Guide

Describe the relevance of system theories in health care

Describe a patient’s longitudinal experience through the health care system

Describe the domains of health care quality

Describe quality improvement methodologies

Compare and contrast the traditional methods of research design with those of improvement science

Compare and contrast systems theory with traditional approaches to quality improvement

Seek data to inform practice and engage in an iterative process of improvement

Analyze and provide feedback on processes seen in one’s own practice, team, organization, or system

Participate in a patient safety and/or quality improvement initiative

Apply the science of quality improvement to contribute to improving systems of patient care

Lead quality improvement initiatives

Design processes to mitigate the impact of human and system factors on performance

Apply the science of complexity to the improvement of health care

Teach quality improvement science

Engage physicians and other health care professionals to collaborate in improving systems of patient care

Describe the features of a “just culture” approach to patient safety

Actively encourage all involved in health care, regardless of their role, to report and respond to unsafe situations

Engage patients and their families in the continuous improvement of patient safety

Model a just culture to promote openness and increased reporting

Contribute to a culture that promotes patient safety

Promote a health care culture that enhances safety and quality

Evaluate the culture of an institution or group with respect to patient safety and health quality

Champion a just culture to enhance patient safety

Describe the elements of the health care system that facilitate or protect against patient safety incidents

Describe the available supports for patients and health care professionals when patient safety incidents occur

Analyze harmful patient safety incidents and near misses to enhance systems of care

Implement systems-level improvements in processes for identification of and response to patient safety hazards and patient safety incidents

Describe the data available from health information systems in their discipline to optimize patient care

Map the flow of information in the care of their patients and suggest changes for quality improvement and patient safety

Use data on measures of clinical performance during team discussions and to support team decision-making

Use health informatics to improve the quality of patient care and optimize patient safety

Participate in systems-based informatics development and improvement

Engage others in the adoption and refinement of health information technology for quality improvement

Compare service delivery data to accepted targets or goals

Describe the differences between cost, efficacy, and value with respect to health care delivery

Describe the ethical issues related to resource stewardship in health care

Analyze how practice-related decisions affect service utilization and health-system sustainability

Describe the costs of common diagnostic and therapeutic interventions relevant to their discipline

Describe models for resource stewardship in health care used at the institutional level

Consider costs when choosing care options

Use clinical judgment to minimize wasteful practices

Develop practice-based and system-based rules for resource allocation

Allocate health care resources for optimal patient care

Assess performance of learners in providing high-value care

Experiment with care delivery models that may improve care, value, or efficiency

Discuss strategies to overcome the personal, patient, and organizational factors that lead to waste of health care resources

Describe how evidence-informed medicine can be applied to optimize health care resource allocation

Apply evidence and guidelines with respect to resource utilization in common clinical scenarios

Determine cost discrepancies between best practice and their current practice

Optimize practice patterns for cost-effectiveness and cost control

Apply evidence and management processes to achieve cost-appropriate care

Compare utilization data within and outside their institution to revise processes that are inefficient or unnecessary

Engage health care administration and leadership to reduce waste

Analyze a proposed practice innovation to determine its cost impact in the clinical microsystem

Describe leadership styles as they relate to health care

Describe how self-awareness, self-reflection, and self-management are important to developing leadership skills

Analyze their own leadership styles, including strengths, weaknesses, and biases

Contribute to a health care change initiative

Demonstrate leadership skills to enhance health care

Provide mentorship and guidance to help others develop leadership skills

Compare and contrast the Canadian health care system with other models around the world

Describe the key issues regarding the need to improve health care delivery and the role of physician leadership in this improvement

Describe a recent local or national health system change and the basis for acceptance or resistance to this change

Analyze patient feedback to help improve patient experiences and clinical outcomes

Describe key health policy and organizational issues in their discipline

Develop a strategy for implementing change in health care with patients, physicians, and other health care professionals

Analyze ongoing changes occurring in health care delivery

Facilitate change in health care to enhance services and outcomes

Lead a multidisciplinary team to implement a change in health care delivery

Provide consultative advice from a physician perspective to institutional managers and policy-makers

Reflect on and set personal, educational, and professional goals

Demonstrate time management skills

Align priorities with expectations for professional practice

Build relationships with mentors

Organize work using strategies that address strengths and identify areas to improve in personal effectiveness

Set priorities and manage time to integrate practice and personal life

Adjust priorities to enable participation in clinical care, the profession, and institutional, provincial, national, or international activities

Teach and assess time and personal management skills

Mentor others

Prioritize career path options on the basis of personal strengths and goals, the needs of society, and current and projected workforce needs

Review opportunities for practice preparation, including choices available for further training

Maintain a portfolio and reflect professional development

Examine personal interests and seek career mentorship and counselling

Reconcile expectations for practice with job opportunities and workforce needs

Adjust educational experiences to gain competencies necessary for future independent practice

Describe remuneration models as they pertain to their discipline

Plan practice finances, considering short- and long-term goals

Manage a career and a practice

Teach others about career and financial planning

Hire health care professionals according to defined capabilities

Align practice with career goals and opportunities

Manage a personal schedule using tools and technologies

Describe how practice standardization can improve quality of health care

Improve personal practice by evaluating a problem, setting priorities, executing a plan, and analyzing the results

Implement processes to ensure personal practice improvement

Engage regulatory bodies, medical associations, and specialty societies to improve standards of practice

Engage others to develop a culture of continuous practice improvement

Solicit feedback and external practice audits to drive practice improvement

Develop systems to optimize practice management, including the use of checklists, prompts, and standard operating procedures