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Yumi Shitama Jarris, MD Georgetown University School of Medicine Professor of Family Medicine.

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Presentation on theme: "Yumi Shitama Jarris, MD Georgetown University School of Medicine Professor of Family Medicine."— Presentation transcript:

1 Yumi Shitama Jarris, MD Georgetown University School of Medicine Professor of Family Medicine

2 Workforce Denise Koo (CDC) Yumi Jarris (Georgetown University) Wendy Braund (WY-SHO) Frank Cerra (UMN) Terry Dwelle (ND – SHO) Clese Erikson (AAMC) Malika Fair (AAMC) Nicholas H. Fiebach (Columbia University) John Finnegan (UMN) Paul Halverson (IU) Alice Kuo (UCLA) Sarah Linde (HRSA) Lloyd Michener (Duke) Judy Monroe (CDC) Lloyd Novick (East Carolina University) Donna Peterson (USF) Bob Phillips (ABFM) Cynthia Phillips (HRSA) David Popiel (GW Internal Medicine) Harrison Spencer (ASPH) Justine Strand de Oliveira (Duke) Stephen Wyatt (UKY) Ted Wymyslo (OH - SHO) Matt Wynia (AMA) Communication David O'Gurek (AAFP) TBD Angeline Boey (CDC) Scott Briscoe (ASTHO) Michelle Daniels (HRSA) Carrie Horwitch (ACP) Erin James (Duke) Susan Laird (CDC) Andrea Lowe (ACPM) Nitesh Parmar (CDC) David Rabinowitz (Deloitte) Albert Terrillion (ASTHO) Sarah Thomas (AAFP) Co-leads Current Committee Members ASTHO-Supported Primary Care and Public Health Collaborative: Communication and Workforce Committees

3  Bring together primary care and public health educators at all levels of medical and public health education  Exchange information about the health workforce and the competencies needed to improve health  I ncrease awareness of successful examples of integration of primary care and public health in workforce education and training  Highlight the work and events of partners’ organizations  Facilitate connections for potential collaborations between public health and primary care  Provide a platform or repository for sharing curriculum/tools

4  Ohio Department of Health  The Interprofessional Education Collaborative (IPEC)  Community Health Workers

5  Primary Care Curriculum Reform Ensuring the integration of population health into medical education with attention to interprofessional activities  Determining geographic and clinical areas of need Work with licensing boards to put together data sets with clinical information to determine areas of need in the state  Scholarships For medical students and nurse practitioners to practice in shortage areas

6  Association of Schools & Programs of Public Health – Harrison Spencer  American Association of Colleges of Nursing  American Association of Medical Colleges  American Association of Colleges of Osteopathic Medicine  American Association of Colleges of Pharmacy  American Dental Education Association

7 The goal of IPEC is to prepare all health professions students for deliberatively working together with the common goal of building a safer and better patient-centered and community/population oriented U.S. health care system Why IPEC®

8 IPEC Action Plan: Our Goals Promoting a common language and shared competencies Facilitating effective faculty development Fostering shared learning resources Identifying effective organizational models Facilitating linkages with clinical and translational research Promoting inter- professional collaboration with policy-makers Help our member institutions advance the field by:

9 Every medical, nursing, dental, pharmacy, and public health graduate is proficient in the core competencies for interprofessional, team-based care, including preventive, acute, chronic and catastrophic care.

10 Four competency domains with 38 sub- competencies: Values and ethics Roles and responsibilities Interprofessional communications Teams and teamwork

11  Link between primary care and public health  Massachusetts put CHWs in community health centers  Integrated CHWs in PC clinical teams in two hospitals. ◦ Conducted in home environmental assessments, provided low cost tools, and put findings into medical records ◦ Funded a 4-day training and quarterly support meetings for CHWs ◦ Outcomes: Reduced asthma hospitalizations from 17 to 1, reduced asthma symptom days, halved ER visits

12 Georgetown University School of Medicine Population Health Curriculum

13 Year 1 - Patients, Populations, and Policy Lectures Social Determinants of Health Health Systems Overview Quality in Health Care Population Health and Community Health Assessment Geographic Health Information Systems Public Health and Clinical Medicine Role of State Departments Prevention Health Disparities Lesbian, Gay, Bisexual & Transgender Health Care Introduction to Health Advocacy Workshop Small Groups Health Insurance and Payment Patient Centered Care and the Medical Home Homelessness Health Disparities Assignments Discussion Board ACA student presentations Advocacy student presentations Team-Based Learning Health Impact Pyramid Preventive Services Childhood Obesity

14 Year 2 – Integrated in Science Modules Combined Population Health-Clinical Medicine approach Cervical Cancer Prevention Disparities in Hypertension/Renal Disease Emergency Preparedness Simulation Apply epidemiology and clinical problem solving to a public health emergency Importance of the interprofessional team

15 Health Systems, Policy, and Public Health for Clinicians – Year 4 & Residents MondayTuesdayWednesdayThursdayFriday Lectures - History of US health delivery systems - Public vs. Private Insurance systems - National Health Expenditures - Health care economics - Payment & Reimbursement Methods - Comparisons of international systems - Medicare and Medicaid Services - Social determinants of health - Uninsured & Access to Care - Legal medicine: Malpractice and contracts - Charitable organizations, free clinics, foundations & lobbying - HP in the media - Health Care Reform - Cost containment strategies: ACOs, PCMH - Politics of Health Reform Site Visit Office of the Assistant Secretary for Preparedness and Response at HHS AMA Washington Office AHRQ ASTHO DC Department of Health Senator Harkin’s Office


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