting & Learning System (RLS):
  Advanced Users - Reading, Processing
  and Sharing Reports
  Target Audience
  RLS Advanced Users

  Description
  This 30-minute eLearning module was designed to support Advanced Users, including managers and administrative
  leaders, to become proficient with their accountabilities as outlined in the Alberta Health Services Reporting of
  Clinical Adverse Events, Close Calls and Hazards policy.
  This module guides Advanced Users on how to read, process and share reports received from these area(s) of
  responsibility.
  This is the first of two modules developed for Advanced Users. You are encouraged to review the next module -
  Reporting & Learning System (RLS): Advanced Users - Generating Data Summaries.

  Learning Outcomes
  Demonstrate an understanding of how a just culture informs reporting of adverse events, close calls and hazards,
  contributing to organizational learning, via electronic surveys by:
     • Differentiating between the three types of permissions in the Reporting & Learning System (RLS)
     • Gaining proficiency in reading, processing and sharing Reporting & Learning System (RLS) reports
     • Adding attachments
     • Setting and changing passwords
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
     •    MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
     •    Patient Safety webpage http://insite.albertahealthservices.ca/3383.asp
  For more information on Reporting and Learning System education and resources, visit:
  http://insite.albertahealthservices.ca/1668.asp

  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                           20
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  AHS Systems Analysis Methodology
  (SAM) eLearning Module
  Target Audience
  Clinical Safety leaders, Clinical Quality Improvement consultants, Supervisors, Managers, Medical staff and
  Senior Administrative staff

  Description
  Reviewing and learning from adverse events is essential to improving patient safety. This one-hour eLearning
  module was developed to prepare managers and leaders to conduct or participate in a patient safety review using
  the AHS Systems Analysis Methodology (SAM).
  As the participant applies the methodology to an online case, the importance of considering the complexities of the
  healthcare system (considering the equipment, environment, team, etc.) that may have contributed to an adverse
  event, using a team approach, becomes evident.

  Learning Outcomes
  Demonstrate understanding of analyzing adverse events and the application of the AHS Systems Analysis
  Methodology via electronic surveys by:
    • Describing the four foundational principles of the Systems Analysis Methodology
    • Identifying when to conduct a Patient Safety Review, or a Quality Assurance Review under Section 9 of the
      Alberta Evidence Act
    • Differentiating concise, comprehensive and aggregate review methods
    • Applying the Systems Analysis Methodology to conduct a case study review
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                             21
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Teamwork at Times of Transition
  Target Audience
  Frontline healthcare professionals who work in inter-professional teams

  Description
  This four-hour facilitated course is primarily comprised of experiential learning opportunities to practice and
  apply structured communication and critical language tools. Effective teams work collaboratively and respectfully,
  employing shared decision-making and shared mental models.
  Communication strategies such as: briefings, debriefings; using structured language tools such as iSoBAR; using
  critical language tools, such as CUS (“I am concerned, I am uncomfortable, and this is a safety issue”); closing
  communication loops; using checklists and team huddles are all addressed in this course.

  Learning Outcomes
  Demonstrate understanding of effective teamwork, via pre- and post-knowledge assessment by:
    • Recognizing structured communication tools offer a framework for conversations addressing what is working
      well and what may need improvement to ensure quality care
    • Defining structured communication tools, such as SBAR, iSoBAR, NOD and CUS
    • Defining situational awareness and shared mental model as they relate to effective teamwork
    • Identifying strategies to ensure optimal communication and to reduce the potential for error
  Relate application of structured communication, via follow-up electronic surveys, by:
     • Standardizing team processes and communication creating interdependent decision making and actions
     • Using structured communication tools to optimize communication
     • Using critical language tools to speak up and seek clarity
     • Participating in briefings or debriefings
     • Using check-back or read-back strategies to create a shared mental model
     • Advocating for the patient and family to be active participants in team communication and processes
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW                                                            22
QHI CURRICULUM | Advanced Education
                                               Quality & Healthcare Improvement Advanced Learning Programs

