Clinical Quality Improvement Program

The Clinical Quality Improvement Program (CQIP) is a 10-month course designed to build capability in leading improvement work in health care, with a focus on clinical quality improvement projects. The program includes a mix of theory and experiential learning, along with individual coaching and a community of practice. Saskatchewan's Clinical Quality Improvement Program is a sister program to Intermountain Healthcare’s internationally recognized mini-Advanced Training program that has been adapted for Saskatchewan’s health care system.

Who should participate in CQIP?

CQIP is designed for actively practising health care clinicians in a clinical context or setting from across Saskatchewan, including non-physicians and teams. CQIP is for all care settings — including long-term, community, acute and primary care.

While participants do not require previous quality improvement experience to take this program, some exposure is recommended. CQIP’s focus is on clinical quality improvement, but the knowledge and skills developed through this program can be applied to a diverse range of improvement projects.

cqip cohort 1 poster presentation

CQIP's strong links to Appropriateness of Care

CQIP supports the Appropriateness of Care Program by providing physicians and other clinicians in Saskatchewan with the training required to lead clinical improvement projects, particularly those with clear alignment with health system strategic priorities.

Want more information?

For more information about Saskatchewan's Clinical Quality Improvement Program, please download the application guide and application form once they are ready for the next cohort. If you would like to be notified when the new application guide and form are ready, please sign up here.

Past CQIP participant projects

Scroll down to view past participant project presentations and posters. 

How to apply

Please read the application guide and fill out the application form. Applications may be submitted via email to cqip@hqc.sk.ca or printed and mailed to HQC’s main office. Further details regarding application submission can be found in the application package.

Application deadline

Applications for the fourth cohort will open soon. Sign up here to be notified when the application packages will be available.

Get added to the waitlist

View Past CQIP Projects

View Cohort 1 Projects

Cohort 1 Participants and Their QI Projects

At the end of the CQIP program, participants present their projects through 3.5-minute long presentations – called QIck Talks – to guests and fellow graduates. The CQIP grads also share more details about their findings on large-format conference-style posters. View past participant project videos and posters below to learn more about the types of clinical quality improvement happening right here at home in Saskatchewan.

Dr. Chantal Ansell, Senior Physician, University of Saskatchewan Student Health Centre

Project: Shared Care for Improved Care

The majority of patients visiting the University of Saskatchewan’s Student Wellness Centre are seeking care for mental health related illnesses. The Student Wellness Centre is a designated primary health care site that includes primary care providers, counsellors, psychiatrists, and a mental health nurse. Dr. Ansell’s project is exploring whether a shared care model reduces the wait time to specialist consultation and if the shared care model results in happier patients and providers. View her poster to find out!

QIck Talk Video

Project Poster


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Dr. Shamsuddin Fakhir, Pediatrician, Saskatchewan Health Authority

Pediatric Clinical Pathways: Reduction of Respiratory Swabs and Chest X-Rays by 50% in the Management of Acute Bronchiolitis in Children

Dr. Fakhir’s team chose acute bronchiolitis in children as the focus of their QI project because there is a lot of variation in how the condition is treated across different hospitals, provinces, and even countries. Dr. Fakhir found physicians in the former Cypress Health Region were not using evidence-based clinical pathways, that there were barriers to pathway use, and a lack of organizational support. The aim of Dr. Fakhir’s project was to reduce chest x-rays and respiratory swabs by 50% by the end of 2017. View his poster to learn more about his project!

QIck Talk Video

Project Poster


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Dr. Milo Fink, Area Lead, Regina, Saskatchewan Health Authority

The Truth about Discharge Summaries: Tertiary Medicine to Community

The focus of Dr. Fink’s CQIP project was on improving transfers and handovers between tertiary care and the community. Safe handovers require timely sharing of concise, reliable information about patients. After reviewing a week’s worth of discharge summaries from internal medicine, Dr. Fink found that while the quality of information was good there are often delays in making that information available. He introduced a number of process improvements aimed at improving timeliness of information sharing. View his poster to learn more about his project!

