“Healthcare Professionals Through A Competency Based Training Programme At Ahmadi Hospital, 2008 – 2014, Kuwait Oil Company” Admin. Support Services Team By Fatma El-Zahraa H. A. Rahman Chief Admin Officer, Training

I. Background:

Ahmadi Hospital Secondary Care Primary Care Operational Staff 939 Beds 211 Ancillary Staff 1250

Competency-Based training is a framework for designing & implementing education that focuses on the desired performance characteristics of healthcare professionals. Professional competence is the habitual & judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, & reflection in daily practice for the benefit of the individual & community being served. The healthcare worker is one of the most important factors in the healthcare system. Healthcare providers are instrumental in stimulating, creating & maintaining healthcare improvement. Developing these competencies is a form of organizational change.

II. Aims:

The purpose of this Case Report is to share the success story accomplished by Ahmadi Hospital related to Competency- Based Training, including all faced challenges, over the last six years, between ; where competencies modules are reviewed, analyzed & updated every two years according to Kuwait Oil Company relevant training policies. 6

Purpose Share / 2 yrs Success Story Faced Challenges 7

III. Methods:

i. Processes : Literature Review Proposed Healthcare Competences National Center for Healthcare Leadership Competency Model, IBM Healthcare 2015 Competency Models to Improve Healthcare Organizations, 1997 Accreditation Council for Graduate Medical Education (AGCME) Six Competencies Domain Comparative Studies Data Analysis Organized Competency Literature Review Subject Matter Experts Carry + Do Thru Structured Small Circle Meetings Share Studying Defining Compiling Depth & Content Validity Int’l Healthcare Competencies Selected Healthcare Competencies Suitable Diversified Learning Tools Management Approvals & Review Data Entry to Oracle System by Support Staff Online Gap Analysis Discussions Generating 9

ii. MG Healthcare Competencies Models Comparison Profiles During Training Cycles, : Sl.#.2008 – – – Provide Patient- Centered Care Professional Expertise (Knowledge & Expertise) Professionalism 2 Use Healthcare Management Applications Management (Utilizing Resources Effectively & Efficiently) Leadership Practice – Based Interpersonal & Communication Skills 3 Employ Evidence- Based Practice Collaboration (Consultation Role) Business Skills & Knowledge Medical Knowledge 4 Apply Quality Improvement Academic/Scholar (Personal/Self Continuing Education) Knowledge of The Healthcare Environment Patient Care 5Utilize Informatics Communicator (Medical/Therapeutic Communication Process) Communication & Relation Management Community System – Based Practices Sources: i.Health Professions Education: A Bridge to Quality. Greiner A C, Knebel E., Edit as Committee on the Health Professions Education Summit, The National Academies Press, Washington, D.C.,2003 i.Verma SPM & Medves J. Core Competences for Healthcare Professionals: What Medicine, Nursing, Occupational Therapy & Physiotherapy Share. J of Allied Health, 35: , ii.Hemnings & Cohen E. The Competency Continuum Expending the Case Manager's Skill Sets & Capabilities. Professional Case Mgmnt. 12(30): , iii.Australia Government Com Care (2009). Case Mgmnt. Competencies Retrieved 4 May, return_to_work_planning/case_management/case_ manager_competencies i.Stefl, ME “Common Competence for All Healthcare Managers: The Healthcare Leadership Alliance Model (6 Professional Membership Organizations, J of Healthcare Mgmnt. 53:6 Nov./Dec.,2008. ii.ACHE Healthcare Executive Competence Assessment Tool, 2011, by the Healthcare Leadership Alliance & Am College of Healthcare Executives i.Accreditation Council for Graudate Medical Education (ACGME) 6 Competencies Domains, 2011 ii.Deduced from “Expert Panel on Cultural Competence Education for Students in Medicine & Public Health (2012). Cultural Competence Education for Students in Medicine & Public Health: Report of an expert panel. Washington, DC. Association of Am Med Colleges & Association of Schools of Public Health”. 10

IV. Results:

iii. Healthcare Proposed New Competencies Modules for Training Cycle :  Same Model Used By MG during  Same Model Used By MG during 2008– National Center for Healthcare Leadership Competency Model, 2005 – 2010 Healthcare  Leadership Alliance (6 Prof. Membership Organizations, 2008) Competency Models to Improve Healthcare Organizations, 1997 American College  of Healthcare Executive, 2012 Interprofessional  Teamwork & IOM Core Competencies (6 Prof. Membership Organizations), 2012 Accreditation Council for Graduate Medical Education (ACGME) 6 Competencies Domains, Transformation 2.People 3.Execution 1.Professionalism 2.Leadership 3.Business Skills & Knowledge 4.Knowledge of The Healthcare Environment 5.Communication & Relation Management 1.Professionalism 2.Quality Improvement 3.Cost conscious 4.Flexibility 1.Professionalism 2.Leadership 3.Business Skills & Knowledge 4.Knowledge of Healthcare Environment 5.Communication Relationship Management 1.Provide Patient Centered Care 2.Apply Quality Improvement 3.Employ Evidence Based Practice 4.Utilize Informatics 5.Work in Interprofessional Teams 1.Medical Knowledge 2.Patient Care 3.Interpersonal & Communication Skills 4.Professionalism 5.Practice-Based Learning & Improvement 6.System-Based Practice National Center for Healthcare Leadership, Health Leadership Competency Model. Am College of Healthcare Executives. J of Healthcare Mgmnt Seft, ME. “Common Competence for All Healthcare Mangers: the Healthcare Leadership Alliance Mode”: J of Healthcare Mgmnt. 53:6Nov./ Dec.2008 Decker, PJ & Stroder MK. Beyond JCAHO: Using Competency Models to Improve Healthcare Organizations. Hospital Topics, Winter 1997, Vol.75 Issue 1, p23, 6p, 1 chart. ACHE Healthcare Executive Competencies Assessment Tool, 2011, by the Healthcare Leadership Alliance & the AM College of Healthcare Executives. Interprofessional Education Collaborative Expert Panel (2011). Core Competences for Interprofessional Collaborative Practice: Report of an Expert Panel. Washington, D.C.: Interprofessional Education Collaborative. Expert Panel on Cultural Competence Education for Students in Medicine & Public Health (2012). Cultural Competence Education for Students in Medicine & Public Health: Report of an Expert Panel. Washington, D.C: Association of Am Medical Colleges & Association of Schools of Public Health. Sources 12

Competency-Based TR Findings & Outcomes Key Performance Measures Linked to 13

V. Conclusion:

KPI SCORES TR Cycles 15