Being smart about writing SMART objectives

Bjerke, May Britt; Renger, Ralph

doi:10.1016/j.evalprogplan.2016.12.009

Cited by 147 publications

(98 citation statements)

References 16 publications

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“…The amount of faculty development needed may vary across institutions since the effectiveness of SMART goals depends on context and training. 12 Also, while we tracked the adherence to SMART goals and action item completion, we did not measure whether this directly led to program improvement or increased resident competence. The iterative introduction of CQI over 4 years precluded a rigorous test of the impact of the methodology on program improvement.…”

Section: Discussionmentioning

confidence: 99%

Integration of Continuous Quality Improvement Methods Into Annual Program and Institutional Evaluation

Stansfield

Markova

Baker

2019

Journal of Graduate Medical Education

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Background The Accreditation Council for Graduate Medical Education's Next Accreditation System requires continuous program improvement as part of program evaluation for residency training institutions and programs. Objective To improve the institutional- and program-level evaluation processes, to operationalize a culture of continuous quality improvement (CQI), and to increase the quality and achievement of action items, the Wayne State University Office of Graduate Medical Education (WSU GME) incorporated CQI elements into its program evaluation process. Methods Across 4 academic years, WSU GME phased the following 4 CQI elements into the evaluation process at the program and institutional levels, including the annual program evaluation (APE) and the annual institutional review: (1) An APE template; (2) SMART (specific, measurable, accountable, realistic, timely) format for program and institutional goals; (3) Dashboard program and institutional metrics; and (4) Plan-do-study-act cycles for each action item. Results Action item goals improved in adherence to the SMART format. In 2014, 38% (18 of 48) omitted at least 1 field, compared with 0% omitting any fields in 2018. More complete action items took less time to resolve: 1.7 years compared with 2.4 years ( t(43.3) = 2.87, P = .003). The implementation of CQI in the APE was well received by program leadership. Conclusions After leveraging CQI methods, both descriptions of institutional- and program-level goals and the time required for their achievement improved, with overall program director and program coordinator satisfaction.

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Section: Discussionmentioning

confidence: 99%

Integration of Continuous Quality Improvement Methods Into Annual Program and Institutional Evaluation

Stansfield

Markova

Baker

2019

Journal of Graduate Medical Education

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“…The QI team included a physician champion, nursing and ancillary staff, residents, attending physicians, a social worker, patients, and administrative and information technology staff. The QI team used specific, measurable, attainable, relevant and timely (SMART) objectives to define our aims 13. We used the six aims of changing the healthcare system, the safe, timely, effective, efficient, equitable and patient-centred (STEEEP) model for programme management (table 1).…”

Section: Methodsmentioning

confidence: 99%

Optimisation of diagnosis and treatment of heart failure in a primary care setting

et al. 2019

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BackgroundHeart failure (HF) is one of the leading causes of emergency department visits and hospital admissions in the USA. We identified a gap in the diagnosis and the use of guideline-directed medical therapy in patients with HF at the internal medicine clinic.AimTo improve the diagnosis and treatment of HF, as well as to reduce emergency department visits and hospitalisation over 12 months in patients aged 40–75 years.MethodsThe multidisciplinary quality improvement (QI) team performed a root cause analysis and identified barriers to optimal guideline-directed medical therapy. Rates of patients on guideline-directed medical therapy with systolic HF diagnosis, emergency department visits and hospital admissions were the outcome measures. The process measures included echocardiogram order and completion rates, and rates of accurate classification of HF from the baseline rate of less than 10%. We used the focus, analyse, develop, execute and evaluate (FADE) model with five improvement cycles. The major components of interventions included (1) leveraging health information technology; (2) optimising teamwork; and (3) providing education to patients, physicians and internal medicine clinic staff. Data were analysed using statistical process control and run charts.ResultsWe observed a reduction in the total number of emergency department visits (160 vs 108), hospital admissions (117 vs 114) and observation visits (22 vs 16) comparing the 1-year preproject and 1-year postproject periods. An increase in the use of ACE inhibitors or angiotensin receptor blockers occurred from the baseline rate of 20%–37% during the second half of the project and was sustained at 71.4% (median) during 6 months of the postproject period.ConclusionsWe achieved a sustainable increase in the accurate diagnosis of HF and achieved 80% diagnosis during the 6-month poststudy period.

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“…They focus only on following their assigned diet for breakfast the first week, then add in lunch in week two, and finally add dinner for week three. Participants are provided with training on how to write a SMART goal [20] and then are asked to create a SMART goal each week around the topic discussed. Goals from the previous week are then discussed at the beginning of each class.…”

Section: Theory-based Content and Similarities In Intervention Contenmentioning

confidence: 99%

The Nutritious Eating with Soul (NEW Soul) Study: Study design and methods of a two-year randomized trial comparing culturally adapted soul food vegan vs. omnivorous diets among African American adults at risk for heart disease

Turner‐McGrievy

Wilcox

Frongillo

et al. 2020

Contemporary Clinical Trials

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Background: Previous research has found that African American (AA) vegetarians/vegans have a significantly lower body mass index and risk of hypertension compared to omnivores. Objectives: The Nutritious Eating with Soul (NEW Soul) study partnered with local soul food restaurants/chefs to deliver two behavioral nutrition interventions to AA adults. NEW Soul examines the impact of two different culturally tailored diets (vegan and omnivorous low-fat) on changes in risk factors for cardiovascular disease (CVD). Methods: AA adults with overweight or obesity are recruited from the community in the Midlands of South Carolina. Eligible participants are randomized to follow one of two different culturally-adapted, soul food diets: a vegan diet emphasizing minimally-processed whole foods from plants or a low-fat omnivorous diet. Participants attend weekly group classes for the first six months, biweekly for the next six months, and monthly meetings for the last year. In addition to face-to-face content, participants also have access to private Facebook groups for their diet, podcasts, and online newsletters starting at six months. Primary outcomes include changes in body weight and CVD risk factors (lipids, blood pressure, glucose, and insulin) at 12 months. Secondary outcomes include changes in dietary intake. Participants complete assessments at baseline and at months 6, 12, and 24. Conclusions: The NEW Soul study is an innovative intervention aimed at improving dietary intake while maintaining traditional AA cultural food choices. Primary outcomes are expected by 2021.

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Being smart about writing SMART objectives

Cited by 147 publications

References 16 publications

Integration of Continuous Quality Improvement Methods Into Annual Program and Institutional Evaluation

Integration of Continuous Quality Improvement Methods Into Annual Program and Institutional Evaluation

Optimisation of diagnosis and treatment of heart failure in a primary care setting

The Nutritious Eating with Soul (NEW Soul) Study: Study design and methods of a two-year randomized trial comparing culturally adapted soul food vegan vs. omnivorous diets among African American adults at risk for heart disease

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