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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