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The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, The John A. Hartford Foundation and the University of Minnesota. © 2015 Regents of the University of Minnesota, All Rights Reserved.
MOC Should Be a Team Sport
Barbara F. Brandt, PhD, Director Associate Vice President for Education, UMN Academic Health Center
September 28, 2016 American Board of Medical Specialties
Collaborators from whom I learn everyday Brian Sick, M.D. Associate Professor, Departments of Medicine and Pediatrics, University of Minnesota Medical School Interprofessional Academic Deputy, University of Minnesota Academic Health Center Medical Director, Phillips Neighborhood Clinic President, National Student-Run Free Clinic Faculty Association
Andrew Olson, M.D., FACP, FAAP Assistant Professor Director, Sub-internship in Critical Care Clerkship Departments of Medicine and Pediatrics University of Minnesota Medical School 2
Topics • Today’s continuing education system rooted in the
1970s
• Today’s drivers in a changing health care system
• New learning and certification system design for the future, based upon team-based, collaborative practice
• Gen-X and Millennial voices from the field
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National Center Vision
We believe high-functioning teams can improve the experience, outcomes and costs of health care. National Center for Interprofessional Practice and Education is studying and advancing the way stakeholders in health work and learn together.
National Center Funders
Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067
Robert Wood Johnson Foundation Gordon and Betty Moore Foundation
Josiah Macy Jr. Foundation John A. Hartford Foundation
4
The Nexus: Our Vision for Health
Triple Aim of Alignment • Improving quality of experience for patients, families, communities and learners • Sharing responsibility for achieving health outcomes and improved learning • Reducing cost and adding value in health care delivery and education
5
Interprofessional Education – Linked to outcomes
Interprofessional education “occurs when two or more professions learn with, about, and from each other to enable effective collaboration to improve health outcomes.”
Adapted from: The Centre for the Advancement of Interprofessional Education, UK, 1987 World Health Organization, Framework for Action on Interprofessional Education and Collaborative Practice, 2010.
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The Update Model: 1970s Continuing Education Roots • “Keeping Up” • Need for New Knowledge / Skills • A Professionals Skill –Half Life of Knowledge
Obsolete in Five Years • New Mandatory Legislation • New Certification and Subspecialty – Individual
professions • New Information = Competence • Individual professional focus
• The new CE industry was born.
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What will be the impact on workforce of HHS Secretary Burwell’s announcement on value-based payment goals and MACRA?
Principles:
Incentives to motivate higher value care Alternative payment models
Greater teamwork and integration
More effective coordination of providers across settings
Greater attention to population health
Harness the power of information to improve care for patients
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New Models of Care Require New Models of Learning: Reframing, Retooling, and Retraining
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How do we improve the patient experience of
care, improve the health of populations,
and reduce the per capita cost of health care simultaneously?
Patients, Families & Communities
Health Workforce for New Models of Care
Learner Pipeline
How do we create a health workforce in the right locations, specialties and practice settings
that has the skills and competencies needed to meet the demands of a transformed
health care system while preventing burnout?
Today I owe:
How do we prepare the next generation of health
professionals for a transformed health care system while improving
experience and decreasing costs?
How do we prepare the next generation of health
professionals for a transformed health care system while improving
experience and decreasing costs?
$100K
The BIG Question
How do we help students, trainees, and practitioners gain the competencies to
work in new models of care when we are still practicing in traditional models?
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An Interprofessional Learning Continuum Model, Institute of Medicine, 2015
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Tomorrow’s Learning System: Engaging Gen-Xrs and Millennials
• Collaborative learning, working in groups
• Early digital immigrants and digital natives: social networking and media
• Many – portfolios, documenting their performance in K – 12, college and medical schools
• Continuous assessment: Expectation of performance with feedback and reflection
• Service learning – real-world experience 12
Voices from the Field
A family medicine chair, implementing PCMHs and residency programs
A pediatric hospitalist team leader
A primary care clinic medical director
A junior faculty member, implementing patient-centered rounds for all teams in a medical center
13
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UMMC Goal: Improve
patient satisfaction
Patient Centered Rounding for all
teams
Inpatient Faculty – needs scholarship IHI Open School – want a meaningful
project
Conduct survey of patients, physicians and nurses on what
they want out of rounds
Checklist – top 5 things to cover in patient centered
rounding
Rounding has changed, data
collected, publication
Patient Satisfaction Unchanged
IPE can help to transform the system by working with our health system partners to solve complex problems and delivery complex care.
Multiple Win QI Project
The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, The John A. Hartford Foundation and the University of Minnesota. © 2015 Regents of the University of Minnesota, All Rights Reserved.