Health Care Management (PGY-2)

Description of Rotation or Educational Experience

This rotation is designed to teach residents practical skills in practice management and the ability to deliver quality care cost effectively through a series of linked didactic sessions and model projects incorporating health care management principles and tools.

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Describe the application of evidence-based medicine at the bedside

Medical Knowledge

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

• This rotation fulfills the family medicine-specific training and educational requirements in the Management of Health Systems; it contributes towards the minimum 100 hours of management and leadership instruction to include both the didactic and the practical settings.

Objectives

By the end of the rotation the resident is expected to be able to:

• Describe various managed care tools and their use in both the inpatient and ambulatory settings including disease state management, population management, team care nurse care managers, etc.

Practice- Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :

Competencies

• Systematically analyze practice, using quality improvement methods, and implement changes with the goal of practice improvement
• Use information technology to optimize learning
• Participate in the education of patients, families, students, residents and other health professionals, as documented by evaluations of a resident’s teaching abilities by faculty and/or learners

Objectives

By the end of the rotation the resident is expected to be able to:

• Discuss clinical quality monitors as well as design and complete a clinical quality assurance project.
• Describe the keys to providing excellent service quality and the benefits thereof.

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Work effectively in various health care delivery settings and systems relevant to their clinical specialty
• Incorporate considerations of cost awareness and risk-benefit analysis in patient care
• Participate in identifying systems errors and in implementing potential systems solutions

Objectives

By the end of the rotation the resident is expected to:

• Discuss the various features and requirements of an efficient office including space, equipment, and personnel needs
• Identify various elements of physician employment contracts
• Explain the fundamentals of medical finance including major reimbursement mechanisms, profit-loss statements, and budgets
• Discuss marketing, medical records, and medical-legal concerns
• Discuss the roles, responsibilities, rewards, and benefits of a physician manager
• Discuss the origination and status of For-Profit managed care and its effect on physicians, hospitals, administrators, patients, shareholders, and the U.S. public
• Discuss the issues of just and equitable distribution of finite and predetermined resources as well as the impact this has on physician behavior and reimbursement in a capitated environment
• Explain the fundamentals of ambulatory utilization management, how to evaluate various strategies, and how they can be used to improve health and reduce cost
• Discuss various techniques of inpatient utilization management, how to evaluate various programs, and explain how these can be used to improve health and maximize resource use

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Compassion, integrity, and respect for others
• Accountability to patients, society, and the profession

Objectives

Insert a measurable objective for the one or two competencies you have chosen.

• Begin the process of lifelong personal continuous quality improvement

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with physicians, other health professionals, and health related agencies
• Work effectively as a member of leader of a health care team or other professional group

Objectives

By the end of the rotation the resident is expected to:

• Communicate with peers regarding career goals, stress-management, and balancing work and home life.

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lectures
• First hand experience
• Role-modeling.

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Evaluation of completed projects
• Rotational evaluation completed by attending
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

• Directly by the behavioral scientist and/or the program director
• Attendance is taken at all lectures
• Required projects must be submitted in order to pass.

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.