Working with PEACH
Proposing ideas to PEACH
All project ideas must be proposed through our intake form :
Investigating Potential Inequity
At PEACH, we move beyond observations and hypotheses to documenting whether inequities exist in practice. This requires data. Hence, all projects commence with research. Project Leads take ownership for this research, including the following general steps:
Once the project is designed and gains appropriate regulatory approvals, the Project Lead will implement the project including: collecting, managing, and analyzing data. These steps will vary across research projects depending on design.
PEACH will continue to offer ongoing mentorship and different kinds of support. Most notably, PEACH offers small and medium grants, which can be used for projects that require significant human resources, supplies, and/or participant incentives. Further, PEACH will organize collaborative events like work-in-progress sessions to bring together diverse experts to offer Project Leads the best advice on how to implement their research and overcome any barriers they face along the way.
Upon completion of the research, the Project Lead ultimately needs to answer whether an inequity exists and assess its extent. Importantly, our mission is not simply to find inequity. Because we lack sufficient research in this arena to date, we don’t know the degree to which inequity exists and where we already are providing equitable care to all patients and families. We also want to learn from the areas where we are doing well. However, if a Project Lead's research identifies an inequity, projects move to the Quality Improvement phase of their project: Improving Equity.
Note: Some Project Leads may choose to publicize their research findings at this point whether an inequity is identified or not. PEACH can support these efforts as desired by the Project Lead.
PEACH's mission is to improve equity in the delivery of care to adolescents and children. To achieve this mission, Quality Improvement (QI) is fundamental to our work. If an inequity is identified through research, Project Leads then work with PEACH's QI staff to complete the following general steps:
Project Leads start this phase by designing the QI project. The needs of each Project Lead at this juncture will vary depending on their backgrounds and what the project requires. With support as needed from PEACH, Project Leads will:
Once the project is designed and gains any necessary regulatory approvals, the Project Lead will implement the project including: implementing the intervention(s), collecting and assessing data, and adjusting interventions as needed.
PEACH can again offer small and medium grants, which can be used for projects that require significant human resources, supplies, and/or participant incentives. In some cases, for example, QI staff or PEACH research staff may be needed to implement interventions or analyze data. Project Leads may also choose to discuss the progress of their QI projects at PEACH collaborative events to gain input from diverse experts. And Project Leads will continue to receive mentorship from their Faculty Mentor and QI Mentor throughout the implementation process.
When it comes to QI, our goal at PEACH is to generate meaningful change that can be measured. If we are not generating change, we want to be aware of that and to adjust our strategy. All QI projects will be evaluated in an iterative, ongoing basis to measure change. Ultimately, Project Leads will be able to answer the question of whether they have effectively met their improvement goal.
Quality Improvement (QI) at PEACH
QI refers to a range of practices that have developed across time and industry to improve quality in products, processes, and systems. QI, for example, has been used to reduce manufacturing defects, improve transportation safety, and, in health care settings, improve patient outcomes and health care practices. So what exactly is QI? QI is defined in different ways by different industries and involves diverse techniques but generally united by a core set of concepts:
Measurable outcomes - QI efforts are oriented toward changing outcomes in ways that can be measured and evaluated.
Emphasis on process and systems - Under a QI framework, outcomes are the products of chains of events and complex, intertwined systems of people and information. Thus, effective QI efforts target processes and systems as opposed to individual behaviors.
Continuous improvement - QI efforts need to be ongoing because processes and systems are continually changing. QI interventions are implemented, data are collected and analyzed, and interventions are adjusted as needed in an iterative process.
Reducing variability - QI efforts reduce unnecessary variability in practices while preserving differences that matter. QI efforts focus on standardization when and where possible to systematically improve quality.
Here at PEACH, we use the latest quality improvement science to standardize processes and systems in ways that reduce variation in care and improve outcomes for patients and their families. Our PEACH QI team draw on their expertise to guide Project Leads in effectively addressing inequities identified, ensuring fidelity in the application of any technique, and, critically, identifying and engaging those who have the power and resources to instigate the changes required.
Project Leads conclude their project by documenting what they accomplished:
Share findings through abstracts, publications, social media, and PR blasts