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Early Experiences After Adopting a Quality Improvement Portfolio Into the Academic Advancement Process
Niraj L Sehgal1, Naama Neeman, Talmadge E King
1N.L. Sehgal is professor of medicine, Department of Medicine, and vice president and chief quality officer, UCSF Health, University of California, San Francisco, San Francisco, California. N. Neeman is executive advisor, Monash Health, Melbourne, Australia. T.E. King is professor, Department of Medicine, and dean, School of Medicine, University of California, San Francisco, San Francisco, California.
A quality improvement (QI) portfolio effectively recognizes faculty contributions in academic medicine. This approach supports career advancement in QI work, with overwhelmingly positive faculty feedback and successful implementation in academic departments.
Area of Science:
- Academic Medicine
- Healthcare Quality Improvement
- Patient Safety
Background:
- Academic medical centers (AMCs) face challenges in evaluating faculty contributions to quality improvement (QI) and patient safety using traditional metrics.
- Recognizing and promoting faculty in QI leadership roles requires innovative academic advancement processes.
Purpose of the Study:
- To adapt and implement a quality improvement (QI) portfolio for faculty advancement within an academic department.
- To assess the utilization, impact, and faculty perceptions of the QI portfolio over two years.
Main Methods:
- Adapted a nationally developed QI portfolio for departmental use.
- Integrated the portfolio into the faculty academic advancement process.
- Tracked portfolio submissions and faculty advancement outcomes.
Main Results:
- 67 QI portfolios were submitted, with 100% of faculty receiving academic advancement.
- 83% of faculty found the portfolio effective for recognizing QI contributions; 85% found it elevated QI's importance.
- Submissions included diverse faculty, with 60% from women and representation across multiple specialty divisions.
Conclusions:
- The QI portfolio is an effective tool for recognizing faculty in QI work and advancing their careers.
- Further adaptation is needed to complement existing advancement processes for sustained utilization.
- This model can be disseminated to other AMCs to foster career paths in systems improvement.
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