Gallery Walk

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Post-It Note Summary Page - High Impact Leverage Points

1. develop an acceptable document to all stakeholders
2. IS GMP-USA or its equivalent sufficiently forward looking based on PAPC Future scenarios?
3. need ambassadors/champions to “sell” the document.

Use GMP-USA as framework (blueprint) for licensure & certification exams

1. Licensure
2. Certification (continuance or maintenance)
3. Privileging for provision status

1. Integrity of physician input, not someone else’s.
2. Trusted agent must be secure and shown to the user
3. Relevant to the work of the practicing MD.
4. Power of the community

Broad endorsement by medical societies, academics and other physician organizations.

Scare ‘em, pay ‘em.
1) Route will be imposed by reg. makes it possible to make it happen voluntarily.
2) ABMS certification
3) tie in to money in GP’s and hospitals.
New bible for the profession. 21st century testament

- GMP-USA could provide guidance for admission communities and students about expectations.
- Cadre of current leaders in the regulatory systems that see the need and share common values.
- increasing interest inside and outside the profession to define standards of care.

1) Tort reform
2) Acknowledgement of parallel obligations/responsibilities of other major participants (ie. patients, payers, government, etc.)
3) Simplification + Integration/Consolidation of physician assessment entities (ie.. medical boards, speciality boards, hospital, centralizing bodies, etc)

1) Focus on younger generation for change
2) Create external pressure for adoption (laws, money)
3) Linking to a requirement to license or accreditation, certification

Ameliorate doctors fears of litigation viz. the GMP ie. The GMP is formative rather than punitive.

Use the GMP as a framework of evaluation at all points of evaluation of physicians.

Identify the people & organization that doctors listen to & get them to support the GMP. Ie. consumers and medical organizations.

1) Licensing boards are/will demand national standards to use for review in every state
2) statements/requirements of GMP-USA will drive medical school and residency graduation competencies to be achieved
3) Medical schools and residencies are accredited based on GMP-USA.

1) Associations w/specialty boards and licence boards
2) Payment system
3) Public relations reframe the document.

GMP-USA becomes basis for accreditation of medical schools and residency programs

1) Reimbursement reform (reward competence)
2) consumer and patient demand for competence and credible assurance of competence – reasonable expectations.
3) physician education with medical school and residency
4) State licensing boards

 

      

 

Post-It Note Summary Page - How Information Sharing Can Improve Patient Care

Data would provide evidence that would allow self-regulation

1. Electronic technology
2. all data gathering partners equal
3. Network to collate information

1) Transparency alone will drive improvement
2) would allow supervisors to identify, track and remediate deficiencies along continuum.
3) Certification process at all levels becomes more efficient and previous documentation eliminates redundancy.

A system that provides continuous feedback will improve individual physician performance.

Transparency of competence measure and outcomes Is a powerful motivator of doctor performance.

1) Establish a standard that all interested groups accept
2) A source available to public, profession, others.
3) system information used as learning tool for individual MD

- Make it easier to identify the chronic low performers before a patient disaster – as well as ID the high performers.
- help physicians define their own developmental needs.
- identify needs for improvement in the learning continuum (system).

1) quality control
2) shows current competence/performance for specific procedures
3) portability of licensure


 

1) All state licensing boards share in/contribute to a unified physician database containing disciplinary actions.
2) A comprehensive, shared database among licensing boards and accreditors may provide material amenable to research/study as to which elements are highly correlated with competency or incompetence

1) Stand alone physician credentialing to assure specialty specific competence.
2) Identify the incompetent physician on a trusted, national basis to protect patients in any state / jurisdiction.
3) Provide physician with trusted information (formative learning portfolio) to help in self-improvement.

Have certifying specialty boards develop standards and tools for assessing performance in practice and providing feedback.
2) Incorporate competencies into medical education and have portfolios serve as a needs assessment for progression thru career.
3) a secure repository of provider performance information (for purposes of reflection or improvement under provider control.

About “occurrences ____ intervention and share among med schools, residences or physician practices.

- easier to identify patterns of behaviour that flag MD’s with competence issues (from med school behaviour to later on)
- can help patients choose doctors and engage with them; need transparency.
- Ubiquitous electronic medical records that patient controls enables better care.
- Facilitates correcting deficits when deficits can be readily identified – and therefore addressed by doctor or medical bodies.

Standardized electronic health record. All HCP’s have access to medical record for continuous seamless patient care.

Engage patients more in their healthcare.

Make information regarding best practice and evidence based practice more available.

1) Database to know what I’m doing. How I compare to others and how I can improve.
2) Patient knowledge of medical practice.
3) Emphasize patient responsibility for engagement in their own care.
3) Ability to tell the truth.

 

 

 

 

 

 

 

   

 

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