Embed Size (px)
Citation preview
1
Competency-based medical education is moving away from medical knowledge as a sole focus towards a set of competencies with associated milestones. Many of these competencies involve working within a health care team and maximizing personal and system resilience. Below are a few links on teaming behavior and resilience that may be of interest. 1. http://catalyst.nejm.org/psychological-safety-great-teams/: describes what health care can learn
from google on “teaming” behavior 2. https://icenetblog.royalcollege.ca/2014/09/26/ice-book-review-teaming-how-organizations-
learn-innovate-and-compete-in-the-knowledge-economy/: reviews Amy Edmondson’s book on “teaming”
3. https://icenetblog.royalcollege.ca/2016/10/18/resilient-meded-leaders-bending-to-adapt/: describes adaptation skills for medical educators
4. http://www.slideshare.net/fankel/systems-resilience-in-medical-education-meded is a slide set that outlines what educators can do to create resilient systems
Our goal is to design our medical education system to produce practice-ready clinicians upon graduation. http://hpedesign.pbworks.com describes some of the work we are doing at HealthPartners. -Dr. Felix Ankel, MD VP Health Professions Education
November 2016
Regions Hospital Graduate Education
Newsletter
Notes from the DIO
The Office of Health Professional Education
Resident Health & Wellness
Teaming Behavior and Resilient Systems
Opportunity to Participate in People Serving People Donation Drive
Stop in the Medical Library, located in the East wing of Regions Hospital, any time between 8:00—4:00pm M-F during the weeks of November 28th—December 16th to participate in the People Serving People Donation Drive. The Office of Health Professional Education will be collecting toiletry items and gently used and new winter jackets and donating them to homeless families sheltering at People Serving People. Please refer to the list below for items that we are collecting:
Toiletries:
Body wash Cotton balls
Deodorant (men & women) Feminine hygiene products
Moisturizing body lotion Hair combs & brushes
Hair shampoo & conditioner Hair spray
Hair binders Soap
Toothpaste
Winter Coats: Adult Female, all sizes
Adult Male, 2X-4X Children sizes 7+ for boys and girls
2
Announcements from the Programs Psychiatry
It’s Flu Shot Season! Regions Hospital requires all employees, providers and trainees to participate in the annual flu program by doing one of the following: 1. Get the flu shot from Regions Employee Health and Wellness: http://mypartner/cs/idcplg?
IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Web&noSaveAs=1&dDocName=PDWCS_299903 2. Report your declination or that you received the vaccination elsewhere by filling out the form and return to Employee Health and
Wellness or complete an online survey in one of the following ways:
In person at any free flu vaccination clinic held at Regions
Online at https://www.surveymonkey.com/r/REGIONSRHSCFLU All employees who declined the flu vaccination, regardless of reason, and all employees who have yet to participate in the annual flu vaccination program will be required to wear a mask when influenza becomes widespread in our community as designated by Regions Hospital, based on guidance from the Minnesota Department of Health (usually sometime between Oct. 1 and March 31). To see this year’s flu shot schedule, go to this link: http://mypartner/cs/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Web&noSaveAs=1&dDocName=PDWCS_299903
The tradition of the Hennepin-Regions Psychiatry Program has been to set aside a full day twice a year for a Program-wide retreat. The purpose of this is to build cohesiveness and a sense of shared purpose, as well as to offer educational opportunities which connect us to our community and promote resident resilience. This fall, we started the day with service at Eagan-based Feed My Starving Children, a faith-based charity which supplies specially formulated subsistence nutrition to impoverished
communities around the world. After a shared meal of Indian cuisine, we traveled to Apple Valley for an afternoon of recreation at the Minnesota Zoo, with the added challenge of an animal selfie contest--both team and individual categories. We had beautiful fall weather, and were refreshed by time spent relaxing and laughing with our colleagues. Past retreat activities have included Improv lessons, Minnesota History Center, Minneapolis Institute of Arts, photo scavenger hunts of Minneapolis and St. Paul, day-long Motivational Interviewing training, and a day of advocacy at the Minnesota State Capitol. -Dr. Scott Oakman, Program Director
Resident Health & Wellness continued
These Internal Medicine Residents got some therapy on a very hard day. Melissa Plesac and Stephen Selinsky took time out of their busy Critical Care Rotation to get some loving from Zeb, the Bernese Mountain dog. Zeb is a regular therapy dog who goes both to Regions and Gillette. When he is here he will stop in the Medicine Education office on C7 for a little snack and some down time. Zeb is one of our many Therapy Dogs who will make patients and staff smile and feel better. To learn more about the pet therapy program and other volunteering opportunities at Regions Hospital, check out this link: https://www.regionshospital.com/rh/volunteers/
Therapy Dogs Not Only for Patients
3
Opportunity with the Regions Hospital Stroke Center
Dr. Miguel Ruiz Diaz—Teacher of the Year
Faculty Awardees
The Annual University of Minnesota Department of Medicine Fall Faculty Recognition Reception was held on Thursday, October 27th
2016 . Faculty honored included those who have been promoted, recently become members of distinguished national societies, or received prestigious departmental, national or international awards in the last year. Congratulations to the award winners from HealthPartners!
