Competency: Understand how their patient care and other professional practices affect other healthcare professionals, the healthcare organizations and the larger society and how these elements affect their practice.
Knowledge/Skills/Attitudes Objectives:
- Optimize interaction and communication with other health-care professionals, health-care organizations and community resources to promote quality patient care.
- Participate actively in quality initiatives undertaken by health care organizations.
- Optimize patient length of stay in acute care facilities by promoting appropriate transition to ancillary levels of care.
- Promote medication reconciliation across levels and systems of care.
- Familiarize with the epidemiology of major health issues in the local community.
- Understand how the local community demographics and socio-cultural beliefs affect health and disease.
Knowledge /Skills/Attitudes Objectives:
- Understand the fundamental differences between the various insurance plans including local PPOs and HMOs, fee-for-service, Medicare, and state Medical Assistance.
- Recognize the guidelines determining provider and institutional reimbursement including fee-for-service, capitation, hospital DRGs.
- Document appropriately for different levels of care.
- Become familiar with various formulary guidelines and pre-certification requirements.
Knowledge/Skills/Attitudes Objectives:
- Recognize resource limitation within the regional and global health care systems.
- Practice cost-effective medical care by considering cost / benefit analyses in all diagnostic and therapeutic decisions.
- Identify factors that contribute to rising health care costs and strive to contain costs by optimizing formulary compliance and avoiding unnecessary testing.
- Practice cost-effective patient care by optimizing length of stay in acute care facilities and promoting transition to sub-acute levels of care appropriately.
Knowledge/Skills/Attitudes Objectives:
- Minimize perceived conflicts of interest between individual patients and their health care organizations through patient education.
- Recognize true conflict of interest between individual patients and their health care organizations and always advocate actively on the patient's behalf.
Knowledge /Skills/Attitudes Objectives:
- Identify and work with other health care professionals and organizations to optimize patient-centered care.
- Connect patients with established disease management programs offered through their insurances or local institutions.
- Utilize practice performance data to sharpen population management skills and understand how that improves global system performance.