Value in New Partnerships: Medical Students as Patient Navigators. Terry Wolpaw, MD, MHPE Vice Dean for Educational Affairs

Transcription

1 Value in New Partnerships: Medical Students as Patient Navigators Terry Wolpaw, MD, MHPE Vice Dean for Educational Affairs Centric Patient Centric Assistant Physical Therapist Pharmacist Nurse Practitioner Nurse Practitioner Patient in System of Care Family Education Physical Therapist Social Worker Assistant Pharmacist Social Worker centered Autonomous Personal Expert Patient centered Team based, systems thinking Interdependence 1

2 21 st Century Alignment Alignment of Education and the Health System Needs Centric Medical Education Basic Sciences emphasis on scientific knowledge Clinical Sciences: exam skills, clinical reasoning, diagnostic skills, development of character 2

3 Patient Centric Penn State Vision: The Humanistic, Systems Medical Education Adaptive, Critical Thinking, Collaborative and Scholarly Humanities Clinical Sciences Systems Sciences Health Care Delivery See the Health Experience through the Patient s Eyes Envisioning a new curriculum design and structure Alignment New Collaborations Value and Outcomes 3

4 Penn State s Systems Navigation Curriculum - SyNC Meaningful Work Patient Navigator Roles Systems Course Health Care Delivery Science Creating Value for Health System and Using Non-traditional Teaching Partners New Collaborations Systems Course Health Care Delivery Science Curriculum Domains Structures, Processes, and Individuals Healthcare Policy and Economics Clinical Informatics/Health Information Technology Population and Public Health Socio-Ecological Determinants of Health Value-Based Care Health System Improvement Cross-Cutting Domains Leadership Teamwork Critical & Systems Thinking Evidence-based Medicine Ethics and Professionalism Scholarship Curriculum design partnerships Penn State Hershey Health System Health Policy and Administration Faculty Public Health Sciences Faculty Highmark Department of Health Pennsylvania Psychiatric Institute Lancaster General Health System Pinnacle Health System Holy Spirit Hospital 4

5 Students as Patient Navigators One who is learning and practicing the skill and art of guiding patients to overcome barriers that are imposed by a fragmented health care system. Barriers may be related: Literacy Cultural differences Communication Social isolation/networks Financing health care Appointments and follow-up Transportation Dr. Harold Freeman Creating Value for the Health System 5

6 New Collaborations Non Traditional Teaching Partners 24 Clinical Sites 9 Different Health Systems Non-traditional Teaching Partners 1 st 16 sites 2 s, 3 Care coordinators, 3 Patient Navigators, 4 Nurses, 4 Case managers PatPatient Navigation Sites lsites for New Collaborations Penn National Racetrack, Dept. of Health TB Clinic, Bundled Payment Program 2014/2015 Patient Navigation Sites (16) Patient Navigation Sites for Fall of 2016 (8) Lebanon Volunteers in Medicine VA Medical Center Holy Spirit Health System Penn National Racetrack/Jeanette Johnston Clinic PA Department of Health Penn State Hershey Emergency Department Pinnacle Health Community Penn State Hershey Medical Group Front Street Pinnacle Heart Failure Penn State Hershey Nyes Road Family Practice 1 Pinnacle Health Kline Penn State Hershey Nyes Road Family Practice 2 Pinnacle Medical Group Penn State Hershey IBD Clinic Pinnacle Health REACCH Penn State Hershey Rehab (TCU unit) Pinnacle Health Spine Pending Patient Navigation Sites for Fall of 2016 (4) Lancaster General Health Penn State Hershey Rehab (acute rehab) Pennsylvania Psychiatric Institute Penn State Hershey Palliative Medicine Penn State Hershey Bundled payments Penn State Hershey Pre Anesthesia Clinic Penn State Hershey Surgical Weight Loss Clinic Bethesda Mission Penn State Hershey Fishburn Road Penn State Hershey Breast Clinic Penn State Hershey Cancer institute 6

7 Learning : Navigation and Agency Otto s Story Students feel that they have the power and responsibility to effect change for the individuals they help and in the systems in which they learn and work. MountCrest University - Ghana Humanistic Community Heath Patient Navigation 7

8 Centric Patient Centric Assistant Physical Therapist Pharmacist Nurse Practitioner Nurse Practitioner Patient in System of Care Family Education Physical Therapist Social Worker Assistant Pharmacist Social Worker centered Autonomous Personal Expert Patient centered Team based, systems thinking Interdependence Education and the Health System: Moving in the Same Direction Outcomes Decrease barriers to access Improve resource utilization Partner with service extenders Improve processes Improve health outcomes Empower student agency Shape Identity formation/systems thinking 8