Mile Square Health Center and the UIC Family Medicine Residency

Relationship dates to 1994 6-6-6 program, continuity clinics at main MSHC

and main campus clinic, each resident spends time at both over 3 years

MSHC has 5 MD sites, 2 more planned; only FM residents and only at main site

Workforce: FM, OB-Gyn, Psych, Dentistry, FNPs & CNMs, ID (HIV) at main; FM/CNM or others with FM/CNM/GIM; few FNP/collaborative sites

MSHC and UIC FMR: Mission

Service to the underserved, address health disparities, common mission of MSHC, DFM, UIC, UICON

UICOM, UIMC supportive, though not primary advocates; FQHC serves as site for training students, some research

3 MDs are former residents, another 5 UIC MedSs Diversity (FAAC): % women and minority:

MSHC: 12 total, 67% W, 75% minorityDFM: 18 total, 50% W, 44% minorityTotal department: 30, 57% W, 57% minority

MSHC and UIC FMR: Money

Residents funded through GME positions MSHC faculty funded through FQHC which is

“sponsored” by UIMC: salaries, billing, HR, ambulatory administration

MSHC Faculty covered under FTCA, reciprocity call arrangement with DFM

Residency costs all covered by DFM OB/Inpatient/Incentives

MSHC and UIC FMR: Administration and Governance

Complicated administrative structure- Director reports to hospital administration and FQHC Board- Medical Director reports to Director (no MD)- MSHC faculty reports to Medical Director for ambulatory, to Chief of Service (DFM Head for hospital care), to DFM Head for academics- Residents report to PD who reports to DFM Head

Complicated communications, often dysfunctional Sensitive relationships: Head is advisory, if/when

asked

MSHC and UIC FMR: Quality

Residents see differences between two practice sites in terms of management/resources/EHR

Medical Records Faculty similar, on same page, speak

with one voice in most situations Continuity and urgent care PCMH