QIck Talk Video

Project Poster


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Dr. Marcie Heggie, Family Physician and Physician, Yorkton Regional Health Centre

Improving Management of COPD Exacerbations in YRHC ER

Dr. Heggie had the perception that many visits to the Yorkton Regional Health Centre’s ER were by patients with chronic obstructive pulmonary disease (COPD). COPD is best managed by family physicians in their offices, as through the use of patient tools to help people self manage their condition. The former Sunrise Health Region had the highest smoking rate in the province (28.9% compared to 24.6% in Sask.). YRHC ER faced frequent visits for COPD due to advanced age, comorbidities, current smoking, and a lack of referral to community resources for COPD education and self-management of chronic disease. Dr. Heggie's aim was to increase the referral rate of possible COPD patients from the YRHC ER to a community pulmonary rehabilitation program by 50% by October 2017. View her poster to learn more about her project!

QIck Talk Video

Project Poster


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Dr. Maurice Ogaick, General Surgeon, Saskatoon

Reducing Ultrasound in the Diagnosis of Inguinal Hernias

Inguinal hernias are fairly common. Surgeons often receive referrals from family physicians with an ultrasound accompanying it. Typically, inguinal hernias are easy to detect on clinical examination, especially if they are larger ones. Surgeons find that these ultrasounds rarely influence how they treat patients. As a result, reducing these unnecessary ultrasounds could save patients and the health care system time and resources. For his CQIP project, Dr. Ogaick communicated to general practitioners that an ultrasound is not necessary for patients with inguinal hernias that are readily apparent on clinical examination, then looked at the impact this had on the number of ultrasounds accompanying referrals. View his poster to learn more about his project!

QIck Talk Video

Project Poster


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Dr. Shaqil Peermohamed, Infectious Disease Specialist, Saskatoon

Broad-Spectrum Antibiotic Use in the ICU

Studies have shown that 30% of antibiotics prescribed in intensive care units (ICUs) are unnecessary or inappropriate. Effective strategies for promoting judicious antimicrobial prescribing in this care setting must take into account the critical conditions of ICU patients and the collaborative approach to care on these units. For his CQIP project, Dr. Peermohamed and a pharmacist met with the ICU team in-person three times per week to discuss all patients actively receiving antibiotics; after these meetings, they provided recommendations to the ICU team. View his poster to learn more about his project!

QIck Talk Video

Project Poster


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Dr. Henrike Rees, Pathologist, Saskatoon

The Development of a Breast Pathology Subspecialty Model: The Saskatoon Experience

Dr. Rees's quality improvement project focused on developing a subspeciality service model for breast pathologists to improve care for breast cancer patients and reduce inefficiencies. Breast cancer pathology reports provide essential information and contribute to the management plan of breast cancer patients. Poor quality, delayed, or incomplete breast cancer reports impact the quality of patient care. In the past, breast cancer cases have been reported by general pathologists in Saskatoon and the quality and turnaround time of these reports has not been monitored. Dr. Rees began to measure and monitor the quality and turnaround time of breast cancer pathology reports. View her poster to learn more about her project!

QIck Talk Video

Project Poster


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Dr. Rabia Shahid, General Internist, Saskatoon

Reducing Unnecessary Testing Before Surgery

While working in the pre-op clinic, Dr. Shahid noticed that unnecessary testing happens on a daily basis. The results of preoperative tests rarely change how patients are managed and in some cases can cause them harm. Dr. Shahid worked with a team of stakeholders, including experts and representatives from different departments, to look at preoperative testing done on patients scheduled for knee and hip surgery. The team found most unnecessary testing occurs because providers are not aware of guidelines and the lack of a standardized tool or protocol for testing. The team's goal was to reduce unnecessary testing before surgery by 50%. View her poster to learn more about her project!

QIck Talk Video

Project Poster


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Dr. Philip Wright, Radiation Oncologist, Saskatoon Cancer Centre

Optimizing Use of Single Fraction Palliative Radiation Therapy for Bone Metastases

Systematic reviews show that a single fraction of radiation of treatment can provide similar results to multiple factions for palliation of painful bone metastases. In Canada, Choosing Wisely Canada released recommendations  in 2014 specifically for radiation oncology on using a single fraction for uncomplicated bone metastases. In 2016, the Canadian Partnership Against Cancer (CPAC) released a spotlight report on sustainability and quality in cancer control recommending the use of a single fraction of radiation therapy for painful bone metastases. CPAC identified the desire to have a pilot project to identify ways that practitioners can increase the use of a single fraction in jurisdictions, of which Saskatchewan and Manitoba were chosen. Dr. Wright's future plan for his CQIP project is to obtain and discuss survey results, collect real-time data on an ongoing basis, share anonymous results with practitioners, and implement processes to promote single fraction use. View his poster to learn more about his project!

