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Published on: February 19, 2021
Leading healthcare improvement: an implementation strategy.
Kelley Arredondo1,2,3,4, Anthony Ecker5,6,7, Lindsay Vaclavik5,8
1Houston VA HSR&D Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, MEDVAMC 156, 2002 Holcombe Blvd., Houston, TX, USA. Kelley.Arredondo@bcm.edu.
The Leading Healthcare Improvement (LHI) course significantly boosts clinician confidence in quality improvement competencies. This training equips healthcare professionals to lead sustainable change and improve healthcare systems.
Area of Science:
- Healthcare Improvement
- Medical Education
- Leadership Development
Background:
- Healthcare professionals often initiate quality improvement (QI) projects without adequate training for sustained implementation.
- Existing training gaps hinder effective leadership in healthcare improvement initiatives.
Purpose of the Study:
- To evaluate the effectiveness of the Leading Healthcare Improvement (LHI) course as an implementation strategy.
- To assess the impact of LHI training on clinicians' self-reported confidence in QI competencies.
Main Methods:
- The LHI course is a 6-session, 4-month interactive training program focused on QI project work.
- A Wilcoxon signed-rank test analyzed pre- and post-course confidence levels in five QI competencies.
Main Results:
- 70 clinicians and fellows completed both pre- and post-course evaluations.
- Significant increases in self-reported confidence were observed across all five QI competencies, including communication, team leadership, vision setting, barrier removal, and impact communication (p < 0.001 for all).
Conclusions:
- The LHI course serves as an effective implementation strategy curriculum for healthcare professionals.
- LHI training has the potential to enhance the capacity for sustained healthcare improvement by focusing on key partnerships, teamwork, and practical application.
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