QI Project Information 2016-2017

For the 2016-2017 year, we received 7 QI Project applications. Listed here are the titles of the QI projects, names of the organizations, and descriptions of the projects offered during 2016-17. All applications must be submitted by Friday, October 7th 11:59 pm.  

1) Saint Elizabeth Healthcare – Toronto Central Service Delivery Centre (SDC)

https://www.saintelizabeth.com/Home.aspx

How to be efficient and effective in completing chart audits on a monthly basis to provide focus for  ongoing customized quality patient centred improvements.

  1. Reduce the amount of time to complete and analyze chart audit data
  2. Create real time collection tool that would be one point of entry for chart auditors
  3. Tool data can be a catalyst for change can be displayed with  monthly, yearly, and year over year comparison data that is easily demonstrated and analyzed
  4. Understand key outcomes from current chart audits and ensure improvement for these metrics going forward.
  5. Build and create a standardized approach to driving the Quality Guarantee
  6. Create a training tool for completing a chart audit to ensure standardization approach locally and across organization
  7. Identify themes of improvement as it relates to the chart audit, with standardized approaches to improve the quality metrics

Ultimately the goal for our organization will be to create safe, effective, efficient, patient centred and timely reporting of quality indicators that will drive the delivery of our quality guarantee.

2) Saint Elizabeth Health Care – Mississauga Halton Location

https://www.saintelizabeth.com/Home.aspx

“A need to be more efficient in assessing client risk of pressure ulcer development and implementing prevention strategies based on identified risk.”

  1. Consistent assessment and documentation of Braden risk assessment scores for all adult clients
  2. Reassessing pressure injury risk using Braden Tool at intervals
  3. Interpreting the scores
  4. Implementing the most appropriate strategies to prevent pressure ulcers
  5. Documenting all of the above efficiently

3) North York General Hospital – Palliative Care

http://www.nygh.on.ca/

Patients at end of life often feel tired, dyspneic and lack the energy to do ADL’s. If you measure their hemoglobin, many are severely anemic. Traditionally patients who are well enough to come to a hospital have been offered blood transfusions to help with the above symptoms. Often these patients have hematologic cancers and have benefited from blood transfusions when in active curative therapy. The purpose of this QI study is to try and find a way to predict which patients will benefit from receiving blood transfusions in the last 6 months of life.

Students will brainstorm with key stakeholders such as physicians, nurses, social workers, patients and their families to look at ways to improve the selection of patients. Possible ideas are to use validated scales (ie Edmonton Symptom Assessment System ESAS, Palliative Performance Scale PPS) pre and post transfusion, screening interviews by an objective third party or methods tried by other institutions (literature review, key informant survey)

4) Wellfort Community Health Services – Bramalea Primary Health Care

http://www.bramaleachc.ca/

Reduce office visits for upper respiratory tract infections (URI).

“In the fall/winter of 2015 approximately 20% of our clinical appointments were for the assessment of upper respiratory tract infections. We want to reduce visits for this health issue to 10% or less by March 2017. By reducing the number of visits for upper respiratory tract infections, we will improve appointment access for other clients. We will reduce office visits for this issue by developing an education campaign for clients and triaging URI  appointment requests for phone assessment by a Registered Nurse”

5) WellFort Community Health Services – Four Corners Health Centre

http://www.fourcornershealthcentre.ca/

“In order to enhance client driven care, Four Corners would like to develop a plan to capture and understand client experiences.  This will include conducting focus groups and interviews with clients, identifying  2 clients to be part of a QI Work Group; developing processes for incorporating clients into QI Work Group (selecting, onboarding, privacy, orientation, group development, honoraria); and forming the QIWG (establish clear purpose, roles and responsibilities, vision and goals). “

6) Dr. Risa Bordman – Family Medicine Practice

http://goldenmileshopping.ca/store-directory/primacy-walk-in-clinic/

“Patients frequently run out of their chronic medications before they see their physician. This may result in discontinuation or a reduced dose of a medication required to maintain health. This deficiency is usually caused because the patient has not returned to see his/her clinician at the recommended follow-up time. Patients will often engage their pharmacy to obtain the needed medication. While pharmacies are allowed to dispense short courses of chronic medications, they will often try and get in touch with the prescribing clinician to order the required medication, causing a delay in dispensing.”

“Despite computerization of both pharmacies and physicians’ offices this problem still exists. There are many areas that could be improved in the patient-physician-pharmacist triad of chronic drug prescribing and adherence. This QI project will take place in a community-based family practice office in Scarborough, Ontario. Students will examine the issue from the perspectives of the 3 different stakeholders and trial via PDSA cycles, possible interventions that can be implemented in a Family Physician’s office.”

7) Pro Health Medical Clinic

http://www.yellowpages.ca/bus/Ontario/North-York/Pro-Health-Medical-Clinic/2391034.html

“How to be efficient in keeping appointments to schedule”

  1. Reduce wait time in waiting room
  2. Patient make appointment for 1 person, but bring parents/children, end up seeing 2-3 people per timeslot
  3. Patient comes in with too many complaints and cannot be answered within the time slot
  4. Day fully booked and patient insist on coming in for “urgent” problem
  5. Reduce wait time to schedule a check-up appointment
  6. Reduce number of no shows
  7. Optimize Scheduling for new patient, appointments, check-ups, follow-ups, and same day appointments
  8. 5 different physicians working, each with different appointment preferences.

8) Sunnybrook Health Sciences Centre – Interprofessional Practice & Best Practice
http://sunnybrook.ca/

At Sunnybrook our aim is to provide a safe environment that promotes the dignity, rights and independence of all patients through a coordinated program of fall prevention. Our current falls prevention program is not standardized across the organization evidenced through a recent practice audit and environmental scan.

Our aim is to standardize the approach to fall risk reduction across Sunnybrook, by providing direction to clinical staff and organization leaders related to:

  • Assessment and identification of risk factors for falls and fall related injuries in individual patients and/or patient populations
  • Implementation of universal fall risk interventions for all Sunnybrook in-patients and residents
  • Implementation of individualized and evidence based Fall Risk Reduction Plans of Care, based on identified risk factors
  • Development and implementation of a comprehensive Fall Risk Reduction Program

The objective of this QI project will be to assess the implementation of a standardized assessment tool including (process) in two acute care units following a PDSA cycle methodological approach. Measures will include both quantitative and qualitative with users. Quantitative measures will include those captured by users as well as through chart audits by the student. Qualitative measures will be captured through one-to-one facilitated interviews with stakeholders and users.

In the short term, the project will benefit the long term implementation of a standardized falls prevention program by testing initial prototype of the process through an iterative process. The student will plan a forum to present findings to inform long term implementation. In the long term, this project will inform the final falls prevention program.

9) Brampton Civic Hospital
http://www.williamoslerhs.ca/about-osler/osler’s-facilities/brampton-civic-hospital
We are trying to solve the problem of smoking cessation. Specifically, access to timely information regarding cessation tactics and resources. If successful, the pilot will spread to other wards, increasing the access smokers (who are contemplative) have to resources and knowledge on smoking cessation strategies. Inevitably, we hope, increasing rates of smoking cessation in the long run.

 

How to Apply

Fill out this application form by Friday, October 7th 11:59 pm. 

For any questions or concerns regarding projects email qi@utihiopenschool.ca.