QIck Talk Video

Project Poster


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View Cohort 2 Projects

      Cohort 2 Participants and Their QI Projects

      At the end of the CQIP program, participants present their projects through 3.5-minute long presentations – called QIck Talks – to guests and fellow graduates. The CQIP grads also share more details about their findings on large-format conference-style posters. View past participant project videos and posters below to learn more about the types of clinical quality improvement happening right here at home in Saskatchewan.

        Dr. Jeffrey Betcher, critical care physician, Regina

        Project: Direct From Positive Blood Culture Identification of Staphylococci

        For his CQIP project, Dr. Betcher aimed to implement nucleic acid amplification testing to directly identify the presence of S. aureus and mecA resistance genes in positive blood cultures to allow for earlier targeted antimicrobial therapy. Read his poster to learn more.

        QIck Talk Video

        Project Poster


        Click to enlarge

          Dr. Steven Bharadwaj, thoracic surgeon, Saskatoon

          Can the diagnostic yield of percutaneous lung biopsies be improved?

          For his CQIP project, Dr. Bharadwaj aimed to: 1) review the rate of non-diagnostic lung biopsies in Saskatoon over the last 5 years; 2) determine what factors may contribute to a non-diagnostic specimen including target size, location, presence of necrosis, core number and sizes; and, 3) determine what factors may contribute to a non-diagnostic specimen including target size, location, presence of necrosis, core number and sizes. Read his poster to learn more.

          QIck Talk Video

          Project Poster


          Click to enlarge

            Dr. Gordon Craib, family physician, Battlefords

            Development of an Enhanced Recovery Pathway (ERAS) for Patients Undergoing Major Colorectal Surgery in a Regional Hospital in Saskatchewan

            For his CQIP project, Dr. Craib aimed for consistent implementation of components of Enhanced Recovery After COLORECTAL Surgery in BUH; revised colorectal surgery ERAS pathway for BUH formalized in order sets by end of September 2018; and, loop closed in terms of educating all providers of care within the team how the changes in care will affect them but more importantly, the patient. Read her poster to learn more.

            QIck Talk Video

            Project Poster


            Click to enlarge

              Dr. Eileen Dahl, family physician, Saskatoon

              Improving Communication between Acute Care General Internal Medicine & the Family Physician by providing the Discharge Summary at time of Discharge

              For her CQIP project, Dr. Dahl aimed to improve the communication between Acute Care General Internal Medicine & the Family Physician by providing the Discharge Summary at time of Discharge. Read her poster to learn more.

              QIck Talk Video

              Project Poster


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                Dr. Pouneh Dokouhaki, pathologist, Saskatoon

                Improvement of Lab Utilization Pattern for Autoimmune Testing in Saskatchewan

                For her CQIP project, Dr. Dokouhaki aimed to determine the pattern of ANA test ordering among physicians of the (previous) SHR based on the geographical distribution, type of the service and specialty/subspecialty practice. To employ appropriate measures based on the utilization pattern to decrease inappropriate utilization of the autoimmune testing (ANA as an indicator) at least by 50% by the end of 2019. Read her poster to learn more.

                QIck Talk Video

                Project Poster


                Click to enlarge

                  Dr. Hendrik du Plessis, surgeon, Battlefords

                  Development of an Enhanced Recovery Pathway (ERAS) for Patients Undergoing Major Colorectal Surgery in a Regional Hospital in Saskatchewan

                  For his CQIP project, Dr. du Plessis aimed for consistent implementation of components of Enhanced Recovery After COLORECTAL Surgery in BUH; revised colorectal surgery ERAS pathway for BUH formalized in order sets by end of September 2018; and, loop closed in terms of educating all providers of care within the team how the changes in care will affect them but more importantly, the patient. Read his poster to learn more.

                  QIck Talk Video

                  Project Poster


                  Click to enlarge

                    Dr. Randall Friesen, surgeon, Prince Albert

                    Appropriateness of Emergent CT Scans of the Brain

                    For his CQIP project, Dr. Friesen aimed to reduce the number of inappropriate emergent CT scans of the brain performed at the Victoria Hospital by 50% by September 2018. Assuming that 25% of scans may be inappropriate, a total reduction of 12.5% is required. Read his poster to learn more.

