ACGME OUTCOME PROJECT: THE PROGRAM COORDINATORS ROLE

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ACGME OUTCOME PROJECTTHE PROGRAM COORDINATORS
ROLE

• Jim Kerwin, MD
• University of Arizona

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Objectives

• Review the ACGME Outcome Project Concept
• Identify the Outcome Project Timeline
• Acknowledge the Significance for Recertification
• Identify the Program Coordinators Role

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Accountability

• Shift from process centered focus to
• product /outcome focus
• Are we producing competent physicians?

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Competencies The SIX Domains
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PATIENT CARE

• Performs critical evaluation of data including
  risk awareness
• Develops appropriate patient management plans
• Implements appropriate patient management plans

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PATIENT CARE

• Demonstrates timely completion of clinical tasks
• Counsels and educates patients and families
• Attends to disease prevention and health care
  maintenance
• Demonstrates competency in relevant procedural
  skills
• Manages time efficiently

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MEDICAL KNOWLEDGE

• Demonstrates an investigative and analytic
  thinking approach to clinical situations
• Demonstrates appropriate fund of medical
  knowledge
• Applies basic, clinical, epidemiological and
  social-behavioral sciences to patient care

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INTERPERSONAL AND COMMUNICATION SKILLS

• Demonstrates active listening skills
• Able to elicit appropriate information
• Communicates effectively

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INTERPERSONAL AND COMMUNICATION SKILLS

• Documentation and Records
• The documentation in medical records is
• Accurate
• Complete
• Legible
• Completes medical records in a timely manner

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INTERPERSONAL ANDCOMMUNICATION SKILLS

• Colleagues and Supervisors, Consultants, Support
  Staff
• Presentations are concise
• Presentations are relevant
• Works effectively as a leader

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INTERPERSONAL ANDCOMMUNICATION SKILLS

• Patients and Families
• Educates patient and family
• Communicates at patients education level
• Demonstrates respect, sensitivity and
  responsiveness to full spectrum of patients
  diversity

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INTERPERSONAL ANDCOMMUNICATION SKILLS

• Patients and Families
• Provides patient with clear instructions
• Provides clear plan for patient follow-up
• Maintains familial involvement

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PROFESSIONALISM

• Demonstrates respect
• Shows integrity unity between principles and
  actions
• Maintains confidentiality
• Demonstrates ethical behaviors
• Maintains appropriate appearance with respect for
  surroundings and others
• Demonstrates emotional stability/maturity

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PROFESSIONALISM

• Demonstrates appropriate personal health
  behaviors
• Reliably completes assigned duties
• Uses feedback to improve performance
• Reports to clinical activities on time
• Answers pages in a timely fashion
• Prioritizes and balances required curricular
  activities, optional extra curricular activities
  and personal life

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SYSTEMS-BASED PRACTICE

• Practices cost effective health care
• Practices quality health care
• Demonstrates
• Appropriate use of diagnostic tests
• Appropriate use of referrals/consults
• Appropriate use of alternative treatments
• Provides complete documentation for billing

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SYSTEMS BASED PRACTICE

• Acts as a patient advocate
• Collaborates with health care providers/managers
  (social services, home health, mental health)
• Coordinates discharge planning
• Coordinates follow-up

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PRACTICE BASED LEARNING AND IMPROVEMENT

• Applies evidence-based medicine to patient care
• Uses information technology to improve fund of
  knowledge
• Teaches student and other health professionals

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Strategy to Implement Competency Based
Education ACGME Outcomes Project
PHASE 1Initial Response(2001 - 2002)
PHASE 2Define Competencies and Tools(2002 -
2006)
PHASE 3Integration(2006 - 2011)
PHASE 4Expansion(2011 beyond)
Review Curriculum
Obtain FacultyBuy-In
Identify Specific Knowledge, Skills, and Attitudes
Define Specialty Specific Competencies
Develop Tools to Assess Competency
Identify Process to Implement Tools
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RRC Review

• Minimal threshold model Program review
  identifies whether or not a program has the
  potential to educate residents
• Program Director must offer documentation that
  the residents achieve the learning objectives set
  by the Program.

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Improvement of Residency

• The Program should have a process to evaluate
  residents and itself
• The Program must offer documentation of
  continuous improvement in the residency
  educational process

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Program Coordinator Role

• Key role in
• Planning
• -new or revised program goals
• -workshops, meetings, conferences

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Program Coordinator Role

• Key role in
• Evaluation

Whatever we measure we tend to improve.
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Program Coordinator Role

• Key role in
• Documentation
• Technology Advances

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Program Coordinator Role

• Key role in
• Communication
• facilitating team integration
• liaison with students, faculty, staff, and
  everybody else
• recruits

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Program Coordinator Role

• Key role in
• Recertification