151760 Improving Care Through an Innovative Model for Geriatric Medical Education: Interrelationship among quality management, geriatric medical education and patient care delivery systems

Tuesday, November 6, 2007

Gisele Wolf-Klein, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Yosef Dlugacz, PhD , The Krasnoff Quality Management Institute, Great Neck, NY
Charles Cal, RN, MS, MBA , Suite 220B, 600 Northern Blvd, Great Neck, NY
Roshan Hussain, MPH , The Krasnoff Quality Management Institute, Great Neck, NY
Barbara C. Tommasulo, MD, CMD, LNHA , Cold Spring Hills Center for Nursing & Rehabilitation, Woodbury, NY
Mahmuda A. Alam, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Wahila Alam, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Jeff Cohen, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Mignon A. Enecilla, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Steve Hom, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Hossain Mohammed, MD , Geriatrics, Long Island Jewish Medical Center, New Hyde Park, NY
Erica George-Saintilus, MD , Family Practice, NS-LIJHS Glen Cove Hospital, Glen Cove, NY
Amy Herman , The Frick Collection, New York, NY
James Gordon, MD , Former Director of Primary Care/Psychiatry Education, Long Island Jewish Medical Center, New Hyde Park, NY
Objective: The Outcome Project of the Accreditation Council for Graduate Medical Education (ACGME) identifies six competencies in residency training; under the System-Based Practice the need for implementing Quality Management (QM) methods was highlighted. This project sought not only to provide education to the Geriatric Medicine Fellows regarding Quality Management principles and methodology of Plan-Do-Check-Act (PDCA) but, to also, enable pertinent research activities to review current processes and delivery of care for improvement and evidence-based practice. Methodology: A redesigned Geriatrics Research and Education Curriculum was established through the integrative partnership of QM and Geriatric Medicine. Goals for research projects were concomitantly developed with these QM educational sessions. Didactic group educational/research sessions with QM were conducted with individual mentoring sessions for specific tool(s) development, data collection and analysis. Significance and relevance of these research projects were directly related to the clinical care of the Geriatric patient in acute care, transition of care issues, and active care of the elderly in the nursing home and ambulatory setting. Results: Outcome measures include the completion of individual research projects by each of the Seven Geriatric Fellow with approval through the IRB process and ultimately the delivery and maintenance of the practice in the clinical setting through policy and procedural changes. Conclusion: This collaborative partnership serves as a platform to jointly re-evaluate the quality of geriatric care by integrating data from research with health care delivery. This serves as a model for program development with substantive academic merit and implementation of relevant research activities.

Learning Objectives:
1. Discuss the benefits of incorporating quality management principles into education and research design. 2. Describe the Plan-Do-Check-Act(PDCA)methodology for performance improvement and its application. 3. Recognize the importance of using research to change practice at the bedside.

Keywords: Quality Improvement, Research

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Long-Term Care and Aging
See more of: Gerontological Health