                    QIck Talk Video

                    Project Poster


                    Click to enlarge

                      Dr. Ayisha Kurji, general pediatrician, Saskatoon

                      Antibiotic Use for Patients Admitted to ACPeds with Community Acquired Pneumonia

                      For her CQIP project, Dr. Kurji aimed to decrease the use of IV broad spectrum antibiotics in patients admitted to ACPeds with community acquired pneumonia by 50% by next respiratory season. Read her poster to learn more.

                      QIck Talk Video

                      Project Poster


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                        Sarah Lynds, pharmacist, Battlefords

                        Improving the Continuity of Care through Effective Communication between Clinicians

                        For her CQIP project, Sarah aimed to improve communication between the interdisciplinary hospital team to the primary care team regarding the hospital stay as well as improve the quality of discharge summaries, and discharge prescriptions by 20% within 9 months. Read her poster to learn more.

                        QIck Talk Video

                        Project Poster


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                          Dr. Dapo Mabadeje, surgeon, Prince Albert

                          Implementation of the Enhanced Recovery after Surgery (ERAS) Program in patients under going Colorectal Surgery in Prince Albert, Saskatchewan

                          For his CQIP project, Dr. Mabadeje aimed to reduce surgical stress; maintain post-op physiological function; enhance mobilization after surgery; reduce rates of morbidity; faster Recovery; and, shorter length of stay in hospital. Read his poster to learn more.

                          QIck Talk Video

                          Project Poster


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                            Dr. Beth Machnee, family physician, Yorkton

                            Gold Standards in Heart Failure within the Yorkton Regional Health Center

                            For her CQIP project, Dr. Machnee aimed to decrease CHF admissions to YRHC by reducing variability within clinical practice. Read her poster to learn more.

                            QIck Talk Video

                            Project Poster


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                              Dr. Kyle Moulton, radiologist, Saskatoon

                              Implementation of a Tailored MR Stroke Protocol at a Primary Stroke Centre

                              For his CQIP project, Dr. Moulton aimed to improve the acute stroke clinical and imaging pathway by facilitating prompt diagnosis and triage through the creation and implementation of a dedicated acute stroke MR protocol. We hypothesize that the use of fewer and more specialized sequences (DWI, FLAIR and SWI) will be sufficient for diagnosis and characterization of acute stroke. By reducing scan time, we anticipate improvements in availability, throughput, efficiency and MR image quality. Read his poster to learn more.

                              QIck Talk Video

                              Project Poster


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                                Dr. Shadé Onaolapo, Head of Dept. of Anesthesia, Yorkton

                                Implementing Same Day Discharge For Total Laparoscopic Hysterectomy Patients At Yorkton Regional Health Centre

                                For her CQIP project, Dr. Onaolapo aimed to study the barriers to implementing same day discharge for total laparoscopic hysterectomy patients with the goal of reducing the admission rate of TLH patients by 75% By March 31, 2019. Read her poster to learn more.

                                QIck Talk Video

                                Project Poster


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                                  Andrew Plishka, pharmacist, Battlefords

                                  Improving the Continuity of Care through Effective Communication between Clinicians

                                  For his CQIP project, Andrew aimed to improve communication between the interdisciplinary hospital team to the primary care team regarding the hospital stay as well as improve the quality of discharge summaries, and discharge prescriptions by 20% within 9 months. Read his poster to learn more.

                                  QIck Talk Video

                                  Project Poster


                                  Click to enlarge

                                    Dr. Lexy Regush, obstetrics & gynaecology, Saskatoon

                                    Development of a Scoring Tool to Identify Risk of Postpartum Hypertension to Target Care and Reduce Return to Hospital in the Early Postpartum Period

                                    For her CQIP project, Dr. Regush aimed to reduce the return to RUH of postpartum women at risk of postpartum hypertension by 50% by Dec. 2018 for reason of postpartum hypertension or related condition by improving identification of women at risk for postpartum hypertension and directing appropriate standardized discharge planning. Read her poster to learn more.

                                    QIck Talk Video

                                    Project Poster


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                                      Dr. Olivia Reis, family physician, Shellbrook

                                      A Study of Continuity: Uncontrolled Blood Pressure in Patients with Hypertension and Co-Morbid Diabetes

                                      For her CQIP project, Dr. Reis aimed to set a pathway in place at the Regina Family Medicine Unit that identifies, recalls, and directs management to ensure patients with diabetes are within the recommended target for blood pressure control (<130/80) by September 2018. Read her poster to learn more.