 AIW GREEN BELT CERTIFICATE                           AHS SYSTEMS ANALYSIS                           WORKSHOP IN SIMULATION
Advanced performance improvement learning              METHODOLOGY (SAM)                                EDUCATION (WISE)
 for a Green Belt Certificate, demonstrating       Demonstrate understanding of analyzing          Workshop in Simulation Education (WISE) is
     skill on improvement opportunities           adverse events and application of the AHS        a foundational course designed to introduce
                                                    Systems Analysis Methodology (SAM)             participants to the techniques behind using
COMPONENTS:
                                                 COMPONENTS:                                           simulation as an educational modality
ÂÂObtain an AIW Yellow Belt Certificate
ÂÂComplete 5-day AIW Greenbelt Training         ÂÂIdentify internal and external resources for   COMPONENTS:
   workshop /OR self-study                          information and data gathering                 ÂÂThrough experiential learning participants
ÂÂRegister for and pass AIW Green Belt          ÂÂRecognize characteristics of and conduct          will learn how to integrate the theory
   exam (exam “prep course” recommended)            interviews using supportive interviewing          behind designing, delivering, and
ÂÂComplete AIW Project                              techniques                                        debriefing into a successful simulation
ÂÂProject review by Review Panel                 ÂÂDevelop a Timeline and describe the               session
                                                    difference between Timelines 1 and 2
                                                 ÂÂIdentify components of a Constellation
                                                    Map and complete a Safer Matrix and/or
                                                    Constellation Map
                                                 ÂÂDevelop recommendations relative to a
                                                    SAM analysis
Time Commitment: Approximately 3-6
   months / complete AIW Project                        Time Commitment: 8 Hours
                                                                                                          Time Commitment: 2 Days
                                                   Clinical Safety Leaders, Supervisors,
     All AHS staff or Medical staff               Managers, Physician Quality leads, and                  AHS staff with educational
      who meet the prerequisites                        Senior Administrative staff                    responsibilities using simulation

                          (CLICK ON EACH CERTIFICATE TITLE TO HYPERLINK TO THE PAGE FOR COURSE DESCRIPTION)                                        23
QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

  Alberta Health Services Improvement Way
  (AIW) Green Belt Certification
  Target Audience
  All AHS staff or Medical staff who meet the prerequisites

  Description
  An AIW Green Belt is a proven practitioner of improvement methods who is skilled at explaining the value/role of
  the AIW and guiding individuals and teams in applying it to real AHS improvement opportunities. A Green Belt
  Certificate is a significantly more advanced level of achievement, and requires demonstration of knowledge and
  ability to use AIW skills on real improvement opportunities. An examination and improvement project review are key
  elements of the assessment.
  Steps to Green Belt Certification
     1. Obtain an AIW Yellow Belt Certificate
     2. Complete 5-day AIW Greenbelt Training workshop /OR self-study the materials
     3. Register for and pass AIW Green Belt exam (exam “prep course” recommended)
     4. Complete AIW Project Review (submitted project will be reviewed by the review panel and should be “complete”)

  Learning Outcomes
  Demonstrate understanding of effective teamwork via pre-/post-knowledge assessment by:
    • Clearly defining opportunities (What is wrong? Why is it important?) and establishing goals for improvement
    • Documenting current-state and future-state work processes; using process knowledge to analyze and evaluate
    • Selecting and supporting appropriate measures, gauge current (baseline) performance and evaluate improvement
    • Applying creative and analytical stills to develop, test and validate improvement actions and results
    • Developing effective change management plans and actions to build support for improvement projects and
      solutions
    • Documenting and sharing learning of improvement experiences, including successes and challenges
  Core Capabilities
     1.   Advocating and demonstrating patient-centred care
     2.   Practicing effective communication and teamwork
     3.   Applying complex adaptive systems theory to patient safety and quality improvement
     4.   Participating in continuous quality improvement
     5.   Modeling safe and ethical behavior
     6.   Advancing evidence-informed practice
     7.   Improving patient safety through maximizing human factors
     8.   Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

  Registration
  MyLearningLink, visit http://insite.albertahealthservices.ca/1881.asp
  For more information on Quality & Patient Safety Education, visit http://insite.albertahealthservices.ca/4740.asp

  For more information on CME, click here.

 RETURN TO QHI CURRICULUM ADVANCED EDUCATION CERTIFICATES OVERVIEW                                                     24
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