Beginning a Diabetes Quality Improvement Project

Geetha Mukerji; Ilana Halperin; Phillip Segal; Lori Sutton; Rene Wong; Leigh Caplan; Dana Whitham; Julie A Gilmour

doi:10.1016/j.jcjd.2019.02.003

Beginning a Diabetes Quality Improvement Project

Can J Diabetes. 2019 Jun;43(4):234-240. doi: 10.1016/j.jcjd.2019.02.003. Epub 2019 Feb 20.

Authors

Geetha Mukerji¹, Ilana Halperin², Phillip Segal³, Lori Sutton⁴, Rene Wong³, Leigh Caplan⁵, Dana Whitham⁶, Julie A Gilmour⁷

Affiliations

¹ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Women's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada; Division of Endocrinology, Women's College Hospital, Toronto, Ontario, Canada. Electronic address: [email protected].
² Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
³ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
⁴ Toronto Diabetes Care Connect, South Riverdale Community Health Centre, Toronto, Ontario, Canada.
⁵ Sunnybrook Academic Family Health Team, Department of Family and Community Medicine, University of Toronto, Ontario, Canada.
⁶ Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.
⁷ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.

PMID: 30979673
DOI: 10.1016/j.jcjd.2019.02.003

Abstract

There is a large evidence-to-clinical practice gap in diabetes care. Application of quality improvement (QI) strategies can be used to improve gaps in care delivery. In this first of 3 articles in the diabetes QI primer series, we introduce the steps required to plan a QI project by using a case example for improving foot screening of people with diabetes. We review how to select an appropriate QI project, conduct a baseline gap analysis to clarify the QI problem and engage stakeholders to ensure successful implementation. The next 2 articles in the series will focus on root-cause analysis, selection of change ideas to improve care gaps, execution of the QI project using rapid-cycle testing and monitoring to sustain improvement over time.

Keywords: amélioration de la performance; amélioration de la qualité; diabetes; diabète; performance improvement; quality improvement; quality of care; qualité des soins.

Publication types

Review

MeSH terms

Delivery of Health Care / standards*
Diabetes Mellitus / therapy*
Humans
Patient Care Team / organization & administration*
Patient Education as Topic*
Quality Assurance, Health Care / standards*
Quality Improvement*