School of Medicine >   Mission Statement >   Systems-based Practice

X. Systems-based Practice

Graduates respond to the larger context and system of healthcare. They have the ability to recognize and utilize the resources needed to provide optimal and safe patient care. Graduates demonstrate an understanding of different medical practice models and delivery systems. They demonstrate cost-effective care and efficient resource allocation while providing quality care. They audit and evaluate their own practice patterns.

Criteria for Assessment/Sub-competencies
Educational Strategies
Evaluation Methodologies
Graduates respond to the larger context and system of health care.    
1. Describes the structure, governance, financing and operation of the health care system and its facilities and how this influences patient care, research and educational activities at a local, state, regional and national level. Didactic Sessions
Small group exercises Reading
Written tests
Oral exams
Small group sessions
2. Knows how to collaborate with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance. Case presentations
Interdisciplinary meetings
Clinical Rotations
Interdisciplinary care plans
Daily patient care
3. Respects diversity, be willing to work through systems, collaborate with other members of the health care team, and accepts appropriate responsibility for the health of the population. Interdisciplinary meetings
Clinical Rotations
Daily patient care
Self-reflection
4. Describes the major legal mechanisms for oversight and regulation of medical practice, including those related to licensure and discipline, negligence, malpractice, riskmanagement, doctor-patient relationships, confidentiality, and patient’s rights. Case presentations
Didactic Sessions
Small group exercises
Reading
Written exams
Small group sessions
5. Describes how population-based approaches to health care services can improve medical practice. Didactic Sessions
Small group sessions
Reading
Small group sessions
Written Project
6. Defines and describes a population, its demography, cultural and socioeconomic constitution, circumstances of living, and health status; and understands how to gather health information about this population in order to better serve its needs. Small group sessions
Reading
Written project
Small group exercise
7. Describes the characteristics of an effective physician’s office practice, including how to adhere to practice laws and regulations, maintain medical records, monitor and improve key clinical outcomes and patient satisfaction, appropriately codes and bills for services rendered and refers and coordinates care with different facilities and health professionals within the health system.

Didactic Sessions
Reading
Case presentations
Small group sessions
Experiential: Front desk
     outpatient management experience, including      billing and coding

Written exams
Oral exams
Small group sessions
Billing/Coding project
Graduates have the ability to recognize and utilize the resources needed to provide optimal and safe patient care.    
1. Describes the role of various physician specialties, other health care professionals and community health agencies in patient care and works with them to provide coordinated, continuous care. Interdisciplinary Meetings
Didactic Sessions
Visit Community Agencies
Small Group exercises
Reading
Clinical Rotations
Discharge Planning Meetings
OSCE
Patient Care
Small group exercises
360 Evaluation
D/C Plan Preparation
2. Uses electronic systems to effectively utilize and share information within the system of care while maintaining confidentiality of protected health information. Clinical Rotations
HIPPAA Training
Patient Care
HIPPAA Credentialing
3. Advocates for quality patient care by discussing and assisting patients and their families with ongoing health needs. Helps them in coordinating care and in dealing with system complexities. Clinical Rotations
Small Group Exercises
Patient Care
Small Group Exercises
Prepare an Interdisciplinary
Care Plan
360 Evaluation
Chart Stimulated Recall
4. Develops a care plan for a patient he/she has assessed, including investigation, treatment and continuing care, in collaboration with the members of the interdisciplinary team. Small Group Exercises
Reading
Clinical Rotations
360 evaluation
Patient Care
Prepare an Interdisciplinary Care Plan, OSCE
5. Participate in interdisciplinary team discussions, demonstrating the ability to accept, consider and respect the opinions of the other team members, while contributing an appropriate level of expertise to patient care. Clinical Rotations
Interdisciplinary Care Meetings
Small Group Exercises
Didactic Sessions
360 evaluation
Patient Care
Prepare an Interdisciplinary Care
Plan
OSCE
6. Understands how human error arises. Recognizes how providers and system flaws contribute to hazards in care, and seeks to improve system performance. QI projects
Clinical Rotations
Case Presentations
QI projects
Small Group Discussions
Written or oral exams
7. Discusses with patients ( and their families as appropriate) their ongoing health needs and help them coordinate their care among different health professionals and settings. Small Group Exercises
Reading
Clinical Rotations
360 evaluation
Patient Care
Prepare an Interdisciplinary Care
Plan
OSCE
Graduates demonstrate an understanding of different medical practice models and delivery systems.    
1. Understands the structure and function of a variety of health care delivery systems (e.g. public vs private hospital, private practice, health maintenance organizations, CHS, nursing home, primary, secondary and tertiary care). Didactic Sessions
Small Group Exercises
Reading
Essay
Written Exam
Small Group Exercises
2. Understands the Organization of Health Care Systems (Private practice, capitated HMO, Fee For Service) and how they impact on access, cost, resource allocation and quality. Didactic Sessions
Small Group Exercises
Reading
Case Presentations
Analyze a financing or delivery issue in writing
Small Group Exercises
3. Describes what insurance plans (Medicare, Medicaid, HMO’s) commonly cover and what are health benefits, formularies, preauthorization, appeals, disease management and quality improvement. Didactic Sessions
Small Group Exercises
Reading
Case Presentations
Clinical Rotations

Essay to explain the theory and practice of
managed care
Written Exams
Patient Care
Small Group Exercise

Graduates demonstrate cost-effective care and efficient resource allocation while providing quality care.    
1. Designs rational therapeutic strategies that take into account a basic understanding of disease pathophysiology, patient specific variables, costs, risks and expected outcomes. Clinical Rotations
Small Group Exercise
Didactics (costs)
OSCE Small Group Exercise
Patient Care
2. Uses knowledge of health care delivery systems and insurance-related factors in diagnostic, treatment and discharge plans (i.e. admission criteria, sites for testing, using a formulary, referral to providers, patient costs, preauthorization …). Clinical Rotations
Small Group Exercise
OSCE
Small Group Exercise
Patient Care
3. Demonstrate a sense of responsibility for factoring in health care costs, quality, expected outcomes, and patient preferences while coordinating rational therapeutic patient care. Clinical Rotations
Small Group Exercise
Didactics (costs)
OSCE
Small Group Exercise
Patient Care
Graduates audit and evaluate their own practice patterns.    
1. Describes how physicians take into account medical evidence, health care costs and patient preferences to provide quality and affordable health care with high patient satisfaction. Didactic Sessions
Small Group Exercises
EBM Exercises
Review Pt Satisfaction Surveys
Small Group Exercises
CAT forms
2. Applies an iterative, scientific process of problem-solving to patient care – gathering data, generating and testing hypotheses, interpreting and reflecting upon outcomes and altering actions when appropriate. Small Group Exercises
Clinical Rotations
Small Group Exercises
Patient Care
360 Evaluation
3. Applies information gained in this iterative process of patient care to add to his/her own foundational core of medical knowledge, improves the care of his/her patients and enhances the medical knowledge of his/her colleagues. Small Group Exercises
Clinical Rotations
Small Group Exercises
Patient Care
360 Evaluation
4. Explains the current models of performance evaluation and feedback, quality assessment and improvement, and peer review. Didactic Sessions
Small Group Exercises
QI Projects
Small Group Exercises
QI Projects
 


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Last Modified on 04/30/2008