Nemours Health Partnerships Quality Council | Session 1 Building a Team

March 26, 2026 to March 30, 2026

Course Overview

Interdisciplinary leaders from our Partnership sites participate in a 10-month program for training in Quality Improvement. These leaders are charged with forming a local team to execute a step-by-step quality improvement project. Participants progress through a structured curriculum with targeted pre-work and proctored assignments.

The 2026 collaborative project across all sites will be related to reducing treatment nonadherence. Preliminary collaborative aim statements include: Reducing Vitamin K and Hepatitis B vaccine refusal in the well-baby nursery / NICU from 50% to 33% by January 2027 and Reducing readmission for asthma exacerbation secondary to treatment non-adherence from 10% to 5% by January 2027.

Required Course Deliverables

Aims:

  • To develop a cadre of health care professionals with training in quality improvement
  • To develop a cadre of health care professionals with experience in leading quality improvement activity
  • To promote interprofessional teamwork in quality improvement
  • To generate meaningful and coordinated quality improvement activity across our Nemours Partnership sites
  • To demonstrate progress towards QI aim statements as noted above.

Measures:

  • Completion of all required assignments – use of team workbooks stored on MS Teams site to capture activities
  • Meaningful participation in team meetings as noted by attendance and faculty reflection
  • Completion of a poster presentation reflecting on each team’s efforts

 

Session Date: February 27, 2026

Session Time: 4:00-5:00pm EST

Microsoft TEAMS Linkhttps://teams.microsoft.com/meet/23510167274583?p=rEZInVZyT0hiPlBWH8

 

Target Audience

Physicians and Nurse Practitioners

 

Learning Objectives

Please visit the monthly course pages for each session's learning objectives. 

 

Contact Information: If you have any questions regarding this course please contact [email protected]

Course summary
Available credit: 
  • 2.00 MOC ABP - Pediatrics
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 2.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
  • 2.00 AMA PRA Category 1 Credit

    In support of improving patient care, Nemours Children’s Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Nemours Children’s Health designates this activity for a maximum of 2.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 2.00 ANCC Nursing Contact Hour

    In support of improving patient care, Nemours Children’s Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Nemours Children’s Health designates this live activity for a maximum of 2.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

  • 2.00 Continuing Education
    This activity is designated for 2.00 continuing education credits.
  • 2.00 Interprofessional Continuing Education (IPCE) Credit
    This activity was planned by and for the healthcare team, and learners will receive 2.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
Course opens: 
07/30/2025
Course expires: 
12/31/2027
Event starts: 
03/26/2026 - 10:00am EDT
Event ends: 
03/30/2026 - 3:00pm EDT
Cost:
$0.00

Nemours Health Quality Council Program Schedule

Session 1

Building a Team

  • Teamwork & work-styles inventory
  • Introduction to Process Mapping – Fish Bone diagrams

Session 2

Understanding Process

  • Process mapping
  • Cause & Effect (Fishbone) diagrams
  • Introduction to Aim Statements

Session 3 

Defining the Problem

  • Refining AIM statements
  • Introduction to Key drivers

Session 4

Drivers of Change

  • Refining Key driver diagrams & understanding human  factors/psychology of change
  • Outcome, process, balancing measures
  • Introduction to Baseline Data/Median

Session 5

Measurement of Change

  • Refining RUN charts/Baseline Data
  • Outcome, process, balancing measures
  • Introduction to PDSA

Session 6

Safety

  • Tests of Change (PDSA Methodology)
  • Safety in Healthcare

Session 7

Harm Prevention

  • Discuss results of PDSAs
  • Adverse Events & Harm Prevention
  • M&M formats and its importance

Session 8

Equity in QI

  • Patient/family engagement
  • Equity
  • Review Run Charts

Session 9

Measurement - Advanced

  • Control Charts, Dashboards, Metrics

Session 10

 Sustainability & QI Leadership

  • Sustainability
  • Leadership in QI

All relevant Financial Relationships have been mitigated.  To view additional information on the Nemours Children's disclosure policy, right click on the following link to open in a new tab.

Click on the Speaker's Name to see their full bio:

 

Planner(s)

Johanna Ivich, MSN, APRN, NNP-BC

has no relevant financial relationships to disclose at this time.

Shanmukha Mukthapuram, MD MEd

has no relevant financial relationships to disclose at this time.

Lloyd Werk, MD, MPH

has no relevant financial relationships to disclose at this time.

In support of improving patient care, Nemours Children’s Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Nursing
Nemours Children’s Health designates this live activity for a maximum of 2.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Physicians
Nemours Children’s Health designates this live activity for a maximum of 2.00 AMA PRA Category1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Professions
A certificate of participation will be provided to other health care professionals requesting credits. Please check with your accreditation board to make sure they accept the above accreditation types.

IPCE 
This activity was planned by and for the healthcare team, and learners will receive 2.00 Interprofessional Continuing Education (IPCE) credit for learning and change.

Maintenance of Certification (MOC)

American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 2.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. 

Below are the credit types available to you per your professional designation. 

Available Credit

  • 2.00 MOC ABP - Pediatrics
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 2.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
  • 2.00 AMA PRA Category 1 Credit

    In support of improving patient care, Nemours Children’s Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Nemours Children’s Health designates this activity for a maximum of 2.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 2.00 ANCC Nursing Contact Hour

    In support of improving patient care, Nemours Children’s Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Nemours Children’s Health designates this live activity for a maximum of 2.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

  • 2.00 Continuing Education
    This activity is designated for 2.00 continuing education credits.
  • 2.00 Interprofessional Continuing Education (IPCE) Credit
    This activity was planned by and for the healthcare team, and learners will receive 2.00 Interprofessional Continuing Education (IPCE) credit for learning and change.

Price

Cost:
$0.00
Please login or register to take this course.

Are you logged in using Nemours Associate SSO?  To ensure credits are awarded correctly, you must update your account profile.

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  • Enter applicable license type & number, Hospital Affiliation and Specialty.

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  • The first, middle and last name on your account must match the name on your license.
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    • INCORRECT: ME_123456, ME00123456, or 123456
    • CORRECT: ME123456

Required Hardware/software

Most meetings will be scheduled in Microsoft Teams. You will need to be able to access Microsoft Teams from a computer. If joining from a Nemours computer on campus, you can access the Teams app from the desktop. If you are joining from a non-Nemours device, download the Microsoft Authenticator to be able to access Microsoft Teams remotely at https://www.microsoft.com/en-us/microsoft-teams/log-in (does not need to be a Nemours device). 

For steps on how to download the Microsoft Authenticator app, click here. Please reach out to the Nemours Help Desk (407-567-4357) with any troubleshooting concerns.