Systems Change: Implementation, Teamwork, and Workflow Mapping

Overview

This module continues the systems change discussion with a focus on the work of the cardiac rehabilitation (CR) quality improvement (QI) team. Topics covered in this module include:

• Mapping workflow and processes to identify necessary changes and potential barriers for implementing automatic referral with care coordination.
• Collecting baseline data and establishing a data collection plan to drive decision making and improvement.

Suggested Audience

The target audiences for this session include:

• The CR QI team
• Non-team cardiac clinicians
• Discharge planners
• Care coordinators
• Hospital leadership

It is important to note that the audiences listed above are a suggestion rather than a limitation. All are welcome to watch and review the module.

Learning Objectives

Upon completion of this module, attendees should be able to:

• Map current workflows for CR referral, enrollment, adherence, and graduation.
• Identify needed changes (when, where, by whom, and how) to implement automatic referral with care coordination.
• Create a data collection plan that will inform your process and drive improvement.

Speaker Bios

Provide feedback on this training module at TAKEheart@abtassoc.com.

Related Resources

American Society for Quality. Quality Tools. https://asq.org/quality-resources/quality-tools. Accessed March 13, 2020.

McNeil, P. Liverpool Hospital. Clinical Champions. https://www.health.nsw.gov.au/wohp/Documents/mc3-clinical-champions-mcneil.pdf. Accessed March 13, 2020.

Million Hearts. Cardiac Rehabilitation: Saving Lives, Restoring Health, Preventing Disease. https://millionhearts.hhs.gov/files/Cardiac_Rehab_Infographic-508.pdf. Accessed March 13, 2020.

Million Hearts. Getting to 70% Cardiac Rehabilitation Participation: Action Steps for Hospitals. https://www.aacvpr.org/Portals/0/Million%20Hearts%20Change%20Package/4.24.2018%20Files/SC-3-CRCP-MH-Actions%20for%20Hospitals.pptx. Accessed March 13, 2020.

Million Hearts. Tools and Protocols. https://millionhearts.hhs.gov/tools-protocols/index.html. Accessed March 13, 2020.

Health Information Technology, Evaluation, and Quality Center. Guide to Improving Care Processes and Outcomes in Health Centers: An Approach to Quality Improvement. https://hiteqcenter.org/Resources/HITEQ-Resources/guide-to-improving-care-processes-and-outcomes-in-health-centers. Accessed March 13, 2020.

The Institute for Healthcare Improvement. Quality Improvement Essentials Toolkit. http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx. Accessed March 13, 2020.

TMIT Consulting, LLC. Clinical Decision Support Quality Improvement Worksheet. http://hiteqcenter.org/Portals/0/pdf/HITEQ%20HIT%20QI%20Guide%20CDS%20QI%20Worksheet_Essential.docx. Accessed March 13, 2020.

*This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and the American Hospital Association (AHA).  ABQAURP is accredited by the ACCME to provide continuing medical education for physicians.

The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 1.0 contact hours through the Florida Board of Nursing, Provider # 50-94.