Yumi Shitama Jarris, MD Georgetown University School of Medicine

Professor of Family Medicine

Workforce

Denise Koo (CDC) Yumi Jarris (Georgetown University)

Wendy Braund (WY-SHO) Frank Cerra (UMN) Terry Dwelle (ND – SHO) Clese Erikson (AAMC) Malika Fair (AAMC) Nicholas H. Fiebach (Columbia University) John Finnegan (UMN) Paul Halverson (IU) Alice Kuo (UCLA) Sarah Linde (HRSA) Lloyd Michener (Duke) Judy Monroe (CDC)

Lloyd Novick (East Carolina University) Donna Peterson (USF) Bob Phillips (ABFM) Cynthia Phillips (HRSA) David Popiel (GW Internal Medicine) Harrison Spencer (ASPH) Justine Strand de Oliveira (Duke) Stephen Wyatt (UKY) Ted Wymyslo (OH - SHO) Matt Wynia (AMA)

Communication

David O'Gurek (AAFP) TBD

Angeline Boey (CDC) Scott Briscoe (ASTHO) Michelle Daniels (HRSA) Carrie Horwitch (ACP) Erin James (Duke) Susan Laird (CDC) Andrea Lowe (ACPM) Nitesh Parmar (CDC) David Rabinowitz (Deloitte) Albert Terrillion (ASTHO) Sarah Thomas (AAFP)

Co-leads

Current Committee Members

ASTHO-Supported Primary Care and Public Health Collaborative: Communication and Workforce Committees

Bring together primary care and public health educators at all levels of medical and public health education

Exchange information about the health workforce and the

competencies needed to improve health Increase awareness of successful examples of integration of

primary care and public health in workforce education and training

Highlight the work and events of partners’ organizations Facilitate connections for potential collaborations between public

health and primary care Provide a platform or repository for sharing curriculum/tools

Ohio Department of Health The Interprofessional Education Collaborative (IPEC)

Community Health Workers

Primary Care Curriculum Reform Ensuring the integration of population health into medical education with attention to interprofessional activities Determining geographic and clinical

areas of need Work with licensing boards to put together data sets with clinical information to determine areas of need in the state Scholarships For medical students and nurse practitioners to practice in shortage areas

Association of Schools & Programs of Public Health – Harrison Spencer

American Association of Colleges of Nursing American Association of Medical Colleges American Association of Colleges of

Osteopathic Medicine American Association of Colleges of

Pharmacy American Dental Education Association

The goal of IPEC is to prepare all health professions students for deliberatively working together with the common goal of building a safer and better patient-centered and community/population oriented U.S. health care system

Why IPEC®

IPEC Action Plan: Our Goals

Promoting a common language and shared

competencies

Facilitating effective faculty development

Fostering shared learning resources

Identifying effective organizational

models

Facilitating linkages with clinical and

translational research

Promoting inter-professional

collaboration with policy-makers

Help our member institutions advance the field by:

Every medical, nursing, dental, pharmacy, and public health graduate is proficient in the core competencies for interprofessional, team-based care, including preventive, acute, chronic and catastrophic care.

Four competency domains with 38 sub-competencies:

Values and ethics

Roles and responsibilities

Interprofessional communications

Teams and teamwork

Link between primary care and public health Massachusetts put CHWs in community health

centers Integrated CHWs in PC clinical teams in two

hospitals. ◦ Conducted in home environmental assessments,

provided low cost tools, and put findings into medical records

◦ Funded a 4-day training and quarterly support meetings for CHWs

◦ Outcomes: Reduced asthma hospitalizations from 17 to 1, reduced asthma symptom days, halved ER visits

Georgetown University School of Medicine

Population Health Curriculum

Year 1 - Patients, Populations, and Policy Lectures

• Social Determinants of Health • Health Systems Overview • Quality in Health Care • Population Health and Community Health Assessment

• Geographic Health Information Systems

• Public Health and Clinical Medicine • Role of State Departments • Prevention • Health Disparities • Lesbian, Gay, Bisexual & Transgender Health Care

• Introduction to Health Advocacy Workshop

Small Groups • Health Insurance and Payment • Patient Centered Care and the Medical Home

• Homelessness • Health Disparities

Assignments • Discussion Board • ACA student presentations • Advocacy student presentations

Team-Based Learning • Health Impact Pyramid • Preventive Services • Childhood Obesity

Year 2 – Integrated in Science Modules

Combined Population Health-Clinical Medicine approach Cervical Cancer Prevention Disparities in Hypertension/Renal Disease

Emergency Preparedness Simulation Apply epidemiology and clinical problem

solving to a public health emergency Importance of the interprofessional team

Health Systems, Policy, and Public Health for Clinicians – Year 4 & Residents

Monday Tuesday Wednesday Thursday Friday

Lect

ures

- History of US health delivery systems - Public vs. Private Insurance systems - National Health Expenditures

- Health care economics - Payment & Reimbursement Methods - Comparisons of international systems

- Medicare and Medicaid Services - Social determinants of health - Uninsured & Access to Care

- Legal medicine: Malpractice and contracts - Charitable organizations, free clinics, foundations & lobbying - HP in the media

- Health Care Reform - Cost containment strategies: ACOs, PCMH - Politics of Health Reform

Site

Vis

it

Office of the Assistant Secretary for Preparedness and Response at HHS

AMA Washington Office

AHRQ ASTHO

DC Department of Health

Senator Harkin’s Office