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Population Health Matters Spring 2018 | Vol. 31, No. 1 EDITORIAL Quarterly Publication Raising All Boats: Part II Raising All Boats: Part II ..................................1 From Classroom to Curriculum: Population The Jefferson College of Population Health quality and safety in the U.S. and Canada: Health Onboarding in the Real Word............2 (JCPH) continues in its leadership role as four of them started just a few months prior a key national thought leader with regard to that date. In response to the significant Jefferson Health Begins Its Comprehensive Primary Care Plus Journey ..............................4 to the emerging fields of graduate study in growth in academic programs in HQS, healthcare quality and safety, population and the rise of professional development Hospital Community Benefit: What is it, health, and health economics and outcomes programs in this space, program directors why is it important, and how could it be research. Nearly a year ago, the editorial representing these academic institutions more effective? ...................................................5 “Raising all Boats”1 described an important met in Philadelphia in the early Fall of 2017 Student Perspectives on Hotspotting: meeting in New Orleans, nestled inside the to discuss developing an accreditation What it takes to improve care for annual meeting of AcademyHealth, where framework for stand-alone graduate “high utilizer” patients ........................................ 7 the Deans of emerging schools and colleges programs in HQS. Defining Population Health Use Policies of Population Health were working together for a Regional Health Information to standardize the curricular framework for The Commission on Accreditation of Exchange ..............................................................8 this new discipline. JCPH was the sponsor of Healthcare Management Education Disease Specific Chronic Care Management that special session, and this piece describes (CAHME) was identified to serve as for the Underserved Population .......................11 a subsequent panel on related topics at the the accreditation partner given the Optimizing Older Adult Sexual Society for General Internal Medicine (SGIM) complimentary nature of HQS with Expression ....................................................16 annual meeting in Denver, CO. healthcare management, and the existing Reducing Cancer Disparities by relationships that most partnering Engaging Stakeholders (RCaDES) SGIM is arguably the nation’s most prominent institutions already had with CAHME to Initiative - 2nd Annual Conference ............ 17 national organization for general internists accredit their academic degree programs who practice mostly in academic medical in healthcare management. Following When Online Faculty Meet in Person: centers. Having joined when it was still the same development process that The CATS program ..........................................22 called, SREPCIM (Society for Research and CAHME undertook nearly 50 years ago Investiture of Dr. Trina Thompson as Education in Primary Care Internal Medicine) for healthcare management education, the first Victor Heiser, MD Professor of at the recent SGIM meeting in Denver, one of the group agreed upon a “certification to Population Health .........................................23 us (Dr. Nash) proudly sported a badge noting accreditation approach.” that this was his 35th anniversary meeting! Announcements & Upcoming Events Simply put, nearly a year ago, under JPCH’s Massachusetts Housing and Shelter While academic longevity is interesting, leadership, one of us (Dr. Oglesby) brought Alliance Receives Hearst Health Prize .....11 it certainly is not the core reason for this together all of the stand-alone graduate In The News .....................................................12 editorial! Rather, we write to share our programs in HQS in the United States and excitement that our competitive application Canada. They have subsequently committed JCPH Publications .........................................14 to present a special session within the SGIM to a deep self-evaluation with the goal of JCPH at the International Society for annual meeting, was accepted by their becoming certified in healthcare quality and Pharmaeconomics and Outcomes leadership. In the narrative that follows, we safety under the auspices of a major national Research (ISPOR) ............................................14 will set the context for the SGIM Annual accrediting body. Population Health Forum: Community- Meeting, and why we felt it was so important Based Population Health Research: A to bring together leaders in the JCPH journey With this accomplishment in mind, our team Report from the Field .................................20 to certify and accredit graduate programs in submitted the aforementioned proposal to JCPH Presentations .......................................21 healthcare quality and safety (HQS). SGIM, which was accepted at their annual The Second Annual Greater meeting. We noted in the application Philadelphia Trauma Training As of September 2017, there were 12 stand- Conference July 23-26, 2018 ....................19 alone graduate programs in healthcare Continued on page 2 Continued from page 1 Also participating in the panel were the focusing on the need to improve education directors of two current graduate programs, in quality and safety. process to SGIM that general internists, including Annette Valenta, DrPH (University among others, are being called upon to of Illinois) and Sue Feldman, RN, MEd, PhD Looking toward the future, we believe that, assume leadership responsibilities related (University of Alabama) who presented Jefferson’s leadership role in population to healthcare quality and safety as the updates on each of their programs. Given health (and HQS as a core component), delivery system moves from one based that the SGIM meeting had an additional will serve the delivery system well and will on the volume of services delivered to the focus on the role of information technology, continue to contribute to improving the value generated by those services. The goal Drs. Valenta and Feldman emphasized health of our citizens. was that our panel, nested within the SGIM this aspect of their unique curriculum, annual meeting, could stimulate the national and how general internists might become conversation regarding career trajectory in strong advocates for the merger of health quality and safety, with a special emphasis information technology, and improvements David B. Nash, MD, MBA on self-evaluation, measurement, and the in healthcare quality and safety. Dean road toward accreditation. The leadership Jefferson College of Population Health of SGIM agreed, and our panel had solid Certainly, general internists are not the [email protected] attendance during the meeting in Denver. only leaders in the HQS movement, but having the privilege of presenting at a Billy Oglesby, PhD, MBA, MSPH, FACHE Dr. Nash was joined in Denver by Anthony major national scientific meeting with a Associate Dean for Academic & Stanowski, DHA, FACHE, the President and competitive submission process is further Student Affairs CEO of CAHME, who gave a brief overview evidence of the growth of academic Associate Professor of its history and current operations. Dr. credibility for the 12 stand-alone graduate Jefferson College of Population Health Stanowski did an excellent job outlining the programs in HQS. This also represented [email protected] evolution of CAHME, most especially in the another leadership opportunity for JCPH last decade, and why their board of directors to “raise all boats”, not just for colleges of felt that accrediting programs in quality and population health, but for the curricular safety was so central to their future mission. champions at 12 other graduate schools REFERENCES 1. Nash DB. Raising all boats. Popul Health Matters. 2017; 30(3). From Classroom to Curriculum: Population Health Onboarding in the Real Word Newly hired clinicians transitioning into roles Health includes course work in Teaching concrete problems; Third Order, which that independent practicing primary care and Learning principles and execution, is the creative form of problem solving providers must absorb a great deal of new which laid the groundwork for developing where new perspectives and questions information while assuming responsibility the Population Health Overview Program are assimilated; and Fourth Order, which for their patient panels. Acclimating to the described here. Congruent with JCPH’s is ‘world’ knowledge at a social evolution variety of payer programs, organizational encouragement of students to incorporate level. Curriculum in the Population Health accountabilities, and patient care activities real-world experiences into learning Overview Program builds upon each can be a considerable challenge for newly opportunities, the need for a pragmatic level and culminates with problem-based minted providers and requires network population health onboarding program learning exercises (Table 1). For instance, support. The onboarding of new physicians was identified through this connection. learners in the program complete a patient into an ambulatory care network is a critical The program was developed utilizing the case vignette assignment from a reflexive time for imprinting the organization’s cultural resources and support provided by JCPH knowledge perspective in Module 2 and norms and priorities as well as