Agendas

Session Number

Date 

Topic

Objectives

1

Nov. 3

1. Introduction to Health Equity and Quality Improvement

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2

Nov. 17

1. Cultural Sensitivity – Foundational Awareness
2. Understanding the basics of Infection Control infrastructure

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3

Dec. 1

1. Promoting COVID-19 Vaccination: Strategies and Communication
2. Understanding Cultural Values and Attitudes

1. Recognize the barriers to vaccine access and confidence that are most likely to impact patients who are at higher risk and historically underserved, including racial and ethnic minority populations and people living in rural communities.
2. Integrate knowledge of these barriers into conversations with staff regarding vaccine hesitancy.
3. Define cultural values, beliefs, and practices.

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4

Dec. 15

1. Health Equity Historical Context
2. Quality Improvement Human Factors and Systems Thinking

1. Recognize and explain the role of human factors in work processes and error analysis in healthcare
2. Describe systems thinking and how this relates to the Swiss Cheese Model
3. Give a historical example of medical racism.
4. Recognize the present-day impact of historical medical experimentation.

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5

Jan. 5

1. Long-term complications of COVID-19 (part 1)
2. Cultural attitudes (part 2)

1. Identify the long-term complications associated with COVID-19 infection.
2. Apply best practices in the management of long-term complications associated with COVID-19 infection to tests of change in your facility.
3. Reflect on how their own cultural values and beliefs impact their engagement with COVID-19 prevention and control efforts.

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6

Jan. 19

1. Infection Prevention and Control Risk Assessment
2. Different Forms of Racism

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Session Number

Date

Topic

Objectives

7

Feb. 2

1. Cultural Practices (part 3/3) (behaviors)
2. QI Root Causes 1/6: What is the problem you are trying to solve?

1. Describe three examples of cultural practices.
2. Identify the characteristics of effective problem statements and their role in supporting quality improvement.
3. Demonstrate the ability to develop effective problem statements for quality improvement projects in your facility.

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8

Feb. 16

1. Social Determinants of Health 1/6: overview; socioecological model
2. QI Root Causes 2/6: What is your process?

1. Recognize the impact that social and structural factors have on health outcomes.
2. Recognize the importance of process mapping as a foundational step in quality improvement projects.
3. Apply process mapping to quality improvement projects in your facility.

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9

March 2

1. Social Determinants of Health 2/6: economic stability.
2. QI Root Causes 3/6: Where are the known or potential points of failure?

1. Explain how inequities in housing, employment, food security, and income affect health outcomes.
2. Recognize effective methods for identifying potential points of failure or human error in a process.
3. Illustrate how these methods can be applied to improve the reliability of processes in your facility.

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10

March 16

1. Social Determinants of Health 3/6: education access and quality.
2. QI Root Causes 4/6: How will you know your process is reliable?

1. Describe how inequities in early childhood education and development, higher education, and language and literacy affect health outcomes.
2. Identify the key characteristics of a reliable process.
3. Relate these characteristics to both existing and new processes in your facility to understand whether they are likely to be reliably implemented.

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11

April 6

1. Social Determinants of Health 4/6:  neighborhood and built environment. 
2. QI Root Causes 5/6: Why are these parts of the process unreliable?

1. Discuss the impact that crime, violence, and environmental conditions have on a person's health outcomes
2. Recognize effective methods for identifying the root cause of potential points of failure or human error in a process.
3. Apply these methods to learn about the root causes of unreliability in processes in your facility.

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12

April 20

1. Social Determinants of Health 5/6: health care access and quality.
2. QI Root Causes 6/6: What would success look like? (Aim Statements)

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Session Number

Date

Topic

Objectives

13

May 4

1. SDOH 6/6: social and community context
2. IPC: COVID-19 Management and Treatment Updates

1. Apply a determinants of health approach to providing patient care.
2. Describe changes to guidance on COVID-19 management and treatment over the course of the pandemic.
3. Articulate the research basis for recent changes in COVID-19 management and treatment.

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14

May 18

1. CS: Communications across cultures
2. IPC: Long-term Complications of COVID-19 Infection (part 2)

1. CS: Explain differences in communication styles across cultures.
2. IPC-1. Characterize the ways in which our understanding of the long-term complications associated with COVID-19 infection has evolved in the last six months.
3. IPC-2. Identify resources in your facility or community that can be leveraged to address these complications.

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15

June 1

1. CS: Explicit bias.
2. QI: Change management (part 1/2): Strategies for Managing through Failure

1. CS: Reflect on an explicit bias they hold.
2. QI-1. Describe the constructive role that failure plays in the quality improvement process.
3. QI-2. Discuss strategies for preserving motivation and morale in health care teams working through failure.

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16

June 15

1. CS: Implicit bias.
2. QI: Change management (part 2/2): Securing Buy-in and “Selling” Your Improvements

1. CS-1: Describe an example of implicit bias.
2. CS-2: Differentiate between explicit and implicit bias.
3. QI-1. Articulate effective strategies for securing buy-in from leadership and key stakeholders.
4. QI-2. Discuss strategies for aligning your QI project with institutional priorities.

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17

July 6

1. IPC Outbreak Identification & Response
2. QI: Applying QI tools to root cause identification and management 

1. IPC-1. Describe the critical elements of an effective approach to COVID-19 surveillance.
2. IPC-2. Articulate the principles of an effective outbreak response strategy for COVID-19.
3. QI-1. Apply QI tools to the identification of the root causes of error in improvement projects relevant to COVID-19.

