PAST QI PROJECTS


2012-2013 Quality Improvement (QI) Projects

University Health Network (UHN) Telehealth Program

Project Champion:
Caterina Masino, Analyst, Telehealth Program

Project Description:
Addressing UHN User Satisfaction with Telehealth 
Over the past 10 years, the University Health Network (UHN) Telehealth Program has enabled UHN providers to use videoconferencing to connect with patients. UHN is interested in addressing quality improvement within its Telehealth department, particularly around measuring UHN provider satisfaction with Telehealth. One project option may involve developing, testing and implementing a qualitative survey to different groups of health care providers. The student team may have the opportunity to interview various providers at UHN’s multiple sites, collect their feedback, evaluate results and refine a survey tool.

Requirements:

  • Student Team of 4-6 students;
  • Preferred meeting times – TBD with project team

Providence Healthcare Centre

Project Champion:
Heidi Hunter, QI Manager

Project Description:
Providence Healthcare Centre would like to plan, develop and test a quality improvement educational program. Work done to date has been identifying the key areas for education. The scope of this project would build on previous work and would include actually developing the learning modules through collaboration with staff, external review, as well as, determining the best medium for communication. Content and medium could be put through PDSA cycles and a small group of staff would be involved in running the cycles as well.

Requirements:

  • Student Team of 4-6 students;
  • Appropriate immunizations; and
  • Preferred meeting times – Mondays 8:30 a.m. – 12:00 p.m.; Friday 8:30 a.m. – 12:00 p.m.

Southeast Family Health Team

Project Champion:
Christine Robb

Project Description:
Addressing no-shows in family health team clinic – This project seeks to address the concern of no-shows in the family health team clinic. The student team will begin by determining the cause of no-shows by consulting literature, utilizing Patient Records, staff input and sampling patients. Once the cause of the no-shows has been determined, the team will implement some changes and test whether these changes reduce the number of no-shows.

Requirements:

  • 3-4 student team
  • No immunizations required;
  • Preferred meeting time: Tuesday after 2 p.m.; Wednesday anytime
  • Any onsite work will need to be conducted between 8:00 a.m. and 8:00 p.m.

The Scarborough Hospital

Project Champion:
Alfred Ng, Director, Innovation and Performance Improvement Office, Clinical Operations Support

Project Description:
The following are two potential projects to be considered:

1. Developing and conduct an evaluation plan for TSH’s Lean Management Program
“Business Performance System” – Most acute care hospitals have centralized support for large scale quailty improvement initiatives. The Scarborough Hospital has sought to develop a “Lean Management Program” – called the Business Performance System, that aims to develop a culture where clinicians and front line staff are empowered and resourced to create daily improvements to their work life. This project seeks to design an evaluation plan to measure the success of the Business Performance System program at the Scarborough Hospital.

2. Developing process for collecting patient feedback
There is currently no formalized process for taking patient feedback and using it as a positive input for quality improvement. This project would involve designing a process to manage patient feedback. Students will have to determine what the measures for success are and will work together with internal stakeholders to define the objectives of this process.

Requirements:

  • Student team of 4-6 students;
  • Appropriate immunizations; and
  • Preferred meeting times – Tuesday 2-3 pm; Thursday 1-2 pm

St. Joseph’s Healthcare Centre

Project Champion:
Ivan Yuen, QI Manager

Project Description:
The following are two potential project ideas:

1. Contributing to the Building Genuine Partnerships Corporate Initiative
This project will focus on improving one aspect of this corporate initative. The Building Genuine Partnerships Corporate initiative was developed as a response to a staff survey on how well St. Joseph’s is meeting best practices. Based on the survey, some improvement areas were identified, one of which will be addressed by a student team. Selection of this improvement area will be a collective decision by the project champion and student team.

2. Minimizing waste and improving efficiency in the use of emergency department supplies
The Emergency department would like to determine how to minimize waste and improve efficiency with respect to their supplies and materials. A goal of this project is to better meet infection control standards in a small space. This project may benefit from the application of lean principles. Students must be prepared to meet regularly onsite to apply changes and measure improvement.

