This position is a new non-ACGME accredited full-time junior faculty position designed to promote education and leadership in quality improvement and patient safety (QIPS).  At the completion of the one-year experience, the Fellow will have gained strong experiential and theoretical foundations in quality improvement and patient safety (QIPS).

The position is split between administrative and clinical time, with an emphasis on the former. Residents board-eligible or certified in any specialty who have completed training by June 30th are eligible to apply. The successful applicant will become a member of the CMHS Medical Staff.

This position runs from July 1, 2023 to June 30, 2024 and reports to both the specialty program director and VP of Quality.  Salary is commensurate with experience.  The position offers full benefits with 20 days PTO and medical staff membership.  The Fellow will be provided with a laptop for use.

Goals & Objectives

Leadership development

  • Act as liaison between CMHS Administration and GME to promote QIPS initiatives, such as infection prevention, throughput and census management, and communication
  • Lead inpatient patient safety rounds with inpatient resident teams
  • Attend key CMHS committees, including the Board Patient Safety & Quality committee, the Medical Staff Quality Assessment & Improvement committee, and the Patient Safety Council, as well as other key institutional committees as assigned

Administrative

  • Assist in preparing for the sponsoring institution CLER visit
  • Encourage residents to appropriately use the established patient safety report system, STAR; investigate STAR events involving residents and faculty and track outcomes
  • Other duties as assigned to help coordinate program-wide events and program changes, support resident education, and provide clinical coverage

Clinical

  • Care for patients as assigned, doing inpatient hospitalist shifts and seeing patients in clinic on average one half day per wee

Educational

  • Gain working knowledge of the following:
    • Quality improvement tools, including Plan-Do-Study-Act cycles, process map, and fishbone diagrams
    • Current literature on patient safety
    • Statistical methodology and use of hospital databases
    • CMHS QIPS-related reporting, such as patient satisfaction, culture of safety data
    • Utilization review practices
  • Pursue advanced IHI training+
    • PS 201: Root Cause Analyses and Actions
    • PS 202: Achieving Total Systems Safety
    • PS 203: Pursuing Professional Accountability and a Just Culture
    • QI 201: Planning for Spread: From Local Improvements to System-Wide Change
    • QI 202: Addressing Small Problems to Build Safer, More Reliable Systems +Requires IHI Basic Certificate in Quality and Safety
  • Attend regional or national conferences on QIPS

Curriculum Development

  • Develop a series of specialty-based morning report teaching cases on QIPS to address common quality concerns in health care delivery, including issues surrounding health equity
  • Participate in the following conferences as time permits:
    • Multispecialty QIPS conference for residents and faculty
    • QIPS-focused morning report
    • M&M focused on resident presentations of system-based inpatient or outpatient QIPS issues rather than single error-type cases (e.g. focusing a case on how the EMR or discharge process did not facilitate a certain patient care function rather than discussing an initially missed diagnosis of a rare presentation) and follow up on action plan
  • Participate in Root Cause Analyses and other patient safety activities
  • Facilitate alignment of resident QI projects with institutional QI priorities and mentor resident QI projects

Scholarship production

  • Choose one clearly defined longitudinal project designed to lead to systematic improvements at CMHS, identify a mentor, and produce a scholarly paper, poster, or presentation as first author
  • Collaborate on other QIPS-focused scholarly activities within the residency program and hospital