Quality improvement education innovation: evaluation of Coursera MOOC 'Take the Lead on Healthcare Quality Improvement'.

BACKGROUND: Massive open online courses have the potential to enable dissemination of essential components of quality improvement learning. Subsequent to conducting the massive open online course 'Take the Lead on Healthcare Quality Improvement', this paper is a report of the evaluation of the course's effectiveness in increasing healthcare professionals' quality improvement knowledge, attitudes, self-efficacy and systems thinking. METHODS: Using the Kirkpatrick model for evaluation, a pretest-posttest design was employed to measure quality improvement knowledge, attitude, self-efficacy and systems thinking. Interprofessional learners across the globe enrolled in the 5-week online course that consisted of 10 modules (short theory bursts, assignments and assessments). The objective of the course was to facilitate learners' completion of a personal or clinical project. Of the 5751 learners enrolled, 1415 completed the demographic survey, and 88 completed all the surveys, assignments and assessments. This paper focuses on the 88 who completed the course. RESULTS: There was a significant 14% increase in knowledge, a 3.5% increase in positive attitude, a 3.9% increase in systems thinking and a 21% increase in self-efficacy. Learners were very satisfied with the course (8.9/10). CONCLUSIONS: Learners who completed the course 'Take the Lead on Healthcare Quality Improvement' had significant gains in learner outcomes: quality improvement knowledge, attitude, self-efficacy and systems thinking supporting this course format's efficacy in improving key components of students' quality improvement capabilities.