Objective: Our objectives were to (1) develop a curriculum based upon participants’ needs, (2) evaluate baseline QI knowledge of the Illinois Surgical Quality Improvement Collaborative (ISQIC) members, and (3) evaluate the effectiveness of the educational curriculum. Design: The Surgeon Champion (SC), Surgical Clinical Reviewer (SCR), and QI Designee at each ISQIC hospital completed a QI curriculum containing online modules and in-person trainings. A surgical adaptation of QI-KAT, a validated QI knowledge assessment with multiple-choice and free-response sections, was administered pre- and postcurriculum. Three blinded educators scored each exam using a rubric-based scoring tool (54 total points). Setting: The ISQIC is a 52-hospital learning collaborative. Generally, ISQIC participants had little prior formal training or experience with quality improvement. Results: Among 52 hospitals, 144 pretests and 112 post-tests were collected. Mean scores increased from 66% (35.6 points) to 77% (41.6 points; p < 0.001). Across all hospitals, all participant groups scored higher on the post-test (SCs 15%, SCRs 21%, QI Designees 17%). There was no significant difference in post-test mean scores among different team members: SCs 44 points, SCRs 42 points, QI Designees 44 points, (p = 0.76). When the post-test scores were aggregated at the hospital level, hospitals with new surgical QI programs improved more than hospitals with established programs (new 18%, established 11%, p < 0.05). Conclusions: QI knowledge significantly improved after completion of the ISQIC curriculum. These data support the value of formalized curricula to rapidly advance QI knowledge and application skills as a foundation for implementing QI initiatives.
|Number of pages||8|
|Journal||Journal of Surgical Education|
|State||Published - Nov 1 2020|
Bibliographical noteFunding Information:
This work is supported by the Agency for Healthcare Research and Quality ( R01HS024516 [PI: K.Y.B.]) and the Health Care Services Corporation/Blue Cross Blue Shield of Illinois (PI: K.Y.B.).
© 2020 Association of Program Directors in Surgery
- Quality Improvement Collaborative (QIC)
- process improvement
- quality improvement
ASJC Scopus subject areas