                                      QIck Talk Video

                                      Project Poster


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                                        Dr. Francois Rossouw, emergency physician, Prince Albert

                                        Decreasing Emergency Department Length of Stay of Chest Pain Patients Undergoing Cardiac Workup

                                        For his CQIP project, Dr. Roussow aimed to follow the Heart Pathway and using the HEART SCORE as a clinical decision making tool so that 95% of patients with possible cardiac related chest pain should reach a decision on safe and appropriate disposition within 6 hours after initial assessment by an emergency physician. Read his poster to learn more.

                                        QIck Talk Video

                                        Project Poster


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                                          Dr. Christine Ryan, family physician, Shellbrook

                                          Dying in Saskatchewan: A Lack of Information around Palliative Care

                                          For her CQIP project, Dr. Ryan aimed to create a point of care with ongoing communication tool for use in palliative care to be ready to use in real-time in 2018. Read her poster to learn more.

                                          QIck Talk Video

                                          Project Poster


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                                            Dr. Anderson Tyan, respirologist, Saskatoon

                                            Improving the Coordination of Investigations for the Diagnosis and Staging of Rural Saskatchewan Patients with Lung Cancer

                                            For his project, Dr. Tyan aimed to reduce the number of trips to Saskatoon by 25% in the next 6 months for patients with suspected lung cancer that live more than 100 kms away from Saskatoon. Read his poster to learn more.

                                            QIck Talk Video

                                            Project Poster


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                                              Dr. Kevin Wasko, emergency physician, Swift Current, and Physician Executive of Integrated Rural Health, Saskatchewan Health Authority

                                              Universal Screening for Seniors Presenting to the Emergency Department of the Cypress Regional Hospital

                                              For his CQIP project, Dr. Wasko aimed to have seniors living safely in their homes longer. Read his poster to learn more.

                                              QIck Talk Video

                                              Project Poster


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                                                Dr. Scott Willms, orthopaedic surgery resident, Saskatoon

                                                Changes in Discharge Practices and the Effects on Osteoporosis Management in Post Fragility Hip Fracture Patients: A Quality Improvement Study

                                                For his CQIP project, Dr. Willms aimed to improve the percentage of patients aged 50 and older who sustain a fragility hip fracture and begin anti-osteoporotic treatment to ~80% and initiate a fracture liaison service (FLS) in Saskatoon that will not only evaluate patients post hip fracture but all patients who sustain a fragility fracture to eventually prevent hip fractures. Read his poster to learn more.

                                                QIck Talk Video

                                                Project Poster


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                                                For more information about the Clinical Quality Improvement Program, please contact

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                                                Program Partners

                                                Dr. Chantal Ansell

                                                Saskatoon

                                                Dr. Jeffrey Betcher

                                                Regina

                                                Dr. Vicki Cattell

                                                Saskatoon

                                                Dr. Senthil Damodharan

                                                Regina

                                                Dr. Pouneh Dokouhaki

                                                Saskatoon

                                                Dr. Hendrik du Plessis

                                                North Battleford

                                                Dr. Shamsuddin Fakhir

                                                Swift Current

                                                Dr. Phillip Fourie

                                                Yorkton

                                                Dr. Gary Groot

                                                Saskatoon

                                                Dr. Erin Hamilton

                                                North Battleford

                                                Dr. Cecil Hammond

                                                Prince Albert

                                                Dr. Jason Hosain

                                                Saskatoon

                                                Dr. David Kopriva

                                                Regina

                                                Dr. Ayisha Kurji

                                                Saskatoon

                                                Dr. Beth Machnee

                                                Regina

                                                Dr. Shabir Mia

                                                Saskatoon

                                                Dr. Kyle Moulton

                                                Saskatoon

                                                Dr. Bruce Murray

                                                North Battleford

                                                Dr. Shade Onaolapo

                                                Yorkton

                                                Dr. Henrike Rees

                                                Saskatoon

                                                Dr. Francois Roussow

                                                Prince Albert

                                                Dr. Rabia Shahid

                                                Saskatoon

                                                Dr. Susan Shaw

                                                Saskatoon

                                                Dr. Nicolette Sinclair

                                                Saskatoon

                                                Dr. Guruswamy Sridhar

                                                Regina