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18

July 20

1. HE: Communicating health equity; emotional intelligence.
2. IPC: Antibiotic Stewardship

1. HE-1: Define emotional intelligence.
2. HE-2: Name one health equity guiding principle for inclusive communication.
3. IPC-1: Define and characterize antimicrobial stewardship in the context of COVID-19 pandemic.
4. IPC-2: Discuss strategies for improving antimicrobial stewardship during and after a pandemic.

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Session Number

Date

Topic

Objectives

19

August 3

1. CS-1: Enhancing sensitivity to cultural similarities and differences
2. CS-2: Fostering a culturally responsive health care setting

1. CS-1: Define cultural sensitivity and its application.
2. CS-2: Demonstrate behaviors and language that create a culturally responsive health care setting.
3. CS-3: Describe examples of cultural sensitivity in health care settings with an emphasis on Native Americans.

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20

August 17

1. HE: Organizational considerations to advance health equity
2. IPC: Setting Up an Employee Health Program

1. HE-1: Describe one organizational policy to advance health equity.
2. HE-2: Discuss interpersonal, interpersonal, and institutional factors that contribute to advancing health equity.
3. IPC-1: Discuss components of Infection Prevention Program for Healthcare Providers.
4. IPC-2: Explain how to establish pre-employment assessments for Healthcare Providers.
5. IPC-3: Discuss how to manage exposures and illness in Healthcare Providers.

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21

September 7

1. HE: Utilizing data to assess health disparities (part 1/2)
2. QI: Formulation of solutions (part 1/2): Are there particular groups who are impacted? (Segmentation)

1. HE: Assess data to better understand health disparities.
2. QI-1: Name the audiences who are most likely to be impacted by your improvements.
3. QI-2: Identify early adopters to maximize success.

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22

September 21

1. HE: Utilizing data to assess health disparities (part 2/2)
2. QI: Formulation of solutions (part 2/2): Evaluate likelihood of success of solutions proposed

1. HE: Analyze data to determine health disparities.
2. QI-1. Describe the characteristics of effective approaches to measuring the success of improvements.
3. QI-2. Articulate the difference between outcome and process measures.

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23

October 5

1. IPC: Vaccine Access & Vaccination
2. CS-Microaggressions

1. IPC-1. Characterize how the options for COVID-19 vaccines have changed in the last eight months.
2. IPC-2. Identify common current concerns regarding vaccination and resources in your facility or community that can be leveraged to address them.
3. CS-1. Define microaggressions.
4. CS-2. Demonstrate a call-in response to a microaggressions.

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24

October 19

1. CS Recap
2. QI: Measurement: How will you know that you have improved your process?

1. CS-1. Describe key cultural sensitivity concepts covered over the course of this ECHO program.
2. QI-1. Differentiate between process and outcome measures.
3. QI-2. Apply process and outcome measures to example quality improvement projects relevant to COVID-19 and health equity.

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Session Number

Date

Topic

Objectives

25

November 2

1. HE: Recap
2. IPC: COVID-19 Updates for Healthcare Personnel

1. HE-1: Describe key health equity concepts covered over the course of this ECHO Program.
2. IPC-1: Discuss how COVID-19 vaccination status impacts employee health in healthcare settings
3. IPC-2: Identify how best practices for isolation and precaution have evolved since the onset of COVID-19
4. IPC-3: Describe how best practices in COVID-19 safety and prevention can mitigate the risk of transmission among healthcare employees

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1. CS: Sexual Orientation
2. QI: How Can you Facilitate Discussion about Change?

1. C/S-1: Recognize that sexuality is a spectrum.
2. C/S-2: Demonstrate ways to affirm a patient's sexuality in a healthcare context.
3. C/S-3: Identify barriers to healthcare that not straight-oriented individuals face.
4. C/S-4: Express ways to make your space a welcoming environment for not straight-oriented individuals.
5. QI-1. Discuss strategies for generating ideas for changes
6. QI-2. Utilize quality improvement tools to identify changes that are most likely to be successful

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1. HE: Leveraging Clinical/Public Health Data to Eliminate Health Disparities (part 1/2)
2. QI: How to be Successful at Change

1. HE-1: Formulate or adapt an intervention to mitigate or eliminate an identified health disparity.
2. QI-1. Identify strategies for structuring quality improvement projects to accelerate learning
3. QI-2. Describe how to communicate short- and long-term impact

1. HE: Leveraging Clinical/Public Health Data to Eliminate Health Disparities (part 2/2)
2. QI Recap: Q&A from Participants

1. HE-1: Identify strategies to eliminate health disparities                                                                                          

2. HE-2: Outline the implementation steps for one strategy to eliminate health disparities
3. QI-1.  Discuss how to apply the content from QI sessions to project implementation                                                    

1. CS-1: Identify barriers to healthcare that transgender/gender non-conforming patients experience                                                                                                     
2. CS-2: Describe at least three ways that a healthcare facility can be more inclusive of patients across the gender identity/expression spectrum.
3. CS-3: Examine the gender binary  

1. IPC-1: Identify the process to review the disinfectants available in the facility and to ensure proper coverage for anticipated microorganisms in the facility
2. IPC-2: Discuss guidelines and best practices surrounding the selection of disinfectants to meet infection prevention and control needs in your facility
3. IPC-3: Describe elements of an environmental cleaning and disinfection audit for the purpose of quality assurance practices and improving compliance