Connecting the Dots Creating a learning health system linking clinical quality improvement,...
If you can't read please download the document
Connecting the Dots Creating a learning health system linking clinical quality improvement, Maintenance of Certification, and research Maureen Smith, MD,
Connecting the Dots Creating a learning health system linking
clinical quality improvement, Maintenance of Certification, and
research Maureen Smith, MD, MPH, PhD Professor, Departments of
Population Health Sciences, Surgery, and Family Medicine University
of Wisconsin - Madison
Slide 2
Objective Support clinicians conducting MOC Part IV quality
improvement projects in publishing their results Learn about the
peer-reviewed publishing process Provide instrumental support
(templates, formatting) Additional Benefits Extend traditional QI
work to scholarly contributions Leverage existing academic
strengths in health services research Build a foundation for future
partnerships to support a learning health system
Slide 3
UW Health University of Wisconsin - Madison Academic health
system ~10,000 employees ~1,350 physicians 350 primary care
providers ~275,000 medically homed patients UW Health locations UW
Hospital 566 beds American Family Childrens Hospital 61 beds
Primary care & specialty clinics 47 clinics Access Community
Health Centers Outreach sites in 50+ communities
Slide 4
UW Health Partners Creating a Learning Health System
Professional Education Health Services Research Quality Improvement
Maureen Smith, MD PhD Sally Kraft, MD Carla Pugh, MD PhD
Slide 5
UW Health MOC Portfolio Program Physicians enroll in UW Health
MOC projects Best practices endorsed as UW Health MOC projects
Improvements in care discovered by front-line teams Physicians work
with teams to implement standard best practices Professional
Development Quality Improvement
Slide 6
Disseminating Success Beyond UW Successful QI project
completed, meets UW Health QI standards, MOC Part IV awarded AAMC
Learning Health System Award used to develop online resources to
support faculty publishing QI projects.
Slide 7
Partnering with health services research Professional Education
Health Services Research Quality Improvement www.hip.wisc.edu
Slide 8
Health Innovation Program (HIP) Goal To improve health care
delivery and population health across the state of Wisconsin and
the nation through conducting & disseminating health services
research that partners UW faculty with Wisconsin healthcare
organizations hip.wisc.edu
Slide 9
HIP Results Since its launch in 2006, HIP has: Supported
investigators in receiving over $48 million in federally funded
grants Over 250 publications Projects have involved hundreds of
healthcare organizations and nearly 500 faculty, staff, and
community members
Slide 10
Building a HIP QI Publishing Resource Overview of writing and
publication process Downloadable templates Manuscript file with
placeholders/prompts as guides Cover letter Sample tables and
figures Sample response letter to reviews Lists of journals that
publish QI work Formatting resources And other useful publishing
information hip.wisc.edu/QI_Publish
Slide 11
IRB Research Decision Tool Online self-service tool provided by
Health Sciences IRB Streamlines ability to get an exemption for QI
work https://kb.wisc.edu/hsirbs/page.php?id=33386
Slide 12
QI Publishing Resource Launched approximately 1 year ago
Registration required to view materials 37 registrations to date
40% are from outside of UW Pages with materials have been viewed
~200 times Registrants working on a wide variety of QI projects IRB
site used widely across UW hip.wisc.edu/QI_Publish
Slide 13
Partnership as a Foundation Building successful partnerships
takes years Takes resources and committed leadership Focus on
projects where there is an alignment between all partners Quality
team focuses on organizational high priority improvement goals
Education staff draws on their expertise and experience Researchers
work in their areas of interest and on projects for which they have
secured funding Develop a portfolio of projects so the success of
the partnership does not depend on a single project
Slide 14
Foundation for a Bigger Project Analytics infrastructure for
the UW Health ACO IDENTIFY High-risk patients Chronic conditions
MANAGE Care & case management Transitions management ANALYZE
Admissions Readmits ED visits Total cost IMPROVE Refine Target
Scale Refocus + Electronic Health Records Medicare Claims Data Risk
scores for ~30,000 patients Data visualization for costly events
~1000 pages of reports monthly Evaluation of new interventions