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General
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General
This website, developed as an ongoing project by Harvard Medical School, is an interactive site that aims to equip medical students, residents, and practicing physicians with cutting-edge information about health care policy and its effects on the practice of medicine. The site includes a clinical case-based curriculum to teach health policy on topics such as health care quality and resident work hours, access to care, and racial disparities in care.
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The Healthcare Improvement Skills Center (HISC), in partnership with IHI, has developed six online learning modules focusing on the “How To” of improvement. For use by residents, fellows, and professionals in practice, the modules include the following topics: 1) Describe the Issue; 2) Build a Team; 3) Define the Problem; 4) Choose the Target; 5) Test the Change; and 6) Reconsider or Extend Improvement Efforts.
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The Institute for Improving Medical Education, directed by Michael Whitcomb, was formed in response to evidence that the design, content, and conduct of undergraduate and graduate medical education programs have not kept pace with advances in biomedical knowledge and changes in the organization, delivery, and financing of health services. A recent report of an Ad Hoc Committee of Deans convened by the Institute, "Educating Doctors to Provide High Quality Medical Care: A Vision for Medical Education in the United States" (July 2004) lays the framework for an ideal medical education system. The report is available for download from the Institute's website.
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The Institute for Improving Care is directed by David Stevens, a previous Merck Senior Fellow at IHI. The Institute’s current initiatives include improving chronic illness care in academic settings, redesigning academic inpatient care, and connecting the AAMC’s members with improvement focused organizations, including the IHI sponsored Teaching Improvement in Medical Schools Collaborative.
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The AAMC has as its purpose the improvement of US health through the advancement of medical schools and teaching hospitals. As an association of medical schools, teaching hospitals, and academic societies, the AAMC works with its members to set a national agenda for medical education, biomedical research, and health care, and assists its members by providing services at the national level that facilitate the accomplishment of their missions. In pursuing its purpose, the Association works to strengthen the quality of medical education and training, to enhance the search for biomedical knowledge, to advance research in health sciences, and to integrate education into the provision of effective health care.
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The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the accreditation of post-MD medical training programs within the United States. Accreditation is accomplished through a peer review process and is based upon established standards and guidelines.
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At Dartmouth, a combined categorical and preventive medicine residency has been developed, an integrated residency for the improvement of quality that is woven into the categorical training program. Graduates will be eligible for their boards in preventive medicine in addition to their medical specialty. The concept of systems-based practice and learning was also introduced into the medical school curriculum and other residency programs. Dartmouth is one of the Veterans Administration’s Quality Scholars Program hubs, a highly successful distance learning program.
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The Center for Patient Safety at the University of Miami is an interdisciplinary center designed to “lead innovation in health services delivery, research, human factors, and health professions education to reach exceptional levels of quality and value.” Importantly, the Center’s mission includes research designed to influence and better align regulation and public policy with initiatives within the health care system to improve care.
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Jointly funded by the medical school and hospital, the Center is home to senior researchers, educators, and clinical improvement experts. It serves as a core resource to the broader health care enterprise, creating and studying innovation in health services delivery and health professions education. Research programs currently exist in clinical outcomes, quality improvement, patient safety, integrated delivery systems, clinical decision support systems, rural health, consumer informatics, telemedicine and organization change.
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Transparency in the sharing of information regarding mortality and morbidity has been an important motivating factor. At Dartmouth, patient care outcomes, applying the measures used by the National Quality Forum, are posted on the Internet. To our knowledge, no other medical center has moved to this level of transparency.
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