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SUMMARY:Understanding physician behaviour: the relationship between intrin
 sic motivation\, team-working and quality improvement  - Dr Partha Das\, F
 ellow of the Royal College of Physicians\, Harvard T.H. Chan School of Pub
 lic Health
DTSTART:20180212T100000Z
DTEND:20180212T110000Z
UID:TALK101308@talks.cam.ac.uk
CONTACT:Mari Huhtala
DESCRIPTION:1. Understanding physician behaviour: the relationship between
  intrinsic motivation\, team-working and quality improvement \n\n2. Applic
 ations of health systems engineering in the USA: an NHS physician's experi
 ence\n\nQuality improvement is a priority for organisations striving to ac
 hieve the 'Triple Aim' of improving patient experience of care (including 
 quality and satisfaction)\, improving the health of populations and reduci
 ng the per capita cost of healthcare. Research has shown that the outcomes
  of QI projects tend to plateau or are subject to attrition over time. Imp
 lementing QI projects typically involves some form of teaming and may incl
 ude a new group of individuals brought together to work on a distinct proj
 ect\, or an established\, stable\, and bounded team that coordinates multi
 ple initiatives. Team membership include individuals from one or more prof
 essional disciplines\, and physicians are often key members. Given that ph
 ysicians traditionally have occupied positions of influence within organiz
 ational hierarchies\, they potentially wield disproportionate power to fac
 ilitate or disrupt systems improvement initiatives. Understanding the infl
 uence of physician behavior and intrinsic motivation (including response t
 o incentives) is important to ensuring that improvement programmes have a 
 greater likelihood of delivering their expected outcomes and their ability
  to scale\, spread and sustain. I will describe the preliminary findings f
 rom an ongoing US based mixed methods study attempting to:\n\n1. Character
 ise the factors that influence physician motivation to participate in team
 s working on QI projects\n\n2. Identify which of these factors might influ
 ence the success of QI projects\n\n3. Understand how team-based QI activit
 ies impact individual physician learning and personal development\n\nI wil
 l also describe and reflect on my experience working with a number of team
 s based at academic health centres in Boston delivering and evaluating a n
 umber of systems level improvement initiatives utilising engineering appro
 aches. These include \n1) the redesign of perioperative care for children 
 with complex needs undergoing high risk surgery \n2) improving transitions
  of care from hospital to community for frail older persons with multiple 
 co-morbidities and \n3) the utilisation of data analytic approaches to pre
 dict safety events and foster high reliability within a large cancer hospi
 tal.
LOCATION:Sir Arthur Marshalls\, CUED
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