ID # ________ Date: ______________ Time: _____________
Name of Interviewee: ___________________
Total Time: _________________Name of Interviewer: ___________________
Thank you for taking time to meet with me today. I appreciate the opportunity to have a discussion and for me to learn from you. Just a reminder, the interview will be taped for transcription purposes only.
______________________________________________________________________________
Trauma Performance Improvement Interview Questions
1.
Can you tell me about how your program measures the quality of trauma care
?a. ***What indicators/measures do you use? (Only ask if not submitted, EG. Time to CT Scan, Tracking forms, Prehospital times, etc)
b. How did you decide on those Particular indicators/measures?
c. Have you tested/evaluated your indicators/measures? How?
d. Do you have a sense if these indicators are working well? How do you know that?
e. Are there any indicators/measures that you should abandon, modify or add?
f. What are the attributes of a successful Quality Indicator?
2. How do you use your quality of care indicators/measures for performance improvement? In other words, how is the data you collect translated to action?
a. ***We are specifically interested in the following activities. You mentioned on the survey that your program uses __________. Can you tell me about how you use__________? We are also interested in which programs use these other activities.
i. Morbidity and Mortality rounds/conferences ii. Quality of care audits (Chart reviews) iii. safety/quality team
iv. Clinical practice guidelines v. benchmarking
vi. report cards vii. simulation
viii. Concurrent data collection for real time feedback ix. Any others you would like to add?
b. Can you tell me more about what role those activities play in your trauma program?
c. How did you decide on these Performance Improvement activities? (If evolved tell me about the process?)
d. Have you tested/evaluated your Performance Improvement activities? How? (If response is No, ask if it would be valuable to test?)
e. How have your performance improvement activities impacted your trauma program?
i. patient care? staff? The larger trauma system – including prehospital care, other hospitals and posthospital care
f. What feedback have you received about your performance improvement activities?
(Eg. Patients, family members, staff, medical examiner, media)
g. Are there any performance improvement activities that you think you should abandon, modify or add?
h. Are there any system characteristics or factors that help or hinder your performance improvement activities? (Patient’s, Family, Health Care provider, System issues, what impact do those have?)
i. What are the attributes of a successful Performance Improvement activity?
3. How does your quality/performance improvement program work?
(I think you have already answered #3 but is there is a sub question I’d like to ask).a. What resources are available for measuring quality of trauma care (e.g. personnel, databases, rounds/conference, meetings, etc)?
b. Who do you identify as the manager or leader responsible for measuring the quality of trauma care?
c. Who do you identify as the manager or leader responsible for the quality of care delivered to patients?
d. To whom is the program accountable for quality of care it delivers?
e. Is participation in quality measurement and improvement voluntary?
f. If key stakeholders do not participate in performance improvement what can you do to motivate? (What if they don’t keep their charting records, etc?)
g. Are there any Privacy Laws that impact your program?
4. Given ideal circumstances, is there anything that your program could be doing differently to improve the quality of trauma care?
5. Quality of care may mean different things to different people. What does quality of care mean to your trauma centre?
a. Does your trauma program have a definition of Quality of care?
b. Do you have a trauma program mission statement that includes a reference to quality of care? (IF yes, could they send it to us?)
6. What do you think about performance improvement strategies - do they work? WHY?
(If they say BUT . . this may lead back into things that help or hinder)7. Is any of the information we talked about today published? Would your program be willing to share any of this information with us?
An accurate list of Quality Indictors is one of the most important aspects of our project so we can share a complete list of all QI indicators with all centres. Would you be willing to send those to us? If yes, give email/fax # (403) 944-3699
