Dartmouth Microsystem Improvement Curriculum
Microsystem Action Learning Series
Organizations can choose to sponsor an action-learning series to catalyze development of clinical microsystems. This Dartmouth Microsystem Improvement Curriculum (DMIC) can help clinical staff members acquire the fundamental knowledge and skills that they will need to master if they are to increase their capacity to attain higher levels of performance. The Dartmouth Microsystem Improvement Curriculum uses action-learning theory and sound education principles to provide the opportunity to learn, test, and gain a degree of mastery. The action-learning involves all members of the microsystem in the challenging real work of assessing and improving their workplace and the care they provide.
Typically presented in a "studio-course" format, the learning sessions are convened monthly with representation of every role of the clinical microsystem. The DMIC content is spread over 6 months with sessions of "new knowledge," sharing of action learning between sessions, and learning new tools, methods and strategies; all are designed to engage everyone in the clinical microsystem to become a high performing clinical unit. Monthly conference calls between learning sessions add reinforcement and encourage the participants to continue their improvement journey.
A final session is a celebration of successes and lessons learned. It is frequently held in a large storyboard session with leaders of all levels of the organization present to review and celebrate the improvements and the development of the clinical microsystem.
Quarterly or three times/year "review and accountability" sessions continue to be held to keep the microsystem moving forward. These sessions ensure that the momentum of improvement, measurement and monitoring continues.
The Micro-Meso-Macro Systems (M3) diagram gives a high-level overview of the development of a clinical microsystem at the unit level and the macro-organization level.
DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM MODULES (DMIC)