IHI.org - A resource from the Institute for Healthcare Improvement
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Decision Support:
Provide Skill-Oriented Interactive Training Programs for All Staff in Support of Chronic Illness Improvement
  1. Evaluate educational needs of staff.
  2. Schedule in-service training routinely. Include skill building in training (use of peak flows, spirometry, and metered dose inhalers).
  3. Use an expert, mentor, or specialist for education.
  4. Consider using 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
        • To educate patients

Tips
  • Keep surveys simple and easy to complete.
  • Use multiple media for training (e.g., memos, "commercials" during in-service training).
  • Make use of existing means of reaching staff.
  • Use bulletin boards in staff areas or staff restrooms, and change them frequently.
  • Consider pop quizzes.
  • Try an “Asthma Alert!” Run it like a fire drill: The patient has asthma; what is your role in the care of this patient? Begin with the front office and go through clinic.
  • Make sure CMEs are consistent with your care guidelines.
  • Provide CEUs.
  • Provide certificates.
  • Use the same specialist for referrals, consults, and education. Choose a person who believes in primary care as the basis for delivery of good chronic care.
  • Have experts (e.g., physicians or respiratory therapists from the hospital) provide staff training.
  • Keep meetings brief and purposeful.
  • Use lessons from individual patients for teaching population-based principles.
  • Make sure that “next steps” are part of the agenda.
  • Review the care management conference process periodically to make sure it is still meeting a need. Make sure it does not become a time sink.