Dr. Karen Margolis—Researcher of the Year
Dr. Sunny Kaul—Clinical Excellence Award
4
Brain
Break
For the month of giving thanks, learn to say thank you in 26 different
languages!:
Language Thank you Pronunciation
Afrikaans dankie dahn-kee
Arabic shukran shoe-krahn
Australian English ta (informal)
Chinese, Cantonese do jeh daw-dyeh
Chinese, Mandarin xie xie syeh-syeh
Czech dêkuji deh-ku-yih
Danish tak tahg
Finnish kiitos kee-toas
French merci mehr-see
German danke dahn-kah
Greek efharisto ef-har-rih-stowe
Hebrew toda toh-dah
Hindi, Hindustani sukria shoo-kree-a
Indonesian/Malayan terima kasih t'ree-ma kas-seh
Italian grazie gra-see
Japanese arigato ahree-gah-tow
Korean kamsa hamnida kahm-sah=ham-nee-da
Norwegian takk tahk
Philippines (Tagalog) salamat po sah-lah-maht poh
Polish dziekuje dsyen-koo-yeh
Portuguese obrigado oh-bree-gah-doh
Russian spasibo spah-see-boh
Spanish gracias gra-see-us
Sri Lanka (Sinhak) istutiy isst-too-tee
Swahili asante ah-sahn-teh
Swedish tack tahkk
Thai kawp-kun krap/ka' kowpkoom-krahp/khak
Turkish tesekkür ederim teh-sheh-kur=eh-deh-rim
5
Appropriate Testing for C. difficile
News from Patient Safety
One of our Safe 7 priorities is C. difficile. Did you know that we measure two different categories of C. diff? The first is the community onset form of C. diff and the second is hospital onset form C. diff, which occurs 72 hours AFTER the patient has been admitted. We want to be sure that with our testing we are testing patients appropriately and are following the testing protocol, below is a summary of the testing protocol.
Clinical Documentation Improvement (CDI) Clinical Documentation Improvement’s (CDI) goal is to have codeable diagnoses that correctly reflect the SOI (severity of illness), ROM (risk of mortality), physician quality scores, and the resources used for the patient. Regions Hospital employs 9 Registered Nurses (pictured right) who are specifically trained in ICD 10 and coding principles. They review provider documentation for improvement opportunities. If the CDI sees an opportunity they will query the provider. The queries are located in the CDI box on the summary tab of the patient’s chart. ALL queries have to be answered.
If you AGREE with the query, document your clinical response in your progress notes & d/c summary.
If you DO NOT AGREE, leave a message in the CDI box, i.e. “Don’t think it is ATN, will document AKI. Dr. X.” Then, CDI will close the query & delete the CDI box text.
They also create monthly coding pearls in which we will include in the Newsletter. See November’s below: November 2016 Documentation pearl: New national coding guidelines necessitate every diagnosis in a MD note must be coded regardless of its associated symptoms or clinical criteria. Please make sure all diagnoses listed in assessment and plan meet clinical criteria. To prevent an increase in queries requesting additional documentation of criteria to support a charted diagnosis… -avoid templates with diagnoses built in -document the criteria a patient meets for diagnoses charted -use the CDI reference card with CMS accepted criteria of common conditions Please contact the CDI staff at 254-4CDI for any questions or concerns.
6
Institutional Survey Results
Each year, the Accreditation Council for Graduate Medical Education (ACGME) surveys residents and training program faculty on program educational content, resources, patient safety and teamwork. The results for all Regions programs are aggregated and compared to responses nationally. Our surveys of the 2015-16 academic year indicate strong program performances. Great job!
7
Institutional Survey Results Continued
8
Meet the Central Office of Health Professional Education!
OHPE
Felix Ankel, MD [Vice President and Executive Director] Provides leadership and direction for Health Professional Education Provides strategic planning
Connects with schools and care delivery
Kelly Frisch, MD [Chief of Clinical Learning]
Responsible for maintaining Institutional Accreditation Represents Regions Hospital as Graduate Medical Education Committee Chair
Char Baum [Program Associate] Coordinates Knowledge Bank Coordinates advanced practice clinician tracking
Updates website and blog
Michelle Noltimier, RN [Director or AP/NP Graduate Programs] Directs clinical training provided for PA/NP graduate students Maintains relationships with hospitals, clinics, schools and students Manages budget for advanced practice clinician train-
ing | [email protected]
Prat Bhandari [Communications Program Asso-ciate] Supports communication efforts of OHPE office Supports website, blog, social media, and inven-tories
Allie Rengel [Program Associate] Coordinates Oto-laryngology, Radiology and Anesthesiology University of Minnesota training at Regions Hospital
Assists Kelly Frisch, MD
Willie Braziel [Operations Manager] Oversees Daily GME Operations Plans and Organizes New Resident Orientation
Serves as ECFMG Designated Official
Cecily Spencer [Operations and Development Man-ager] Supports operations, planning, strategy and initiatives Connects with department leaders for budget devel-opment Provides strategic planning for web and social media
Julie Cole [GME Accreditation Manager] Serves as program/institution accreditation resource Administrates New Innovations RMS Manages medical education-related projects
Devon Yocom [Program Associate] Coordinates the Foot and Ankle Surgery Residency and Hand Surgery
Fellowship
Monica Hoeppner [Executive Assistant]
Provides confidential administrative support Assists in developing relationships with internal and external partners
Assists Felix Ankel and Michelle Noltimier
Connect with Us:
Our Blog:
