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Abstract

Texas Children’s Hospital implemented the Advanced Quality Improvement and Patient Safety Program (AQI) in 2009, designed to train clinicians and staff to develop leaders in quality improvement to improve patient care, lower costs, change culture, and lead improvement initiatives at the organization. Evaluations of the AQI programs measured the program’s effectiveness in achieving its goals and objectives. This paper describes the Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety program (AQI,) the program’s evaluation processes, and show the results of the evaluation of the AQI programs using evaluation surveys completed by QI participants over the span of 13 successful iterations or sessions. Program Design: The AQI Program grouped Texas Children’s Hospital employees and Baylor College of Medicine Faculty into multidisciplinary teams to work together on their QI Projects during the 6-month duration of the AQI session. The participant teams demonstrate QI knowledge and skills gained in the course by completing a Quality Improvement (QI) project and present their results on graduation day to the senior leaders and classmates. Descriptive statistics using the survey data completed at the end of each AQI session were calculated to determine participant perceptions of the AQI session, to specifically evaluate speakers and the AQI program overall. Results: The data collected over the period of 7 years from 2009 to 2016 showed a total of 507 AQI graduates and 137 AQI projects completed. Participant evaluations rated the in-class training days (core class days) above average in terms of satisfaction, knowledge gained and overall relevance to the QI curriculum. Participants’ pre-assessment and post assessment session evaluations showed a high percentage positive change in all the 10 domains of QI education in the AQI program. Participants rated the program very high, highlighting the areas of information needed for improvement at the current job role, and importance of the AQI program to the improvement of patient care at the hospital.

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