Understanding physician behaviour: the relationship between intrinsic motivation, team-working and quality improvement

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• Dr Partha Das, Fellow of the Royal College of Physicians, Harvard T.H. Chan School of Public Health
• Monday 12 February 2018, 10:00-11:00
• Sir Arthur Marshalls, CUED.

If you have a question about this talk, please contact Mari Huhtala.

1. Understanding physician behaviour: the relationship between intrinsic motivation, team-working and quality improvement

2. Applications of health systems engineering in the USA : an NHS physician’s experience

Quality improvement is a priority for organisations striving to achieve the ‘Triple Aim’ of improving patient experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of healthcare. Research has shown that the outcomes of QI projects tend to plateau or are subject to attrition over time. Implementing QI projects typically involves some form of teaming and may include a new group of individuals brought together to work on a distinct project, or an established, stable, and bounded team that coordinates multiple initiatives. Team membership include individuals from one or more professional disciplines, and physicians are often key members. Given that physicians traditionally have occupied positions of influence within organizational hierarchies, they potentially wield disproportionate power to facilitate or disrupt systems improvement initiatives. Understanding the influence of physician behavior and intrinsic motivation (including response to incentives) is important to ensuring that improvement programmes have a greater likelihood of delivering their expected outcomes and their ability to scale, spread and sustain. I will describe the preliminary findings from an ongoing US based mixed methods study attempting to:

1. Characterise the factors that influence physician motivation to participate in teams working on QI projects

2. Identify which of these factors might influence the success of QI projects

3. Understand how team-based QI activities impact individual physician learning and personal development

I will also describe and reflect on my experience working with a number of teams based at academic health centres in Boston delivering and evaluating a number of systems level improvement initiatives utilising engineering approaches. These include 1) the redesign of perioperative care for children with complex needs undergoing high risk surgery 2) improving transitions of care from hospital to community for frail older persons with multiple co-morbidities and 3) the utilisation of data analytic approaches to predict safety events and foster high reliability within a large cancer hospital.

This talk is part of the Engineering Design Centre Seminars series.

This talk is included in these lists:

• Engineering - Mechanics, Materials and Design (Div C) - talks and events
• Engineering Design Centre Seminars
• Sir Arthur Marshalls, CUED

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