IHI.org - A resource from the Institute for Healthcare Improvement
Header Image






Decision Support:
Provide Continuous Skill-Oriented Interactive Training Programs
    1. Evaluate educational needs of staff.
    2. Schedule in-services routinely and opportunistically.
    3. Use an expert, mentor, or specialist for education.
    4. Use care management conferences to encourage guideline-based practice:
      • Develop a multidisciplinary case review/care management team.
      • Determine the frequency of case reviews.
      • Decide how case review information will be used to make changes in care delivery, to educate providers, and to educate patients.

Tips
  • Keep surveys simple and easy to complete.
  • Use multiple media for training (e.g., memos, "commercials" during in-services, sit down in-services).
  • Make use of existing means of reaching staff.
  • Consider pop quizzes.
  • Make sure certified medical education sessions are consistent with your care guidelines.
  • Chose a person who believes in primary care as the basis for delivery of good chronic care.  Rotate experts: use different disciplines (pharmacy, nursing, physical therapy, patient education, etc.).
  • Keep meetings brief and purposeful.
  • Use lessons from individual patients for teaching.
  • Make sure that "Next Steps" are part of the agenda.
  • Review the case management conference process periodically to make sure it is still meeting a need.  Make sure it doesn't become time consuming.