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Integration of Continuous Quality Improvement Methods Into Annual Program and Institutional Evaluation
Journal of Graduate Medical Education
|October 23, 2019
Summary
Continuous quality improvement (CQI) methods enhanced program evaluation processes. SMART goals and PDSA cycles improved action item completion time and satisfaction in graduate medical education.
Area of Science:
- Medical Education
- Quality Improvement Science
Background:
- Accreditation Council for Graduate Medical Education requires continuous program improvement.
- Residency training institutions must evaluate programs for ongoing enhancement.
Purpose of the Study:
- To integrate continuous quality improvement (CQI) into graduate medical education program evaluation.
- To enhance institutional and program-level evaluation processes and action item achievement.
Main Methods:
- Implemented 4 CQI elements over 4 years: APE template, SMART goals, dashboard metrics, and PDSA cycles.
- Applied CQI to annual program evaluations (APE) and annual institutional reviews.
- Focused on improving program and institutional goal setting and action item resolution.
Main Results:
- Action item goal adherence to SMART format improved from 62% to 100%.
- Time to resolve action items decreased from 2.4 to 1.7 years.
- Program leadership reported positive reception to CQI implementation in APE.
Conclusions:
- CQI methods successfully improved the description and achievement of institutional and program-level goals.
- Enhanced goal setting and action item resolution led to increased satisfaction among program directors and coordinators.
- CQI integration is effective for continuous quality improvement in graduate medical education.
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