Yumi Shitama Jarris, MD Georgetown University School of Medicine
Professor of Family Medicine
Workforce
Denise Koo (CDC) Yumi Jarris (Georgetown University)
Wendy Braund (WY-SHO) Frank Cerra (UMN) Terry Dwelle (ND – SHO) Clese Erikson (AAMC) Malika Fair (AAMC) Nicholas H. Fiebach (Columbia University) John Finnegan (UMN) Paul Halverson (IU) Alice Kuo (UCLA) Sarah Linde (HRSA) Lloyd Michener (Duke) Judy Monroe (CDC)
Lloyd Novick (East Carolina University) Donna Peterson (USF) Bob Phillips (ABFM) Cynthia Phillips (HRSA) David Popiel (GW Internal Medicine) Harrison Spencer (ASPH) Justine Strand de Oliveira (Duke) Stephen Wyatt (UKY) Ted Wymyslo (OH - SHO) Matt Wynia (AMA)
Communication
David O'Gurek (AAFP) TBD
Angeline Boey (CDC) Scott Briscoe (ASTHO) Michelle Daniels (HRSA) Carrie Horwitch (ACP) Erin James (Duke) Susan Laird (CDC) Andrea Lowe (ACPM) Nitesh Parmar (CDC) David Rabinowitz (Deloitte) Albert Terrillion (ASTHO) Sarah Thomas (AAFP)
Co-leads
Current Committee Members
ASTHO-Supported Primary Care and Public Health Collaborative: Communication and Workforce Committees
Bring together primary care and public health educators at all levels of medical and public health education
Exchange information about the health workforce and the
competencies needed to improve health Increase awareness of successful examples of integration of
primary care and public health in workforce education and training
Highlight the work and events of partners’ organizations Facilitate connections for potential collaborations between public
health and primary care Provide a platform or repository for sharing curriculum/tools
Ohio Department of Health The Interprofessional Education Collaborative (IPEC)
Community Health Workers
Primary Care Curriculum Reform Ensuring the integration of population health into medical education with attention to interprofessional activities Determining geographic and clinical
areas of need Work with licensing boards to put together data sets with clinical information to determine areas of need in the state Scholarships For medical students and nurse practitioners to practice in shortage areas
Association of Schools & Programs of Public Health – Harrison Spencer
American Association of Colleges of Nursing American Association of Medical Colleges American Association of Colleges of
Osteopathic Medicine American Association of Colleges of
Pharmacy American Dental Education Association
The goal of IPEC is to prepare all health professions students for deliberatively working together with the common goal of building a safer and better patient-centered and community/population oriented U.S. health care system
Why IPEC®
IPEC Action Plan: Our Goals
Promoting a common language and shared
competencies
Facilitating effective faculty development
Fostering shared learning resources
Identifying effective organizational
models
Facilitating linkages with clinical and
translational research
Promoting inter-professional
collaboration with policy-makers
Help our member institutions advance the field by:
Every medical, nursing, dental, pharmacy, and public health graduate is proficient in the core competencies for interprofessional, team-based care, including preventive, acute, chronic and catastrophic care.
Four competency domains with 38 sub-competencies:
Values and ethics
Roles and responsibilities
Interprofessional communications
Teams and teamwork
Link between primary care and public health Massachusetts put CHWs in community health
centers Integrated CHWs in PC clinical teams in two
hospitals. ◦ Conducted in home environmental assessments,
provided low cost tools, and put findings into medical records
◦ Funded a 4-day training and quarterly support meetings for CHWs
◦ Outcomes: Reduced asthma hospitalizations from 17 to 1, reduced asthma symptom days, halved ER visits
Georgetown University School of Medicine
Population Health Curriculum
Year 1 - Patients, Populations, and Policy Lectures
• Social Determinants of Health • Health Systems Overview • Quality in Health Care • Population Health and Community Health Assessment
• Geographic Health Information Systems
• Public Health and Clinical Medicine • Role of State Departments • Prevention • Health Disparities • Lesbian, Gay, Bisexual & Transgender Health Care
• Introduction to Health Advocacy Workshop
Small Groups • Health Insurance and Payment • Patient Centered Care and the Medical Home
• Homelessness • Health Disparities
Assignments • Discussion Board • ACA student presentations • Advocacy student presentations
Team-Based Learning • Health Impact Pyramid • Preventive Services • Childhood Obesity
Year 2 – Integrated in Science Modules
Combined Population Health-Clinical Medicine approach Cervical Cancer Prevention Disparities in Hypertension/Renal Disease
Emergency Preparedness Simulation Apply epidemiology and clinical problem
solving to a public health emergency Importance of the interprofessional team
Health Systems, Policy, and Public Health for Clinicians – Year 4 & Residents
Monday Tuesday Wednesday Thursday Friday
Lect
ures
- History of US health delivery systems - Public vs. Private Insurance systems - National Health Expenditures
- Health care economics - Payment & Reimbursement Methods - Comparisons of international systems
- Medicare and Medicaid Services - Social determinants of health - Uninsured & Access to Care
- Legal medicine: Malpractice and contracts - Charitable organizations, free clinics, foundations & lobbying - HP in the media
- Health Care Reform - Cost containment strategies: ACOs, PCMH - Politics of Health Reform
Site
Vis
it
Office of the Assistant Secretary for Preparedness and Response at HHS
AMA Washington Office
AHRQ ASTHO
DC Department of Health
Senator Harkin’s Office