national alliance for physician competence january 15, 2007 st. petersburg, fl
TRANSCRIPT
National Alliance for Physician Competence
January 15, 2007
St. Petersburg, FL
Med
ical
Pro
fess
ion
Public/ C
onsumers/
Patients
Social Contract
Med
ical
Pro
fess
ion
Public/ C
onsumers/
Patients
Social Contract
Med
ical
Pro
fess
ion
Public/ C
onsumers/
Patients
Social Contract
Public/ C
onsumers/
Patients Social Contract
The
Med
ical
Pro
fess
ion
Summit 1
• The primary question driving the creation of scenarios was:
• how does the healthcare community determine, measure and assure the public concerning physician competence over the career of the physician?
• But we were to address this indirectly….
Summit 1 - Process
• Significant events over the last 100 years
• Key factors/driving forces over next 15 years
• Generate scenarios to explore possible futures
1 – Techno Community
2 – Data Cacaphony
3 – Federal Tarbaby
4 – Brave New World
5 – happy healthcare.com
Driving event
Costs
Public dsstsfctnMisaligned incentvsOverutilization
Mandated EHR
Costs; burden shifted
Erosion of trust Value-driven consumr
EHRs fail
Costs and errors Universal health
coverageNo-fault systemMandated data reporting & EHR Technology
Costs
Public dissatisfactionValue-driven consumr Demand for better data CQI modelHealth savings accounts
CONSEQUENCES
Health Care More non-traditional
care
Outsourcing
More non-traditional care
Outsourcing
More non-tradtnl care Emphasis on disease prevention
Web-based triageSelf-serve care(Health Depot)Outsourcing
Regulatory Consortium develops performance standards based on data in central repository
Health care orgs collect performance data – but no one will collaborate on national standards Legislators make it worse
National Office of the Secretary of HealthOversight of Accreditation and Licensure is Nationalized
International certification
Federally funded regional partnerships manage perf data used in licensureWatchdog industry
emerges Licensing boards hold docs accountable for outcomes (rather than min standards)
Data/Standards
Data available to public
Data and standards conflicts result
Performance standards developed regionally, monitored nationally
Physician role/Assessment
Assessment tools developed to evaluate performance of health system
Team leader Regional integrated delivery systems employ all, and monitor competence of individuals and teams
Teaching institutions benefit from downstream information
Professional vs. Federal Intervention
Data Standards and Sharing
Cost and Consumer Dissatisfaction
Summit 2-3 Recommendations
• Formation of a National Alliance
• Definition of competence
• Mechanism for ensuring competence – lifelong learning portfolio
Public/ C
onsumers/
Patients Social Contract
The
Med
ical
Pro
fess
ion
AM
AP
ublic/ Consum
ers/ P
atients
CMSS
AAMC
AC
GM
E
JCAHOAHA
NBMEEC
FM
G
ABMS
FSM
BA
CC
ME
AB
IM
ACS
SMBs
ACP
CMS
BC/BS
Social Contract
AM
AP
ublic/ Consum
ers/ P
atients
CMSS
AAMC
AC
GM
E
JCAHOAHA
NBMEEC
FM
G
ABMS
FSM
BA
CC
ME
AB
IM
ACS
SMBs
ACP
AARP
CU
PublicVoices
CMS
BC/BS
Social Contract
Public/ C
onsumers/
Patients
Nat
iona
l Alli
ance
for
Phy
sici
an C
ompe
tenc
e
Social Contract
Public/ C
onsumers/
Patients
Nat
iona
l Alli
ance
for
Phy
sici
an C
ompe
tenc
eSocial Contract
Social Contract
Nat
iona
l Alli
ance
for
Phy
sici
an C
ompe
tenc
e Public/ C
onsumers/
Patients
Social Contract
Definition of Competence – Good Medical Practice – USA
Training Level/Specialty Translators
Lifelong Learning Portfolio
Tools/Analyses/Measures
Nat
iona
l Alli
ance
for
Phy
sici
an C
ompe
tenc
e Public/ C
onsumers/
Patients
Social Contract
Definition of Competence – Good Medical Practice – USA
Training Level/Specialty Translators
Lifelong Learning PortfolioPublicReport
Individ/ProfessAccess
Tools/Analyses/Measures