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QI 100 for Health Care Clinicians
Unit 5:
Capstone and Credit
Aligning Forces for Quality is supported by the Robert Wood Johnson Foundation, through a grant to the
Wisconsin Collaborative for Healthcare Quality. In Wisconsin, Aligning Forces for Quality is a joint project by the
Wisconsin Collaborative for Healthcare
Quality, the Wisconsin Hospital Association, and other organizations.
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QI
100
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Please read carefully:
1. This powerpoint must be in “Slide Show” mode in order for all links to be active
(see the Slide Show menu at the top of your screen).
2. You must complete this unit in one sitting. You will not be able to exit and re-enter
from where you left off.
3. This unit combines the knowledge from Units 1-4 and has two exercises that will
serve as an optional review.
4. CEU’s will be awarded after you have taken all five units and completed the
Capstone Quiz – a link to this quiz is given in this unit - Unit 5. You will be asked
to enter your name.
5. The content provided in this unit is for educational purposes only and is not to be
interpreted as an endorsement by WHA or any of it’s member or partner
organizations.
6. This learning series is supported by the Aligning Forces for Quality grant. Aligning
Forces for Quality is supported by the Robert Wood Johnson Foundation, through a grant to
the Wisconsin Collaborative for Healthcare Quality. In Wisconsin, Aligning Forces for Quality
is a joint project by the Wisconsin Collaborative for Healthcare Quality, the Wisconsin Hospital
Association, and other organizations.
7. If you have questions or problems please e-mail: ssobczak@wha.org
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Unit 1
• Why Quality Matters
Unit 2
• Participating in Improvement
Unit 3
• Holding the Gains
Unit 4
• Health Care Change Systems
Unit 5
• Capstone & Credit
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Click 5:
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Credit
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QI 100
• When you see a light bulb icon, you can access a brief
exercise to reinforce the concept. Simply click on the
light bulb.
• When you see a screen icon, you should access a quiz
to test your knowledge. Simply click on the screen
icon.
• When you are done with an exercise simply close the
page by clicking the X or
at the top of the page.
• In order to officially participate in this unit, and
receive continuing education credit, you need to
complete the Capstone Quiz and score 80% or better.
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Introduction
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You are about to participate in the QI 100 Unit 5
• Understand the similarities between all improvement
approaches
• Review the role staff clinicians play in health care
improvement
• Review the rationale behind quality improvement in
health care.
• Take the Capstone Quiz and qualify for credit.
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Connecting
Master
dotstitle
of QIstyle
Despite the apparent differences in the various
improvement models and systemic
improvement approaches, there are many
similarities.
When faced with learning a new aspect of QI, it
is important to look for these similarities and
make a connection.
Let’s consider what is similar…
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Similarities
Look For
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Master
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Each health care organization may choose different approaches. Over
the course of a career, you may be exposed to a variety of improvement
approaches. Keep in mind that there are more similarities than
differences:
All Improvement methods All System approaches
• “Big Picture” emphasis
• Staff involvement
• Everyone is involved, including staff
• Consistent approach to
• Focus on long term results
change
• Documented
The takeaway:
improvement
It’s good idea to get used to
• Measurable Results
learning new things on a
regular basis.
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Barriers
to Participating
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QI Efforts
In a 2009 survey, staff
nurses across
Wisconsin were asked,
“If you are not involved
in your hospital’s QI
efforts, why not?”
This chart is a
summary of the
reasons given.
Are any of these true
for you?
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Reframing
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barrierstitle
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Exercise #1
Try this brief exercise about how might you re-frame
some of the barriers to participation in QI that other
clinical staff have listed
Just click on the light bulb 
This is a matching exercise.
See if you can make the connection.
When you are done, simply close out by clicking the X or
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ClickImpact
QI’s
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Facilities
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Hospitals and Clinics with a robust improvement
culture tend to show similar characteristics:
Great clinical outcomes
Higher patient satisfaction
Higher retention of staff
Better staff satisfaction and engagement
Positive local reputation
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ClickImpact
QI’s
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Masteror
title
Regionally
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Wisconsin has long been a leader in
health care quality.
Early adoption of improvement methods and
models has contributed to the high level of
quality care in Wisconsin.
Even so, we can expect the demands of
continuous improvement to become greater
as the population needing care grows.
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ClickImpact
QI’s
to editNationally
Master title style
In the United States health care costs have been rising
for decades, and the trend continues.
Some measures of U.S. population health have been
declining.
High health care costs impact the cost of goods,
services, and the overall standard of living.
Improvement focusing on getting the right care to the
right people at the right time is essential to slow or
reverse this trend.
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Click QI
Why
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in Health
Master
Care
title
is style
so Vital
In the near future, the importance of QI efforts
will be magnified by several factors:
• Increased scrutiny on medical errors.
• New reimbursement models partially based
on quality of care and good performance.
• Increasing pressures to control costs.
• Mandates to adopt information technology.
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Click Participation
Staff
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a missing
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We know recent surveys of QI Managers and other
studies that staff participation in improvement is a
difference maker. Even in our state, a quality leader,
we have room for improvement:
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Click Does
How
to editAllMaster
of thistitle
Connect?
style
National Improvement
State & Region Improvement
Facility Improvement
QI Team
You can always find a
connection between you
and the big picture
You
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You
Anything
this Way:
ClickCan
to Connect
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title in
style
This is one example:
Stop Blood Stream Infections
Public Reporting of Infections
ICU Infection
Prevention Team
Improve
Handwashing
You
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Pick another
clinical issue, an
try it for yourself
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Click 5to–edit
Unit
The Master
Capstone
title
Quiz
style
Congratulations!
You have completed Units 1 - 5 and can now proceed to the:
Capstone Quiz
To obtain full credit for your participation in QI 100, you must
take the 30 question quiz. This quiz is worth 50 points.
Simply click on the screen icon 
**Please note: You must take the assessment to get full credit
for the QI 100 Learning Series.
When you are done, simply close out by clicking the X or
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Click Resources
Unit
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WHA Reports
QI Managers Survey: http://www.whaqualitycenter.org/Files/SR_Quality082009%20%20FINAL.pdf
Staff Nurse Survey: http://www.whaqualitycenter.org/Files/Quality_Staff%20Nurse%20Survey.pdf
A Survey of Hospital Quality Improvement Activities, Alan B. Cohen et al. Medical Care Research
and Review 2008 (65) 571.
Quality Improvement Implementation and Hospital Performance on Quality Indicators. Bryan J
Weiner, et al. Health Services Research 2006 41:2, 307.
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