Quality Metrics, Hospital Outcomes, Curriculum Development, Oh My!
ACGME, CLER environment, health systems metrics, and Quintuple Aim acknowledge the rapidly evolving landscape of health care delivery and patient centered care. Milestones 2.0 define a clear emphasis on competencies for transitions of care (TOC) skills. However, the challenge of the GME landscape is the emphasis on clinical knowledge skills, which competes with health care delivery skills. Even further, TOC skills are related to many health system quality metrics, yet health system goals are siloed from the educational GME needs of trainees.
Based on multiple TOC studies and our own needs assessment, we discovered that many of the TOC skills are taught and role modeled in a peer to peer fashion: medication reconciliation, discharge instructions, hand offs between shifts, and discharge summaries. However, role modeling and emphasis on these behaviors by upper level peers is variable and ultimately influences junior trainees.
This workshop discusses the iterative journey of an institution's approach to emphasizing TOC skills to achieve safer and more equitable health care delivery. Our interactive workshop will allow participants to share their current approach to TOC curriculum and current perceived errors among residents and brainstorm approaches of how to overcome barriers to modeled behaviors. After small group discussion, we will share our approach to designing and implementing a TOC curriculum which is multi dimensional and incorporates health system quality metrics, didactics, workshops, 1:1 peer based evaluation, and culminates in teaching skills as trainees progress through residency. This approach is applicable to programs nationally.
Based on multiple TOC studies and our own needs assessment, we discovered that many of the TOC skills are taught and role modeled in a peer to peer fashion: medication reconciliation, discharge instructions, hand offs between shifts, and discharge summaries. However, role modeling and emphasis on these behaviors by upper level peers is variable and ultimately influences junior trainees.
This workshop discusses the iterative journey of an institution's approach to emphasizing TOC skills to achieve safer and more equitable health care delivery. Our interactive workshop will allow participants to share their current approach to TOC curriculum and current perceived errors among residents and brainstorm approaches of how to overcome barriers to modeled behaviors. After small group discussion, we will share our approach to designing and implementing a TOC curriculum which is multi dimensional and incorporates health system quality metrics, didactics, workshops, 1:1 peer based evaluation, and culminates in teaching skills as trainees progress through residency. This approach is applicable to programs nationally.