The Leaders in Informatics, Quality, and Systems (LInQS) Fellowship

Abstract

Background Leaders in Informatics, Quality, and Systems (LInQS) is a non-ACGME (Accreditation Council for Graduate Medical Education)-accredited 2-year training program developed to enhance training in the fields of health care delivery, quality improvement (QI), clinical informatics, and leadership.

Methods This single-institution 2-year longitudinal training program grounded in QI and informed by leadership and clinical informatics includes didactics, coaching, and mentorship, all centered around individualized QI projects. The program has been available to sub-specialty fellows, advanced practice providers, and physicians.

Results From 2019 to 2023, 32 fellows have been accepted into the program with 13 graduates and 16 currently enrolled. Fellows have been predominately female, physicians, and from multiple specialties but predominantly hospital medicine. Fellows' evaluations of the fellowship are highly positive, rating the didactics and mentorship aspects of the curriculum most favorably. Most fellows' projects utilized informatics solutions including clinical decision support tools to increase quality of care, improve patient outcomes, and reduce costs of care resulting in manuscript publications, national presentations, and a national specialty society award. Since matriculation, 50% of fellows received certification as Epic Physician Builders and 34% received leadership positions in clinical informatics, quality, and education.

Conclusion Our experience supports the need to provide health care providers more expansive training in the areas of QI, clinical informatics, and leadership for improving health care delivery. Additional in-depth knowledge and experience in these fields may produce and benefit leaders in these fields.

Keywords

clinical informatics - quality improvement - education - leadership

Protection of Human and Animal Subjects

The program evaluation meets the criteria for nonhuman subjects research designation by the Colorado Multiple Institutional Review Board (COMIRB).

Publikationsverlauf

Eingereicht: 01. März 2024

Angenommen: 13. August 2024

Artikel online veröffentlicht:
30. Oktober 2024

• References

• 1 Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS. Washington, DC:: National Academies Press (US);; 2000
• 2 Accreditation Council for Graduate Medical Education. ACGME common program requirements. Effective July 1, 2023. Accessed August 22, 2024. https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/
• 3 Jones AC, Shipman SA, Ogrinc G. Key characteristics of successful quality improvement curricula in physician education: a realist review. BMJ Qual Saf 2015; 24 (01) 77-88
• 4 Bodenheimer T, Dickinson WP, Kong M. Quality improvement models in residency programs. J Grad Med Educ 2019; 11 (01) 15-17
• 5 James E, Evans M, Mi M. Leadership training and undergraduate medical education: a scoping review. Med Sci Educ 2021; 31 (04) 1501-1509
• 6 Non-federal Acute Care Hospital Electronic Health Record Adoption. Non-federal acute care hospital electronic health record adoption | HealthIT.gov. ( n.d. ). Accessed August 22, 2024 at: https://www.healthit.gov/data/quickstats/non-federal-acute-care-hospital-electronic-health-record-adoption
• 7 Love JS, Wright A, Simon SR. et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?. J Am Med Inform Assoc 2012; 19 (04) 610-614
• 8 Informatics academic programs. AMIA. ( n.d. ). Accessed August 22, 2024 at: https://amia.org/careers-certifications/informatics-academic-programs?search_query=&field_acgme_accredited=1%E2%80%AF
• 9 Desai S, Mostaghimi A, Nambudiri VE. Clinical informatics subspecialists: characterizing a novel evolving workforce. J Am Med Inform Assoc 2020; 27 (11) 1711-1715
• 10 DMAIC process: Define, measure, analyze, improve, control / ASQ. ( n.d. ). Accessed August 22, 2024 at: https://asq.org/quality-resources/dmaic
• 11 Griffin AC, Leung TI, Tenenbaum JD, Chung AE. Gender representation in U.S. biomedical informatics leadership and recognition. J Am Med Inform Assoc 2021; 28 (06) 1270-1274
• 12 Clinical informatics. American Board of Preventive Medicine. ( n.d. ). Accessed August 22, 2024 at: https://www.theabpm.org/become-certified/subspecialties/clinical-informatics/