Table 1

Dartmouth Microsystem Improvement Curriculum for cystic fibrosis Learning and Leadership Collaboratives: topics and processes

Learning sessionMethodTopicKey aspects, tools and processes
1
‘Getting started’		Adobe connectAssessing your CF centreAccelerating improvement of CF care action guide
2
‘Getting to know the LLC community and curriculum’		Face to face meetingDMIC overview:

  • Effective meeting skills

  • Themes and aim statements

  • Flowcharts and fishbones

  • Change ideas

  • PDSA–SDSA

  • Playbooks

  • Measurement

  • Patients and family involvement

Link CFFPR data with CF centre assessment data to inform improvements. Practice the curriculum tools and processes with the help of faculty and coaches. Link practice guidelines to change ideas. Practice effective meeting skills, including brainstorming and multi-voting. Introduction to improvement measurement and homework.
3
‘Journey begins’		Adobe ConnectProgress reports and template, DMIC review, run chartsProgress report template
DMIC materials and tools
Run chart templates, homework
4
‘Journey continues’		Adobe ConnectProgress reports
5s to standardise the workplace
Measurement: SPC		Progress report template
5s worksheets. Measurement SPC templates and homework
5
‘Getting ready to do a site visit’		Adobe ConnectProgress reports
Ethnography and observation skills
Benchmarking
Executive summaries		Progress report template
Observation worksheets
Executive summary template
6
‘The site visit and preparing for the summer’		Face to face meetingProgress reports: PowerPoint
Observing CF clinic in operation, patient and family advisory board
Gaining customer knowledge
Mesosystems
Presenting/writing skills
Measurement computer labs		PowerPoint presentation templates
Observation worksheets
Gaining customer knowledge worksheets
CFRD change ideas
Mesosystem worksheets
Computers for measurement labs
7
‘Reconnecting’		Adobe ConnectProgress reportsProgress report template
Review of DMIC
8
‘Preparing for NACFC’		Adobe ConnectProgress reports
Poster presentation		Progress report template
Poster template
9
‘NACFC and preparing for transition’		Face to face meetingProgress reports via posters
Sustaining improvement
SDSA and playbooks
Advanced measurement
Plan for coach 6 month check in		Posters
SDSA worksheet
Playbook checklist
Measurement templates
Action plan and Gantt chart
10
‘6 month post LLC check in’		Telephone, email or face to faceProgress report
Needs assessment
Select future ‘check in’ with coach		Progress report template
Needs assessment tool

  • 5s, sort, straighten, shine, standardise and sustain; CF, cystic fibrosis; CFRD, cystic fibrosis related diabetes; CFFPR, CF Foundation Patient Registry; DMIC, Dartmouth Microsystem Improvement Curriculum; LLC, Learning and Leadership Collaborative; NACFC, North American CF Conference; PDSA, plan-do-study-act; SDSA, standardise-do-study-act; SPC, Statistical Process Control.