Children's Hospitals Today - Fall 2021 - 31

5 MINUTES WITH... / VITALS
An improvement expert
How embracing the improver's mind-set can move quality
initiatives forward-and even lead to more fun at work.
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CONVERSATION
What will it take to
achieve improvement
of health outcomes,
experience and value
for children and families
by 2030? What does
the next generation
of quality look like?
CHA is working with
children's hospitals
and health systems to
re-imagine quality for
the next generation
and support hospitals
and communities as
they work to accelerate
progress toward
improvement.
lfat Shaikh, M.D., remembers a day
when she was saying goodbye to her
son in first grade. " I just nonchalantly in that
motherly way turned to him and said, 'Have
fun in school.' And then he turned to me
and said, 'Have fun at work.' That stuck with
me. " The pediatrician at UC Davis Children's
Hospital and medical director of health care
quality at the University of California Davis
Health says it was a reminder of the reason
why clinicians go to work every day: to do
good by their patients and derive satisfaction
from their work. " Having an improver's
mind-set and looking at things from a glasshalf-full
perspective helps you do that, " she
says. Here, she discusses moving forward the
next generation of quality improvement.
Continue learning in an
on-demand series on quality,
hearing from colleagues
and fueling ideas and
progress into the future
at childrenshospitals.org/
qualityseries.
Why engage clinicians and caregivers in
quality improvement?
There are good data to show that half of
our quality improvement efforts failed to
achieve their intended outcomes. And a key
reason is we don't engage the clinician who
can provide insights into system problems,
identify variation in care and identify opportunities
for improvement. Half of that
group hasn't been substantially engaged in
these efforts. There are data to show that
once that's done, we can work together to
improve our pathways of care.
What does that development look like?
We must support dedicated time for quality
improvement and building career pathways.
We must also recruit clinicians into
these career pathways, help them develop
a quality improvement mind-set, and mentor
young clinicians. We must give them
the ability to select areas for improvement
within reason. Provide clinicians with a
menu of high-priority areas, and then let
them use their intrinsic motivation to create
ways to improve. And then finally, organizational
support is needed for quality
improvement-helping clinicians get data
for improvement and providing support
and analysis is key.
Tell us about the 'improver's mind-set.'
When I finished my residency training and
was working in a busy outpatient clinic,
I noticed patients were spending a large
amount of time waiting for services. They
waited in the waiting room for care. They
Ulfat Shaikh says clinicians play a key role in
looking for areas of improvement, and they can
be agents for change.
waited for lab tests to arrive by mail. They
waited for us to communicate key decisions
to them. To look for areas of improvement,
I diagrammed the path of a few of our patients
from the time they entered our clinic
to the time they exited. We must develop
that kind of thinking not only in ourselves,
but in the younger generation of clinicians
who we are training.
CHILDREN'S HOSPITALS TODAY Fall 2021
31
http://www.childrenshospitals.org/qualityseries http://www.childrenshospitals.org/qualityseries

Children's Hospitals Today - Fall 2021

Table of Contents for the Digital Edition of Children's Hospitals Today - Fall 2021

Contents
Children's Hospitals Today - Fall 2021 - Cover1
Children's Hospitals Today - Fall 2021 - Cover2
Children's Hospitals Today - Fall 2021 - Contents
Children's Hospitals Today - Fall 2021 - 2
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Children's Hospitals Today - Fall 2021 - Cover3
Children's Hospitals Today - Fall 2021 - Cover4
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