Silverstein Anderson Grace - aiamc.org · Kenneth Silverstein, MD Sue Anderson Michael Grace. ......
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Kenneth Silverstein, MD Sue Anderson Michael Grace
Transcript of Silverstein Anderson Grace - aiamc.org · Kenneth Silverstein, MD Sue Anderson Michael Grace. ......
Kenneth Silverstein, MDSue AndersonMichael Grace
C Suite Alignment with EducationC Suite Alignment with Education
Keeping the Connection
Kenneth Silverstein, MD, MBAChief Medical Officer
AgendaAgenda
The Christiana Care Way The Value Institute at Christiana Care Medical Affairs and Academic Affairs C Suite support for Education and Scholarly Activity
Value InstituteValue Institute
The Value Institute studies health and health care with the goals of identifying and implementing g y g p gstrategies to achieve better health outcomes at lower costs.
Value Institute MissionValue Institute Mission
Develop Deliver Evaluate
Innovative health care solutions that meet the Triple Aim
Four PillarsFour Pillars
Value Institute
Center for Health Care Center for Quality Center for Outcomes
Research (CCOR)Delivery Science
(HCDS)and Patient Safety
(CQPS)Organizational
Excellence (OE)
Medical AffairsMedical Affairs
Patient Safety Quality
Credentialing Privileging
Event Management Accreditation
Professional Excellence FPPE/OPPE
Compliance Peer Review
Alignment of AA with MAAlignment of AA with MA
M di l Aff i A d i Aff iMedical AffairsFunctions
Academic AffairsFunctions
Credentialing
Privileges Clinical Competency Committees
Competency Based Medical Education
FPPE/OPPE
Quality/Safety Milestones/Core Competencies
CLER
p
CMO and VPMACMO and VPMA
CMO
VPMAChairs CAOChairs
Medical Affairs
Academic Affairs
Alignment of C Suite with GMEAlignment 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)
Ch i L d hi C il ( thl ) Chairs Leadership Council (monthly) Medical Executive Committee (monthly) Safety First Committee (monthly) Safety First Committee (monthly) Medical Dental Staff Peer Review Committee (monthly)
C Suite and GME AlignmentC Suite and GME Alignment
Examples of system impact through AIAMC initiatives: National Initiative 3: Development of Teaching
Leadership to Improve Quality Improvement Initiatives.
A i f i l i h i d l f f l An inter-professional, train-the-trainer model for faculty development
National Initiative 4: Achieving Mastery of Clinical National Initiative 4: Achieving Mastery of Clinical Learning Environment Review (CLER) Resident Quality and Safety CouncilQ y y
AIAMC 2015 Annual MeetingC-Suite Alignment
AIAMC 2015 Annual MeetingC-Suite Alignment
Suzanne T. AndersonSuzanne T. AndersonSuzanne T. AndersonExecutive VP, CIO, CFOSuzanne T. Anderson
Executive VP, CIO, CFO
© 2014 Virginia Mason Medical Center
Teaching evidence-based medicine, best practices
Keeps Virginia Mason on the forefront of medicine
Focus on the patient experience in the hospital
70+ Virginia Mason MDs-including many leaders—are former residents
Fresh eyes; learning
are former residents
Producing the next Fresh eyes; learning organization
Producing the next generation of physicians
© 2014 Virginia Mason Medical Center
Why GME is Important to Virginia MasonWhy 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
Voices, Stories, the Faces of GME Alignment
Voices, Stories, the Faces of GME Alignment
© 2014 Virginia Mason Medical Center
Excerpted Slides from a Resident’s Grand Rounds Presentation
Excerpted Slides from a Resident’s Grand Rounds Presentation
© 2014 Virginia Mason Medical Center
C-SuiteIntegrating Residents and Nursing
Michael GraceInterim Chief Operating OfficerK i P t O kl dKaiser Permanente - Oakland
| Proprietary & Confidential: For Verbal Use OnlyMarch 11, 2015
Kaiser Permanente Teaching ProgramN th C lif iNorthern California Oakland /Richmond has 365 licensed hospital beds (315 in Oakland and 50 in
Richmond) with specialty services in Spine Pediatric Neurosurgery and Orthopedic 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 Intra-brand new state-of-the-art hospital opened July 1, 2014 and hosts the only Intra-operative 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 approximately 300. Specialties include Pediatrics, Head and Neck Surgery, Ob Gyn, Internal Medicine, and Surgery.
ACGME Accreditation in 2014, with highlights of the “best” Integration of Internal Medicine with Hospital Sixth ItemMedicine with Hospital
East Bay Service Area serves approximately 319,000 Kaiser Members in 15 cities throughout Alameda and West Contra Costa Counties.
21 | Proprietary & Confidential: For Verbal Use OnlyMarch 11, 2015
Integration into Hospital Performance StructureIntegration into Hospital Performance Structure
Quality and Patient Safety – Integrating Residents in Hospital 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)
M t bi kl t di f i t ff t– Meets bi-weekly to discuss performance improvement efforts– Improve communication among team members, Resident Lead
22 | Proprietary & Confidential: For Verbal Use OnlyMarch 11, 2015
Team Rounding and Professional CouncilTeam Rounding and Professional Council
Units include: ICU PICU Pediatrics L&D and NICUInterdisciplinary Rounding Units include: ICU, PICU, Pediatrics, L&D, and NICU Physicians, Nurses, Pharmacy, Clinical Dieticians, Patient Care
Coordinator, Residents and Residency Directorsy 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 | Proprietary & Confidential: For Verbal Use OnlyMarch 11, 2015
From the Patients’ PerspectiveA story through the patients’ eyes…y g p y
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