The AE4Q Experience at Winthrop University Hospital A National Initiative of the AAMC Robert D’Antuono, MHA Director, CME Assistant Dean, Clinical Campus April 11, 2013 SACME Spring Meeting Winthrop at a Glance • The regional clinical campus for Stony Brook University SOM • 600-bed AMC with 300+ full-time faculty • 240 residents in 17 specialty programs • 80 third- and fourth-year medical students • ACCME Accreditation with Commendation (2013) • ANCC Accredited Provider of Nursing CE (2012)
AE4Q Project Focus… Redefining RSS Content and Expectations Initiatives Implemented • Morbidity and Mortality Improvement Conferences Using the Healthcare Matrix • RSS Curriculum Redesign in Department of Medicine • Quality Managers as Educators • RSS Activity Directors Faculty Development Process
Educational Objectives of the Matrix • Distinguish between culture of blame/shame and patient safety culture • Identify gaps in quality contributing adverse outcomes • Identify strategies to close gaps • Participate in root cause analysis, demonstrating an ability to review an adverse event • Identify and pursue system interventions and an action plan of improvements RSS Content Planning Using a Monthly Theme—Dept. of Medicine Grand Rounds Grand Rounds Grand Rounds Specialty updates, advances Specialty updates, advances Specialty updates, advances Resident CPC Resident CPC in medical knowledge, in medical knowledge, in medical knowledge, Case reviews, Case reviews, monthly theme monthly theme monthly theme Practice-based Practice-based learning, outcomes learning, outcomes Quality Committee Quality Committee Quality Committee Quality measures, PI data, Quality measures, PI data, Quality measures, PI data, M&M M&M C Conference onference interactive discussion, discussion, interactive discussion, interactive Review of ACGME and Review of ACGME and guideline adherence, guideline adherence, guideline adherence, IOM competencies, Use of IOM competencies, Use of communication communication communication Healthcare Matrix Healthcare Matrix
Educational & Cultural Changes Quality Mangers • Focus on the CME process and how to be an education “interventionalist” RSS Activity Directors • Focus on instructional design, Glassick’s Criteria, curriculum planning, etc • Introduced concept to sequence RSS’s and use of the Healthcare Matrix
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