Wellness and Improvement Science at OHSU

Improvement Science Faculty

Smeraglio, Anne

Andrea (Anne) Smeraglio, MD
Assistant Professor of Medicine
Division of Hospital & Specialty Medicine, Portland Veterans Hospital
Department of Medicine, OHSU

Terndrup, Chris 2020

Christopher Terndrup, MD
Assistant Professor of Medicine
Division of General Internal Medicine and Geriatrics
School of Medicine
Assistant Program Director - Ambulatory Services

IM - McGhee, Bryn

Bryn McGhee, MD
Hospitalist, VA Portland Health Care System
Assistant Professor of Medicine
Department of Medicine, Hospital Medicine
Oregon Health & Science University

Overview

At OHSU we are cultivating the next generation of Improvement Science leaders through curricular training, project-based learning and scholarship.  We offer residents a strong foundation in quality improvement and patient safety through dedicated educational time and committed faculty mentors. Develop the skills to understand, participate and lead projects through our myriad of inpatient and outpatient opportunities.

Well-being and Improvement Science Curriculum (WISC)

WISC is a longitudinal Improvement Science curriculum delivered monthly during intern year. This innovative curriculum combines the topics and tools of quality improvement and patient safety (QI/PS) with the skills needed to increase resilience, reduce burnout and promote well-being. By combining QI/PS and Well-being concepts, our interns develop a greater appreciation of health systems science, and are prepared for becoming not only well-rounded, productive, and happy physicians, but also change agents.

Practice Base Learning & Improvement (PBL&I)

This clinic-based curriculum is designed to help residents develop mastery in the management of a portfolio of important chronic illnesses in primary care. Faculty facilitators provide up-to-date guideline recommendations and review relevant clinic resources.  Residents then use illness-specific registry reports, identifying patients with the targeted illnesses, and an array of relevant data to highlight care gaps. They engage in proactive planning, setting of chart reminders, and outreach to patients, with a goal to close gaps in care. This curriculum encourages residents to take pride in their work as primary care providers, reinforces learning through direct patient care, and enables residents to be conscientious stewards in their patients’ care. It reviews many of the QI/PS skills learned in WISC and encourages involvement in clinic-wide and individual improvement projects.

Scholarship in Quality Improvement and Patient Safety

Multiple opportunities for inpatient and outpatient projects resulting in scholarship are available. Our residents have published articles, posters, abstracts and won local/regional ACP/SGIM awards for their involvement in quality improvement and patient safety (QIPS). The following is a sample of our scholarship opportunities in QIPS.

  1. WISC interns complete a mentored patient safety project which is a natural starting point for quality improvement scholarship and has resulted in multiple ongoing projects.
  2. PBL&I hosts clinic-based projects with opportunities for clinical leadership and scholarship work.
  3. Inpatient projects with faculty mentorship for ongoing or new projects are available. 

OHSU Housestaff Quality & Safety Counsel

The OHSU HQSC is a multi-specialty group of house officer that meets monthly to discuss hospital-wide quality and safety initiatives, review house officer-submitted safety event reports, and provide peer coaching for individual quality and safety initiatives. The HQSC is a part of OHSU’s formal quality oversight infrastructure, so participation provides house officers with a high visibility opportunity for engagement and leadership development in health system improvement. Previous HQSC projects have also given residents the opportunity to contribute to conference presentations and publications. To get involved, email the group’s administrative coordinator, Sam Milholland 

VA Chief Resident in Quality & Safety

The CRQS program at VA Portland and OHSU is a one-year post-residency training for Internal Medicine graduates. Throughout their chief year, the CRQS focuses on learning and teaching about quality and patient safety, and engaging in improvement activities at VA Portland. The CRQS is available as a consultant and a teacher for quality and safety related issues for residents interested in improvement.