Requirements:

  • Team of 4-5 students;
  • Immunization and hospital badge approval for each student; and
  • Preferred bi-weekly meeting time with champion – Wednesday (1-2pm); otherwise Wednesday or Thursday (12 pm – 1 pm).

Trillium Healthcare Centre

Project Champion:
Sonya Pak

Project Description:
The following are two potential projects to be considered (or could be done together):

1. Developing a discharge envelope to reduce avoidable readmissions
One of Trillium’s key initiatives is to reduce avoidable readmissions by ensuring that patients are properly discharged from the hospital and have all the appropriate information needed to return safely into the community. One way to do this is to create a discharge envelope that patients would receive before leaving the hospital. This project would be to determine what information should be included in the envelope and how it should be structured in order to be feasible to the hospital (given their current technology infrastructure) and understandable to the patients. The student team will conduct a literature review to gather best practices from other hospitals and interview healthcare providers involved in discharging the patient.

2. Improving the quality of follow-up phone calls
Another way to reduce avoidable readmissions is to improve the process and quality of follow-up phone calls to patients that have been discharged from the hospital. In particular, this project seeks to determine what types of questions should be asked to the patient, who should administer the phone call, and who should follow-up with the patient afterwards. Similar to the previous project, this project will involve researching the best practices of other organizations with regards to follow up phone calls and interviewing healthcare providers.

Requirements:

  • Student team of 5-6 students;
  • Appropriate immunizations; and
  • Preferred meeting times – TBD.

Sunnybrook Health Sciences

Project Champion:
Ben de Mendonca

Project Description:
Evaluating the impact of Hand Hygiene Compliance program
One of Sunnybrook’s key initiatives is to ensure that all hospital staff adhere to hand hygiene requirements. For physicians, in particular, this is an important component of their clinical practice. This project will evaluate the impact of a recently-developed communication campaign and knowledge strategy for hand hygiene compliance. The student team will be required to determine quantitative and qualitative performance metrics that will best measure impact and penetration of this program throughout the organization and then collect these performance metrics by interviewing and shadowing medical residents and other staff members. Results of the evaluation will be reported back to the steering committee and the student team will also offer their suggestions as to how to improve the program.

Requirements:

  • Student team of 5-6 students;
  • Interviews with residents may occur in the evenings and weekends, and may occur on U of T campus;
  • Preferred meeting times with champion – Flexible.

St. Michael’s Hospital

Project Champion:
Dr. Chris Hayes

Project Description:
There are a number of quality improvement initiatives underway at St. Michael’s. The student team will have the opportunity to select a project with the project champion.

Sick Kids Hospital

Project Champion:
Michael Hartman, Director, Process Improvement

Project Description:
The following are two potential projects that could be offered at Sick Kids:
1. Organizing operating room supplies for orthopaedic surgery
2. Improving the bone marrow transplant process

Examples of Past Projects

The following are past projects that have been completed by student teams:

Sick Kids (2010-2011)

View Project Poster

Increasing communication of patient isolation status among nurses in the hospital. Some interventions included stapling  a clip sheet to the primary nurses’ care plan as a reminder to report isolation status at break coverage handovers. Another intervention was adding an isolation status prompt on charge nurses electronic report sheet. The third intervention was a combination of both the clip sheet and the prompt intervention.

UHN (2011-2012)

View Project Poster 

Developing a interaction workshop to enhance awareness of patient centered care and patient safety among hospital staff. The workshop had elements of play called “Seeing the forest,” which uses arts to communicate the importance of patient safety, as well as, a interactive discussion session with debrief and reflection.

St. Joseph’s Healthcare Centre (2012-2013)

View Project Poster 

Testing the effects of implementing an online MRI examination booking system on requisition handling times and procedure wait times at St. Joseph’s Healthcare centre. The student team found that the intervention, online MRI examination booking system, did reduce wait times for certain procedures.