Kenneth Silverstein, MD Sue Anderson Michael Grace

Transcription

1 Kenneth Silverstein, MD Sue Anderson Michael Grace

2 C Suite Alignment with Education Keeping the Connection Kenneth Silverstein, MD, MBA Chief Medical Officer

3 Agenda The Christiana Care Way The Value Institute at Christiana Care Medical Affairs and Academic Affairs C Suite support for Education and Scholarly Activity

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5 Value Institute The Value Institute studies health and health care with the goals of identifying and implementing strategies to achieve better health outcomes at lower costs.

6 Value Institute Mission Develop Deliver Evaluate Innovative health care solutions that meet the Triple Aim

7 Four Pillars Value Institute Center for Health Care Center for Quality Center for Outcomes Delivery Science and Patient Safety Organizational Research (CCOR) (HCDS) (CQPS) Excellence (OE)

8 Medical Affairs Patient Safety Quality Event Management Accreditation Compliance Credentialing Privileging Professional Excellence FPPE/OPPE Peer Review

9 Alignment of AA with MA Medical laffairs Academic Affairs Functions Functions Credentialing Privileges FPPE/OPPE Competency Based Medical Education Clinical Competency Committees CLER Quality/Safety Milestones/Core Competencies

10 CMO and VPMA CMO Chairs VPMA CAO Medical Affairs Academic Affairs

11 Alignment of C Suite with GME Chief Academic Officer and DIO: Committees CMO Meetings (one on one; biweekly) CEO Meetings (one on one; monthly) Presidents Cabinet (weekly) Chairs Leadership Council (monthly) Medical Executive Committee (monthly) Safety First Committee (monthly) Medical Dental Staff Peer Review Committee (monthly)

12 C Suite and GME Alignment Examples of system impact through AIAMC initiatives: National Initiative 3: Development of Teaching Leadership to Improve Quality Improvement Initiatives. An inter-professional, i train-the-trainer i model lfor faculty development National Initiative 4: Achieving Mastery of Clinical Learning Environment Review (CLER) Resident Quality and Safety Council

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14 AIAMC 2015 Annual Meeting C-Suite Alignment Suzanne T. Anderson Executive VP, CIO, CFO

15 2014 Virginia Mason Medical Center

16 Teaching evidence-based medicine, best practices Keeps Virginia Mason on the forefront of medicine 70+ Virginia Mason MDsincluding many leaders are former residents Focus on the patient experience in the hospital Producing the next generation of physicians Fresh eyes; learning organization 2014 Virginia Mason Medical Center

17 Why GME is Important to Virginia Mason Creates/stimulates a robust intellectual environment Consistent with always wanting to be better bright young people demand this and force us to be better Facilitates recruitment of strong physicians 2014 Virginia Mason Medical Center

18 Voices, Stories, the Faces of GME Alignment 2014 Virginia Mason Medical Center

19 Excerpted Slides from a Resident s Grand Rounds Presentation 2014 Virginia Mason Medical Center

20 C-Suite Integrating Residents and Nursing Michael Grace Interim Chief Operating Officer Kaiser Permanente - Okl Oakland March 11, 2015 Proprietary & Confidential: For Verbal Use Only

21 Kaiser Permanente Teaching Program Northern California i Oakland /Richmond has 365 licensed hospital beds (315 in Oakland and 50 in Richmond) with specialty services in Spine, Pediatric Neurosurgery, and Orthopedic Trauma Surgery. Oakland is Kaiser Permanente s flagship hospital and is a large teaching facility. Its brand new state-of-the-art hospital opened July 1, 2014 and hosts the only Intraoperative MRI in the State of California. East Bay Service Area has the largest number of residents in Northern California, approximately 300. Specialties include Pediatrics, Head and Neck Surgery, Ob-Gyn Gyn, Internal Medicine, and Surgery. ACGME Accreditation in 2014, with highlights of the best Integration of Internal Medicine with Hospital East Sixth Bay ItemService Area serves approximately 319,000 Kaiser Members in 15 cities throughout Alameda and West Contra Costa Counties. 21 March 11, 2015 Proprietary & Confidential: For Verbal Use Only

22 Integration into Hospital Performance Structure Quality and Patient Safety Integrating Residents in Hospital Performance Structure ERAS Project Enhanced Recovery After Surgery Project Pain Management Ambulation early postoperative Narcotic utilization Risk Management and Patient Safety Committee (Pediatric Resident sits on Committee) Meets bi-weekly to discuss performance improvement efforts Improve communication among team members, Resident Lead 22 March 11, 2015 Proprietary & Confidential: For Verbal Use Only

23 Team Rounding and Professional Council Interdisciplinary Rounding Units include: ICU, PICU, Pediatrics, L&D, and NICU Physicians, Nurses, Pharmacy, Clinical Dieticians, Patient Care Coordinator, Residents and Residency Directors Includes patient and families in their Plan of Care during rounds Professionalism Council Meets Quarterly with Residents, Directors, and Nurse Executive Discuss professionalism and standards Case Studies 23 March 11, 2015 Proprietary & Confidential: For Verbal Use Only

24 From the Patients Perspective A story through the patients eyes 24 March 11, 2015 Proprietary & Confidential: For Verbal Use Only