4.4 Article

Results of a Virtual Multi-Institutional Program for Quality Improvement Training and Project Facilitation

Journal

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
Volume 20, Issue 2, Pages 173-182

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacr.2022.08.014

Keywords

Education; quality improvement; training; virtual education

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The study aimed to describe the results of a multi-institutional quality improvement program conducted virtually. The program used a team-based, project-based improvement approach and was initially planned to be replicated on-site at two institutions. Due to the COVID-19 pandemic, it was converted to a multi-institutional virtual format. The virtual program began in July 2020 and ended in December 2020, with 10 training sessions every 2 weeks for a total of 18 weeks.
Objective: The purpose of this project was to describe the results of a multi-institutional quality improvement (QI) program conducted in a virtual format.Methods: Developed at Stanford in 2016, the Realizing Improvement Through Team Empowerment program uses a team-based, project-based improvement approach to QI. The program was planned to be replicated at two other institutions through respective on-site programs but was converted to a multi-institutional virtual format in 2020 in response to the COVID-19 pandemic. The virtual program began in July 2020 and ended in December 2020. The two institutions participated jointly in the cohort, with 10 2-hour training sessions every 2 weeks for a total of 18 weeks. Project progress was monitored using a predetermined project progress scale by the program manager, who provided more direct project support as needed.Results: The cohort consisted of six teams (37 participants) from two institutions. Each team completed a QI project in subjects including MRI, ultrasound, CT, diagnostic radiography, and ACR certification. All projects reached levels of between 3.0 (initial test cycles begun with evidence of modest improvement) and 4.0 (performance data meeting goal and statistical process control criteria forDiscussion: We found the structured problem-solving method, along with timely focused QI education materials via a virtual platform, to be effective in simultaneously facilitating improvement projects from multiple institutions. The combination of two institutions fostered encouragement and shared learning across institutions.

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