The Minist\u00e8re de la Sant\u00e9 et des Services sociaux (MSSS) has mandated the Unit\u00e9 de soutien au syst\u00e8me de sant\u00e9 apprenant (SSA) Qu\u00e9bec to structure and deploy continuous quality improvement (CQI) in the province. The objective is to implement activities for reflexivity, skills development and support for practice changes in community-based services.<\/p>\n\n\n\n
Continuous quality improvement (CQI) is the ongoing, combined effort of all stakeholders in an organization to make changes that will lead to better results at the quintuple aim<\/a>.<\/p>\n\n\n\n CQI in healthcare is a fundamental approach to quality primary care. It rigorously combines reflective practice, the application of best practices, data analysis and teamwork. The approach is also characterized by the development of a culture that leads all players involved to adopt a systemic and reflective approach to identify opportunities for improvement.<\/p>\n\n\n\n CQI is one of the driving forces behind the development of a learning health system<\/a>, i.e. a health system in which health data from care delivery and research are analyzed to advance knowledge, which is then integrated into practices for the purpose of continuous improvement.<\/p>\n\n\n<\/div>\n\n \n\n\n Healthcare professionals, working alone or as part of a team, are already involved in CQI in a more or less formal way. These individuals and teams can improve the performance of their approach by relying on a structured and documented methodology with the aim of improving the quality dimensions of health and social services (MSSS, 2012) :<\/p>\n\n\n\n Some CQI approaches meet the continuing professional development requirements of the Coll\u00e8ge des M\u00e9decins du Qu\u00e9bec (CMQ), and engaging in them can contribute to the 10 hours of professional practice evaluation activities required per reference period.<\/p>\n\n\n<\/div>\n\n \n\n\n There are several methodologies available for CQI, including the Model for Improvement and the Lean-Six Sigma model. The Unit\u00e9 de soutien SSA Qu\u00e9bec is a partner of the Acad\u00e9mie qualit\u00e9 sant\u00e9 (AQS), which has chosen the Model for Improvement, a proven approach created and adapted for healthcare systems by the Institute for healthcare improvement (IHI). This model enables us to engage in the CQI process in a step-by-step fashion. Once a problem or an opportunity for improvement has been defined, an improvement team is formed, an objective is developed, indicators are chosen, ideas for change are generated, and these are tested using PDSA cycles (P: plan; D: do; S: study and A: act). The change ideas fine-tuned in the pilot project are then rolled out to the entire team and made permanent. A further step is to scale up the ideas for change in other environments.<\/p>\n\n\n<\/div>\n\n \n\n\n Une soixantaine de facilitatrices et facilitateurs de pratique coordonnent des d\u00e9marches d\u2019ACQ dans les milieux cliniques de premi\u00e8re ligne :<\/p>\n\n\n The Unit\u00e9 de soutien SSA Qu\u00e9bec offers Continuous Quality Improvement (CQI) support to family medicine clinics and Family Medicine Groups (GMFs). How do we do it? Thanks to the expertise of regional CQI agents.<\/p>\n <\/div>\n <\/div>\n Why commit to CQI?<\/h3>\n \n\n
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How to achieve CQI<\/h3>\n \n\n
The driving forces behind ACQ<\/h3>\n \n\n
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Continuous quality improvement services for family medicine clinics and family medicine groups<\/h3>\n