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Graduate Medical Education Annual Program Director Retreat September 2013

The Value Imperative. Graduate Medical Education Annual Program Director Retreat September 2013. The Problem.

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Graduate Medical Education Annual Program Director Retreat September 2013

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  1. The Value Imperative Graduate Medical Education Annual Program Director Retreat September 2013

  2. The Problem Physicians (& physician educators) (and our trainees) are inadequately trained in understanding, creating, improving, and managing PROCESSES, SYSTEMS, & ASSOCIATED MEASURES/REQUIREMENTS

  3. Value Gone Wrong… Died Procedure Readmitted Readmission Program Prior Hx VTE Pulmonary Embolism Meaningful Use PSI-09 ; HAC VTE Px Forgotten Poor Transition HCAHPs MD Communication SCIP Fall Out

  4. PSIs (AHRQ, Others) Accreditation Standards PSN (Event reporting) MSBP HAIs (CDC/NHSN, others) Readmissions (CMS, UHC) S A F E Equitable EFFIC HACs (CMS, others) IENT LOS (UHC, others) QUALITY The VALUE Puzzle Appropriate (CMS, others) T I M E L Y P A T I E N T ACCESS (payers, patients) HCAHPs (CMS, others) Effective ED wait (CMS) CENTERED CGCAHPs (CMS, others) Mortality (CMS, UHC, Other) t to PCI (CMS) Process Measures PROs

  5. The Squeeze… HAC: 1% PQRS: 1.5% VBP: 2% Readmit: 2% Payers: ??? Patients: ???

  6. AMCs Will Be Impacted the Most…

  7. Alignment will be our critical success factor: Annual Roadmap For Resident Integration & Engagement

  8. How we meet these goals together. • Know your CMQO and Director of Quality & Patient Safety. Invite us to training planning • Your Department Chair has been asked to nominate program director (or an associate director) to be key partner • Creation of a GME-Value Council • Integrate & Improve in operational goals • Define additional annual resident priorities & needs

  9. How we meet these goals together. • Develop a collective didactic/educational content (system-based practice) and improvement approach that is clinically relevant and helpful to both entities • Engage/Expect your residents to engage in meaningful experiential quality and patient safety work (accreditation standards, operational goals, service line improvement work, data collection and transformation into knowledge, safety reporting and improvement projects such as FMEA/RCA, & VDO initiatives).

  10. Discussion

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