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This rotation, we will continue to focus on "Core Measures" of Quality, as defined by the Joint Commision for Accreditation of Health Care Organizations (JCAHO) and the Centers for Medicare and Medicaid (CMS).  The current three "core measures" of inpatient quality care are:  Community Acquired Pneumonia, CHF, and Acute MI.   

 

rotation: 11 PGY-1 PGY-2 PGY-3 Faculty/CMRs
Mon 28 Mar 2005      
1 Medical
   Knowledge
 --of basic scien.
 --socio-behav.
 --epidemiology
["Double Helix"]

   &Clin.Judgmnt
[
D.Bordley-2005]
 
Review OnLineCurric

 
Review OnLineCurric
Indiana-Trials4
Review OnLineCurric
NIH-Rare Diseases
TrialsCentral 5
Drexel GR
Review OnLineCurric
NIH-Rare Diseases
2.Commun w/
    patient
   family
    nurses
    social work
    attending
    consultants
    PCP
  
     team member
     collaborator
     team leader
Providing Patients w/Info Providing Patnts w/Info
Stanford Pat Info
Doc, What shall I do?
EOL:Qull-7 Legal
Providing Pats w/Info
Stanford Pat Info
Stress-Always Faithful
Providing Pats w/Info
Stanford Pat Info
3.Pat.Care
 Hx:gather data
    PE
    Procedures &
      test interp
    Clin. reason
    Clin. judgment
    Counsel pts.
      Dis.prevent.
      Hlth.promot.
PE: Percussion
PE: Liver Disease
PE: Cullen's
PE: Murphy's
PE: Sister Joseph Pt.Cent.-Shared Dec.
Pt.Cent-FIFE
4.Profess
cultural comp.
 empathy-c-r-i
 inform.consent
 conflict of int.
 commun. serv.
    &altruism
 acknow. limits
 reliable&
 accountable to
:
 ans pages
 arrive on time
complet.tasks         approp.signout
prov. continuit
  at discharge
 knows ethics
 stress reduction
   recog. fatigue
   balance
Stressed students
Res.Self-eval p1
Res.Self-eval p2
Stressed Interns   ACGME tools
5.PBLI
"The Mirror"
 ebm & IT:
  ask focus.quest
  analy. article
  design study
  research

 quality improv.
    by analyze
    own practice
    for:
 pract. guidelines
 core measures

 personal errors
 
 teach & life-
    long learning

EBM: PSA-shared decis.
EBM vs Shared:FUO:Quill
PayForPerformance

EBM: PSA-shared dec.
EBM vs Shared:FUO:Quill

AHRQ M&M
Leape for safety

EBM: ?Up-to-Date?
EBM: PSA-shared de
EBM: Quill&Epstein
AHRQ M&M
Leape for safety
System failure?
 
EBM: ?Up-to-Date?
EBM: PSA-shared de
EBM vs Shared 2nd
EBM: Quill&Epstein
AHRQ M&M
JGIM-QI Elective
6.SBP
"The Village"
SHx,<>resources
disch. planning
man.& othercare

pt.safety(6th vs)
  & system errors
pt.advoc->satisf.
OSHA OSHA
Who is AHRQ?
USPSTF Screening
MedLet-Guidelines
OSHA
Who is AHRQ?
USPSTF Screening
Coding
MedLet-Guidelines
OSHA
Who is AHRQ?
ABMS-AHRQ
USPSTF Screening
Coding
MedLet-Guidelines

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