Winthrop at a Glance The regional clinical campus for Stony Brook - - PDF document

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
• utcomes
• 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

Specialty updates, advances in medical knowledge, monthly theme

Grand Rounds Grand Rounds

Specialty updates, advances Specialty updates, advances in medical knowledge, in medical knowledge, monthly theme monthly theme

M&M M&M C Conference

• nference

Review of ACGME and Review of ACGME and IOM competencies, Use of IOM competencies, Use of Healthcare Matrix Healthcare Matrix

Resident CPC

Case reviews, Practice-based learning, outcomes

Resident CPC

Case reviews, Practice-based learning, outcomes

Quality Committee

Quality measures, PI data, interactive discussion, guideline adherence, communication

Quality Committee Quality Committee

Quality measures, PI data, Quality measures, PI data, interactive interactive discussion, discussion, guideline adherence, guideline adherence, communication communication

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