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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
Module III Systems-based practice Resources |
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| Cost-effective care |
Cost-effective care is not necessarily the least expensive care. Rather, cost-effectiveness is a function of price and value. Understanding the concept of cost-effective care and being able to practically apply the principles inherent in it are important components of systems-based practice. The resources included in this section of the module are designed to provide training programs with materials and tools that may be useful in helping learners to demonstrate this competency. |
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| Dartmouth Atlas of Health Care |
The Dartmouth Atlas Project is designed to describe the distribution and utilization of medical resources in the United States. Previous work has documented wide variations in health care spending across the US. Current work looks at the question, “Is more health care better?” |
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| Group visits for chronic care |
Knowledge of practice and delivery systems may include not only knowledge of traditional systems but also of emerging systems that may improve both the quality and the cost-effectiveness of care. Group visits for chronic care are one such emerging system. Information on group visits for chronic care are available from a number of sources, including: • Improving Chronic Illness Care is a National Program Office supported by The Robert Wood Johnson Foundation and based in Group Health Cooperative's MacColl Institute for Healthcare Innovation. The goal of ICIC is to foster improvement in chronic illness care by supporting health care providers with guidelines, expertise, and systems. A set of critical tools, including a worksheet comparing different models of group care and a Group Visit Starter Kit, is provided. • A recent article from the journal Effective Clinical Practice can be found on the American College of Physicians - American Society of Internal Medicine (ACP-ASIM) site. This article, “Reducing Emergency Visits in Older Adults with Chronic Illness: A Randomized, Controlled Trial of Group Visits,” provides information that can be useful in understanding group visits as a delivery system. • A recent article from the journal Family Practice Management titled, “Planning Group Visits for High Risk Patients,” provides information about group visits for chronic care, including sample documentation forms and information about developing a diagnosis-specific patient registry. |
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| Managed Care Education Connection | The Managed Care Education Connection is a product of the Partnerships for Quality Education (PQE) sponsored by the Pew Charitable Trusts and the Robert Wood Johnson Foundation. The Connection provides extensive information, curricula, web-based tools, and teaching cases that can be used to teach and learn about cost-effective care and improvement. *The site requires free registration to access materials from its database.* A sample of materials available from the site include: • a Coding and Billing module designed to provide residents with information about coding for patient care and reimbursement. • a Case-based Reflective Learning Curriculum on Managed Care. Although designed primarily for family medicine and pediatric residents, much of the information and assessment tools contained in this curriculum are generalizable across specialties. • a case study titled, “Costs, Care, and Chronic Illness: Impacts on the Health Care System,” is a case that considers a patient with asthma. • a case study titled, “Management of a Pediatric Asthma Patient in a Managed Care Setting,” is a case that provides information about the concepts of clinical economics and utilization management. |
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| Practice Makes Perfect | The Practice Makes Perfect program, funded by Aetna U.S. Healthcare Academic Medicine and Managed Care Forum and the Josiah Macy, Jr. Foundation, is a demonstration program designed to provide residents with the tools they will need to operate successfully in the managed care environment. Profiling asthma, managed care competencies, and pharmacy profiling are exercises that can be adapted for use at individual institutions. |
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| An Ethical Framework for Cost-effective Medicine | This paper, “An Ethical Framework for Cost-effective Medicine,“ considers the ethical dimensions of managed care. It is balanced and provocative and, as such, lends itself well to discussion. |
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| Return to Table of Contents | ||
| Return to Systems-based practice Overview | ||
| Return to Systems-based practice Assessments | ||
| Return to Systems-based practice Resources | ||
| Move forward to Patient advocacy resources | ||
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©Copyright 2002 American Academy of Allergy, Asthma,& Immunology All Rights Reserved
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