This module, What We Do Matters: Continuous Quality Improvement within Chaplaincy and Health Care, is designed to enable learners to be a full participant in CQI processes and to establish and sustain a CQI program for a chaplaincy or spiritual care service using Lean and Six Sigma. Participants will learn the basic language to recognize CQI’s underlying assumptions, language, and processes. The module will teach assumptions and language that is pretty much universal to all CQI systems and the language particular to Lean Six Sigma which is the most widely used system. Participants will learn how to set up and run simple Lean or Six Sigma projects and be able to avoid the most common mistakes in this process. Examples of hospital practice will be provided.
Learning Objectives
By the end of this course the learner will be able to:
- Describe the theory, concepts, and barriers to continuous quality improvement in chaplaincy care and why CQI is both a necessity and an imperative.
- Identify the PDCA, Lean, and Six Sigma approaches to CQI and the major tools used in each.
- Demonstrate how to define, measure, analyze, improve and control chaplaincy care processes and outcomes.
- Formulate ways in which to utilize CQI data to refine chaplaincy specific and the broader spiritual care programs and services.
- Introduction
- US Health Care Trends – Volume to Value
- Establishing Value for anything that is Done
- The Theological Case for Quality Improvement
- Getting to Continuous Quality Improvement
- Plan-Do-Check-Act (PDCA)
- Lean Six Sigma
- SMART Goals
- Assumptions and Barriers
- Waste
- Literature Review and Training
- Steps in a CQI Project
- Rapid Improvement Project
- What a Comprehensive Chaplaincy CQI Effort Looks Like
- Summary
- Basic Texts
- References
Aligns with the following Sub-domains in SHA’s Capability Framework for Spiritual Care Practitioners in Health (2020):
- 1.1 Plan and prepare
- 1.2 Client engagement
- 1.3 Perform and deliver
- 1.4 Monitor and review
- 1.5 Evidence-based practice
- 1.6 Quality care and risk management
- 1.7 Information management
- 2.1 Role clarity
- 2.2 Workplace communication
- 2.3 Integrated care
- 2.4 Conflict management
- 2.5 Reflective practice
- 3.1 Equity and diversity
- 3.2 Wellbeing and holistic care
- 3.3 Responsible use of resources
- 4.1 Ethical and legal practice
- 4.3 Accountability
- 5.2 Self-reflection
- 5.3 Professional networking
*Also aligns with Capability Levels 3 (Service Coordination) and 4 (Strategic Management)
Aligns with the following Priorities in the National Model for Spiritual Care in Health:
- Priority 1: Holistic Person-Centred Care
- Priority 2: Integrated Governance
- Priority 3: Professionalised Workforce
- Priority 4: Sustainable Resourcing