Course Syllabus

Course Director: Deanna R. Willis, MD, MBA Contact Phone: 317-430-6407 (text message preferred) Email: drwillis@iupui.edu Office Hours: By appointment (contact Shannan Hall at hallshr@iupui.edu)

Statewide Coordinator: Natalie Rollman, MAEd Office Phone: 317-278-0364 Email: fammeded@iupui.edu

Given the COVID-19 pandemic, changes may need to be made in the content, delivery, and assessment of the course that are not anticipated. Faculty and course leadership will update students expeditiously if such changes are required.

Description/Overview

This Lean Quality Improvement Elective is designed to give you an experience in quality improvement activities that will facilitate incorporation of Lean quality improvement into your academic repertoire. Lean quality improvement principles include the following:

1. Continuous improvement
2. Respective for people

Learning Objectives

1. Describe basic Quality Improvement principles (SBP5)
2. Apply those Quality Improvement principles in a classroom setting (SBP5)
3. Collaboratively design and implement a Quality Improvement project in a healthcare setting using the previously learned principles (SBP5)
4. Measure the impact of that Quality Improvement project (SBP5)

Course of Study:

This elective is designed to be a flexible approach to meet the needs of each learner. The options include a fully online course of study all the way to a fully immersed “hands on” Lean process improvement course of study working side by side with a professional/experienced Lean practitioner—and everything in between. The goal is for the learner to have the experience that best suits his/her learning style and learning goals.

Learner Expectations:

• The modules are available on the Canvas course site and are described below.
• There are six (6) mandatory learning modules during the course with a brief reflection paper after several of the modules and one summative assignment at the end of the course.
• The modules are "locked" and require learners to proceed in order.

Course Requirements:

Module 1: Introduction & Overview

A basic introduction into quality improvement in the healthcare system.

Module 2: MedEx 5 or 6S

At the end of this module, the learner should be able to:

• Explain how 5 or 6S eliminates waste and improves employee productivity by organizing the workplace
• Recognize that eliminating waste and creating value are key Lean Thinking concepts

This module teaches the learner about the Lean quality improvement tool referred to as 5 or 6S. The module includes a pre- and post-learning assessment, content discussion with video example of a practical hospital based application of 6S, and a reflection paper (see assignment for requirements and rubric).

Module 3: Standardizing Work

At the end of this module, the learner should be able to:

• Explain that standardizing work, when possible and practical, improves patient care and provider satisfaction.
• Recognize that standardizing work is an key part of a holistic lean healthcare system.

This module teaches the learner about the Lean quality improvement tool referred to as Standard Work. The module includes a pre- and post-learning assessment, content discussion with video example of a practical hospital based application of Standardizing Work, and a reflection paper (see assignment for requirements and rubric).

Module 4: A3 Thinking

At the end of this module, the learner should be able to:

• Explain that A3 thinking and charts are a standard tool for implementing structured problem solving.
• Recognize that A3 thinking enables Plan-Do-Study-Act improvement cycles.

This module teaches the Learner about the Lean concept of A3 Thinking. The module includes a pre- and post-learning assessment, content discussion with video example of a practical hospital based application of A3 Thinking, and a reflection paper (see assignment for requirements and rubric).

Module 5: Daily Management System (DMS)

At the end of this module, the learner should be able to:

• Explain that a Daily Management System:
  • Improves group coordination
  • Utilizes visual management
  • Effectively utilizes time
• Recognize that DMS is one element of a management system for lean healthcare.

This module teaches the Learner about the Lean management system of Management for Daily Improvement. The module includes a pre- and post-learning assessment, content discussion with video example of a practical hospital based application of Daily Management System (DMS), and a reflection paper (see assignment for requirements and rubric).

Module 6: Rapid Process Improvement Workshop (RPIW)

At the end of this module, the learner should be able to:

• Explain how Rapid Process Improvement Workshops (RPIW) enable effective implementation across enterprise units
• Recognize that RPIW is but one form of Kaizen – or continuous improvement This assignment asks the learner to apply multiple concepts learned during the course into a Personal Development Plan A3 document for themselves. The PDP A3 can be related to any topic of interest to them—from an upcoming career transition, a personal transition (moving to a new house, planning a wedding), to their personal Lean development.

This module teaches the Learner about the Lean tool called a Rapid Process Improvement Workshop (RPIW) or a Rapid Improvement Event (RIE). The module includes a pre- and post-learning assessment, content discussion with video example of a practical hospital based application of an RPIW. There is no reflection paper at the end of this module.

Course Summative Assignment: Personal Development Plan (PDP) A3:

Assignment Instructions (see assignment for rubric)

• Develop a Personal Development Plan A3 for yourself.
• Include boxes 1-9.  You can draw pictures of current state and future state and include words that describe the attributes of current state and future state in Boxes 2/3/8.
•  A template ("A3 for personal development") is provided for you to use on the Canvas course site

Students with Special Needs:

If you have special needs which may affect your performance in this class, University policy requires that you register with and submit documentation to the Office of Adaptive Educational Services, which works with eligible students to request accommodations. Contact AES at 274-3241.

Academic Integrity:

This course follows the University's policy on integrity. A copy of this policy can be found in the University's Student Handbook.

Cheating - "Dishonesty of any kind with respect to examinations, course assignments, alteration of records, or illegal possession of examinations shall be considered cheating.  It is the responsibility of the student not only to abstain from cheating but, in addition, to avoid the appearance of cheating and to guard against making it possible for others to cheat.  Any student who helps another student to cheat is as guilty of cheating as the student he or she assists." – IUPUI Academic Handbook

Plagiarism - Plagiarism is the using of other's words or ideas as your own without giving credit to the original user. This is a serious offence that can result in failing grades on assignments, in classes and even in expulsion from the university or legal action. "Honesty requires that any ideas or materials taken from another source for either written or oral use must be fully acknowledged.  Offering the work of someone else as one's own is plagiarism." – IUPUI Academic Handbook.  While this may be new information to you, you are expected to take care not to use ‑ intentionally or unintentionally ‑ work by others. If you have questions about how to handle a particular situation, please get in touch with me.

Disciplinary Action - Any student found engaged in cheating, aiding in cheating, plagiarism, or any other unfair practice, will be dealt with immediately and strictly according to University policies.  Only the most severe possible penalties will be applied.

Elective Policies

Attendance
Attendance is mandatory for the entire elective. Doctor appointments and scheduled meetings must be made outside of the learning time. Students must report any planned or unexpected absences to the assigned community faculty. Expected Average Workload: Students should expect to spend 50-60 hours per week in elective-related activities.

Professionalism
All students are to perform the requirements of the QUiP elective in a professional manner. This includes, but is not limited to, behaviors in clinical settings, timely submission of required pre-requisites for elective, issues related to HIPAA, and active participation in learning environments. The Department of Family Medicine reserves the right to assign a failing grade for the elective if a student has performed in an unsatisfactory, unprofessional or unethical manner in terms of behavior with the community faculty, any of his/her health care team members or patients. Consult the IUSM Mission and Vision and IUSM Honor Code that provide the foundation for the culture of professionalism expected at IUSM

Assessment

Students will complete a personal development A3 for themselves and have the option to complete the Institute for Healthcare Improvement (IHI) Open Course Certificate in Quality Improvement (online).

Duty Hours

40/week

Time Distribution

40% Clinical, 40% Library/Research, 20% Lecture/Seminar

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills
Yes

Skills Description
Students participate in a Rapid Improvement Event (RIE) as a team member.