Special Program Features

The Community Healthcare Improvement Project (CHIP)

The Community Healthcare Improvement Project (CHIP) is the practical application or experiential component of the program, allowing the participants to immediately translate the MDI curriculum to improve performance in their own health systems. Through this peer-and-faculty consulting process, participants develop strategic plans to resolve a significant issue or obstacle in their nation, region or organization. As part of the application process, participants identify specific initiatives - aligned with national health priorities - that they intend to undertake as part of their CHIP. The CHIP provides a process for conducting environmental analysis, identifying critical issues and/or key problems, formulating goals and objectives, creating action plans and developing monitoring and evaluation plans.

Prior to attending the MDI, participant teams and their superiors will be asked to identify two potential healthcare improvement projects that are relevant to their roles and organizations. During the residential portion of the program, one of these projects will be further developed as the CHIP. Each team's CHIP should be aligned with the roles and responsibilities of the team members, and should have the support of their superiors and/or their organization's senior leadership. It is expected that program participants will implement the CHIP as part of their work responsibilities after completing the program, and will secure the resources (including time) necessary to do so. Our objective is to ensure that MDI participants and their superiors will implement and evaluate CHIPs in the context of their healthcare service delivery programs that lead to better health outcomes, and which may serve as models for other organizations.

Below are basic guidelines on identifying a CHIP project. The project should:

  • address a service delivery gap, an unmet need, a healthcare problem or a challenge facing your organization.

  • have the potential to solve, or at least mitigate, the healthcare problem.• be central to the strategy of your organization/department/directorate.

  • be one that you have the power, organizational commitment and financial resources to implement.

  • be directed toward achieving one of these aims:
    • Improved health outcomes,
    • Enhanced patient/client experience, or
    • Reduced cost of care.
  • be able to demonstrate outcomes, even short-term ones, 12 months after the MDI is completed.

  • be one that the organization is committed to monitor and evaluate.

Note: As a condition of admission to the MDI, each participant agrees to complete the entire residential portion of the program, as well as the pre-program and post-program modules. The pre-program module includes identifying potential CHIPs and securing organizational support to implement them. The post-program module includes our M&E (monitoring and evaluation) effort. The data gathered during this process is essential to future MDI program enhancements, and allows us to share best practices and health outcomes among MDI program alumni and with the program sponsors.