National Alliance for Physician Competence January 15 2007

National Alliance for Physician Competence January 15, 2007 St. Petersburg, FL

Public/ Consumers/ Patients Medical Profession Social Contract

Public/ Consumers/ Patients Medical Profession Social Contract

Public/ Consumers/ Patients Medical Profession Social Contract

Public/ Consumers/ Patients The Medical Profession Social Contract

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 Driving event 2 – Data Cacaphony 3 – Federal Tarbaby Costs; burden shifted Costs and errors Costs coverage No-fault system Mandated data reporting & EHR Public dissatisfaction Value-driven consumr Demand for better data CQI model Health savings accounts Public dsstsfctn Misaligned incentvs Overutilization Mandated EHR 4 – Brave New World Cost and Consumer Dissatisfaction Erosion of trust Universal health Value-driven consumr EHRs fail Technology 5 – happy healthcare. com CONSEQUENCES Health Care More non-traditional care Outsourcing More non-tradtnl care Emphasis on disease prevention Web-based triage Self-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 Health. Oversight of Accreditation and Licensure is Nationalized International certification Data/ Standards Data available to public Physician role/ Assessment tools developed to evaluate performance of health system Professional vs. Federal Intervention Data and standards conflicts result Data Standards and Sharing Team leader Regional integrated delivery systems employ all, and monitor competence of individuals and teams Federally funded regional partnerships manage perf data used in licensure Watchdog industry emerges Licensing boards hold docs accountable for outcomes (rather than min standards) Performance standards developed regionally, monitored nationally Teaching institutions benefit from downstream information

Summit 2 -3 Recommendations • Formation of a National Alliance • Definition of competence • Mechanism for ensuring competence – lifelong learning portfolio

Public/ Consumers/ Patients The Medical Profession Social Contract

AH JC M NB AMA E S AB E IM G ACGM CM ECFM E M ACC MB FS O AHA Bs SM C M AA ABMS Public/ Consumers/ Patients SS CM P Social Contract AC S AC BS BC/

BC/ AARP S G ACGM CM M NB ECFM E M ACC CU E AC S P AH JC AMA MB FS AC O AHA SM Bs C M AA ABMS Social Contract Public Voices Public/ Consumers/ Patients SS AB E IM CM BS

National Alliance for Physician Competence Public/ Consumers/ Patients Social Contract

National Alliance for Physician Competence Social Contract Public/ Consumers/ Patients Social Contract

Definition of Competence – Good Medical Practice – USA Training Level/Specialty Translators Lifelong Learning Portfolio Tools/Analyses/Measures Public/ Consumers/ Patients National Alliance for Physician Competence Social Contract

Individ/ Profess Access Definition of Competence – Good Medical Practice – USA Training Level/Specialty Translators Public/ Consumers/ Patients National Alliance for Physician Competence Social Contract Lifelong Learning Portfolio Public Report Tools/Analyses/Measures