National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Groups 1 - 3: Strategic Objectives
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on the Participant Agreement.
Objective
Translate the participant agreement into strategic objectives with
particular attention on how the Alliance can help specific organizations
meet their responsibilities to assure the public of ongoing physician
competence.
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and complete your work.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 4: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Physician centered practice
Individual physician autonomy
Shifts
to
shifts to
shifts to
New
Patient-centered practice
Collaboration as a team in a system
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 5: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Anecdotal practice
Knowledge-based assessment
Shifts
to
shifts to
shifts to
New
Evidence-based standards
Demonstrated competence and performance
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 6: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Episodic competence assessment and
education
Arbitrarily standardized assessment
and education
Shifts
to
shifts to
shifts to
New
Continuous competence assessment and
education
Practice relevant assessment and
education
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 7: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Empirically driven practice change
Opaque/unmeasured care
Shifts
to
shifts to
shifts to
New
Systematic feedback driven improvement
Transparent/measured care
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 8: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Judgmental/punitive culture
Passive patient role
Shifts
to
shifts to
shifts to
New
Supportive culture of improvement
Involved patients and families
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 9: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on two of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Questionable competence ignored
Shifts
to
shifts to
A focus on illness and cure
shifts to
Old
New
Questionable competence remediated or
removed
A focus on health promotion and wellness
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Group 10: Shift Paper
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. Your group will focus on one of the shifts and develop a
deeper understanding of the shifts taking place in physician competence
relative to these two shifts.
Objective
The objective of this round of work is to write a detailed description of
two of the shifts from the shift paper. Review the description of each shift
and add anything you feel may be missing in terms of an explanation
and a sense of why it’s important to patients and to the profession. Then
list and describe a few clear ideas concerning what the Alliance could do
to influence the shift. Your group will focus on the following two shifts:
Old
Care accountable to the practice
(assumed trust)
Shifts
to
shifts to
New
care accountable to the public (earned
trust)
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and to create your
descriptions. Remember you can parallel process to get more
accomplished.
Exchange
After you have developed your position statement we will come back
together and hear a report out from each group (so be prepared to share
your work with the rest of the groups).
National Alliance for Physician Competence – Summit VII
February 22-24, 2009
A Vision for Competence
Groups 11 & 12: A Culture of Continuous Improvement
Context
This round of work focuses on the Shift Paper developed in the previous
Summit and begins to articulate a vision for the future of physician
competence. After Summit VI there were working groups. Several
people in one of those groups developed a model that represents a
system of continuous learning and improvement inspired by the Shift
Paper.
Objective
The objective of this round of work is to iterate the model.
Does this model reflect what the National Alliance means when we say
“a culture of continuous learning and improvement?”
Add to the model and the accompanying description so that it more
completely describes what we mean by a culture of continuous learning
and improvement and how it works. Then list and describe a few clear
ideas concerning what the Alliance could do to influence the shift.
Time
You have approximately 60 minutes to complete your work.
Process
In your group, use the white wall to brainstorm and develop your
product.
Exchange
After you have completed your work we will come back together and
hear a report out from each group (so be prepared to share your work
with the rest of the groups).