9:00AM DEVELOPING CLINICAL PRACTICE GUIDELINES
Faculty: Ann Lawthers
Session Objectives:
Through a mix of lecture and interactive exercises, participants will learn the importance of clinical practice guidelines in an integrated quality management program. Participants will be introduced to the basics of developing a guideline, from selecting a topic and gathering experts, to rating the evidence and summarizing recommendations in a way to maximize the likelihood the guideline will be adopted.
Priority Reading:
1. Battista, R. N. M. D. S. F. and M. J. Hodge (1995). “Setting priorities and selecting topics for clinical practice guidelines.” CMAJ: Canadian Medical Association Journal November 1 153(9): 1233-1237.
2. Shekelle, P. G., S. H. Woolf, et al. (1999). “Clinical guidelines: Developing guidelines.” BMJ February 27 318(7183): 593-596.
Recommended Reading:
1. Insitute Clinical Systems Integration. Diagnosis of Chest Pain, www.icsi.org
2. Margolis CZ, “Developing and Constructing Practical Guidelines.” In Margolis, C. and S. Cretin, Eds. (1999). Implementing Clinical Practice Guidelines. Chicago, American Hospital Association Press.
3. Fletcher RH, “Building in the Evidence.” In Margolis, C. and S. Cretin, Eds. (1999). Implementing Clinical Practice Guidelines. Chicago, American Hospital Association Press.
1:00 PM PARTICIPANT PRESENTATIONS
Faculty: Paul Campbell and Ann Lawthers
Session Objectives:
Participants will learn about the countries and organizations in which their fellow program attendees work. They will also identify the specific challenges that they face to improving quality.
9:00 AM IMPLEMENTING GUIDELINES
Faculty: Ann Lawthers
Session Objectives:
Implementing a guideline may be more challenging than developing a guideline. Participants will learn how to effectively plan for guideline implementation, by assessing the environment and practitioner readiness, as well as focusing the guideline implementation effort. This session will include a mix of lecture and exercises.
Priority Reading:
1. Pathman, D. E., T. R. Konrad, et al. (1996). “The Awareness-to-Adherence Model of the Steps to Clinical Guideline Compliance: The Case of Pediatric Vaccine Recommendations.” Medical Care September 34(9): 873-889.
2. Davis, D. A. and A. Taylor-Vaisey (1997). “Translating guidelines into practice: A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines.” CMAJ: Canadian Medical Association Journal August 15 157(4): 408-416.
Recommended Reading:
1. Halm, E. A., S. J. Atlas, et al. (2000). “Understanding physician adherence with a pneumonia practice guideline: effects of patient, system, and physician factors.” Archives of Internal Medicine 160(1): 98-104.
2. Cameron, C. M. and C. D. M. D. D. Naylor (1999). “No impact from active dissemination of the Ottawa Ankle Rules: further evidence of the need for local implementation of practice guidelines.” CMAJ: Canadian Medical Association Journal April 20 160(8): 1165-1168.
1:00PM STARTING THE QUALITY IMPROVEMENT CYCLE
Faculty: Pedro Saturno
Session Objectives:
Participants will learn how to identify an opportunity for quality improvement, how to analyze quality problems without data and how to analyze quality problems with data.
2:30 PM GROUP EXERCISE
Faculty: Pedro Saturno
Session Objectives:
Participants will deepen their understanding about analyzing quality problems without data by applying the Cause and Effect Diagram.
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