Transcript Quality Improvement Project

Quality Improvement ProjectDocumenting BMI
• Quality Improvement (QI)- An excellent method
of analyzing a particular clinical practice,
implementing change in that practice and
assessing the effects of changes. The overall
goal is to measure where you are and devise
strategies to make you better.
• Measurement of BMI can be improved through
the use of Quality Improvement Projects.
Quality Improvement ProjectImproving the Documentation of BMI
• QI Projects focused on improving the measurement
of BMI can be on a target population (eg. Greater
than 2 years) or on the entire population served by a
particular institution.
• The ideas used in the following QI Project
description have been adapted from “Teaching
Immunization Delivery and Evaluation,” also
known as TIDE, and can be found at the website:
http://www2.edserv.musc.edu/tide/reg/main.las
Designing a QI Project- Improving
the Documentation of BMI
 Step 1: Assess the measurement of BMI. Two
possible methods are:
1)
Chart Method- uses data from randomly selected
medical records.
2)
Consecutive Method- collects data of consecutive
children as they are seen for care. Easiest method to
implement!!

Record data on a Standardized Encounter Record for
each patient.
Designing a QI Project- Improving
the Documentation of BMI
 Step 2: Improving BMI Measurement
1) Describe and analyze key office routines
related to measuring BMI.
2) Based on findings in 1), select interventions
likely to improve the measurement of BMI.
3) Focus on the “Vital Few” interventions rather
than the “Useful Many.”
Designing a QI Project- Improving
the Documentation of BMI
 Step 3: Assessing the Effects of Changes
1) Assess BMI Measurements again after a specified
period of time.
 Key Points
•
•
It is important that key players buy into project!
Incentives are very important!
Designing a QI Project
• The nuts and bolts of this sample QI
project can be used to conduct a QI
project to improve any clinical practice
related to obesity advocacy.
• Some example clinical practices:
counseling on exercise and diet, providing
handouts or prescriptions for diet/exercise,
ensuring follow-up for obese patients,
going over 5-2-1-0. The list goes on…..