September 28, 2016 American Board of Medical Specialties ...President, National Student-Run Free Clinic Faculty Association Andrew Olson, M.D., FACP, FAAP Assistant Professor Director,

The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, The John A. Hartford Foundation and the University of Minnesota. © 2015 Regents of the University of Minnesota, All Rights Reserved.

MOC Should Be a Team Sport

Barbara F. Brandt, PhD, Director Associate Vice President for Education, UMN Academic Health Center

September 28, 2016 American Board of Medical Specialties

Collaborators from whom I learn everyday Brian Sick, M.D. Associate Professor, Departments of Medicine and Pediatrics, University of Minnesota Medical School Interprofessional Academic Deputy, University of Minnesota Academic Health Center Medical Director, Phillips Neighborhood Clinic President, National Student-Run Free Clinic Faculty Association

Andrew Olson, M.D., FACP, FAAP Assistant Professor Director, Sub-internship in Critical Care Clerkship Departments of Medicine and Pediatrics University of Minnesota Medical School 2

Topics • Today’s continuing education system rooted in the

1970s

• Today’s drivers in a changing health care system

• New learning and certification system design for the future, based upon team-based, collaborative practice

• Gen-X and Millennial voices from the field

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National Center Vision

We believe high-functioning teams can improve the experience, outcomes and costs of health care. National Center for Interprofessional Practice and Education is studying and advancing the way stakeholders in health work and learn together.

National Center Funders

Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067

Robert Wood Johnson Foundation Gordon and Betty Moore Foundation

Josiah Macy Jr. Foundation John A. Hartford Foundation

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The Nexus: Our Vision for Health

Triple Aim of Alignment • Improving quality of experience for patients, families, communities and learners • Sharing responsibility for achieving health outcomes and improved learning • Reducing cost and adding value in health care delivery and education

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Interprofessional Education – Linked to outcomes

Interprofessional education “occurs when two or more professions learn with, about, and from each other to enable effective collaboration to improve health outcomes.”

Adapted from: The Centre for the Advancement of Interprofessional Education, UK, 1987 World Health Organization, Framework for Action on Interprofessional Education and Collaborative Practice, 2010.

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The Update Model: 1970s Continuing Education Roots • “Keeping Up” • Need for New Knowledge / Skills • A Professionals Skill –Half Life of Knowledge

Obsolete in Five Years • New Mandatory Legislation • New Certification and Subspecialty – Individual

professions • New Information = Competence • Individual professional focus

• The new CE industry was born.

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What will be the impact on workforce of HHS Secretary Burwell’s announcement on value-based payment goals and MACRA?

Principles:

Incentives to motivate higher value care Alternative payment models

Greater teamwork and integration

More effective coordination of providers across settings

Greater attention to population health

Harness the power of information to improve care for patients

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New Models of Care Require New Models of Learning: Reframing, Retooling, and Retraining

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How do we improve the patient experience of

care, improve the health of populations,

and reduce the per capita cost of health care simultaneously?

Patients, Families & Communities

Health Workforce for New Models of Care

Learner Pipeline

How do we create a health workforce in the right locations, specialties and practice settings

that has the skills and competencies needed to meet the demands of a transformed

health care system while preventing burnout?

Today I owe:

How do we prepare the next generation of health

professionals for a transformed health care system while improving

experience and decreasing costs?

How do we prepare the next generation of health

professionals for a transformed health care system while improving

experience and decreasing costs?

$100K

The BIG Question

How do we help students, trainees, and practitioners gain the competencies to

work in new models of care when we are still practicing in traditional models?

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An Interprofessional Learning Continuum Model, Institute of Medicine, 2015

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Tomorrow’s Learning System: Engaging Gen-Xrs and Millennials

• Collaborative learning, working in groups

• Early digital immigrants and digital natives: social networking and media

• Many – portfolios, documenting their performance in K – 12, college and medical schools

• Continuous assessment: Expectation of performance with feedback and reflection

• Service learning – real-world experience 12

Voices from the Field

A family medicine chair, implementing PCMHs and residency programs

A pediatric hospitalist team leader

A primary care clinic medical director

A junior faculty member, implementing patient-centered rounds for all teams in a medical center

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UMMC Goal: Improve

patient satisfaction

Patient Centered Rounding for all

teams

Inpatient Faculty – needs scholarship IHI Open School – want a meaningful

project

Conduct survey of patients, physicians and nurses on what

they want out of rounds

Checklist – top 5 things to cover in patient centered

rounding

Rounding has changed, data

collected, publication

Patient Satisfaction Unchanged

IPE can help to transform the system by working with our health system partners to solve complex problems and delivery complex care.

Multiple Win QI Project

The National Center for Interprofessional Practice and Education is supported by a Health Resources and Services Administration Cooperative Agreement Award No. UE5HP25067. The National Center is also funded in part by the Josiah Macy Jr. Foundation, the Robert Wood Johnson Foundation, the Gordon and Betty Moore Foundation, The John A. Hartford Foundation and the University of Minnesota. © 2015 Regents of the University of Minnesota, All Rights Reserved.