ccc-ccc: coordinator claiming control - clinical ...€¦ · ccc-ccc: coordinator claiming control...

CCC-CCC: Coordinator Claiming Control - Clinical Competency Committee

Ambrosya Amlong, C-TAGMEDirector, Education Operations

Janene BondiePediatric Emergency Medicine

Fellowship Coordinator

Financial Disclosures

Ambrosya Amlong, C-TAGME Janene Bondie

None of the above speakers have any conflicts of interest to disclose.

EMERGENCY MEDICINE

Objectives

Identify areas for process improvement

Develop best practices for small and large programs

EMERGENCY MEDICINE

Activity

Name Data Points Programs pull together to help develop Milestones for trainees.

EMERGENCY MEDICINE

Pulling All the Data Together

Confidential – For Discussion Purposes Only

Clinical Competency Committee

End-of-Rotation

Evaluations

SafetyIncident Reports

Case Logs

Patient/ Family

Evaluations

Clinical Skills Assessment/

Teaching Skills

Assessment

Nursing andStaff / TechsEvaluations

Progress onMilestones

SimLab

In-service training exams

Quality Improvement

Activities

Small Program CCC Past

Tons and Tons of paper!!!

PEDIATRIC EMERGENCY MEDICINE

CCC Past


Changes occurring up to 5 minutes before the start of the meeting Copying and recopying again No organization to the work that needed to be done in advance No deadlines

CCC Present


The transformation begins……………

New and Improved CCC


Utilizing the Clinical Competency section in the online residency management system

All members bring a laptop to each meeting to view documents

One binder of the “paperwork” for the Chair of the meeting

The binder is used again by the PEM Fellowship Program Director for the quarterly meetings with the fellows

New and Improved CCC


How will you ensure that you have gathered all the correct documents

every time for each fellow/resident?

The Checklist


Pulled Uploaded Printed Pulled Uploaded Printed Pulled Uploaded Printed Pulled Uploaded Printed Pulled Uploaded Printed

Blank CCC Milestones Form never delete xxx xxx xxx xxx xxx xxx xxx xxx xxx xxxPEM CCC Instructions 2015.pptx never delete xxx xxx xxx xxx xxx xxx xxx xxx xxx xxxPEM Milestones.pdf never delete xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx

Block Schedule

Moonlighting Report - quarter

Duty Hours Summary - quarter run in excel

Duty Hours Summary - cumulativrun in excel

Faculty completed CCC Evaluation

Fellow Self Eval (from MedHub)

Aggregate Comments

Nursing Comments

Peer Comments

Proc Requirements by Resident

Conference Attendance - quarter by resident

Conference Attendance - cumulative by resident

Conference Speaker Evaluations

Fellows Asynch Conference Attendance

Faculty Eval of Fellow in Sim

Most recent SOC Summary

Milestones NAS Sum. - Quarter

Milestones NAS Sum. - Cumulative

Load It Up!!


Time to upload this massive amount of documents into your online

residency software program for the faculty to review and to complete their report for the upcoming CCC

meeting.

Next Steps


Own it!

Formulate a plan with clear and reasonable deadlines with the Chair of the CCC Committee

Be mindful of the physicians clinical demands when scheduling deadlines

Remind your faculty of what is upcoming

Next Steps


Use your organizational skills to help others become organized

Continue to ask for feedback from your faculty on what is working/not working in the process

You will then enjoy a smoothly ran meeting with a minimum of “hiccups”

Impact of the Changes


Constructive use of the coordinator’s time

Presenting information in a clear and concise manner

Increased faculty satisfaction with a streamlined process for the document review

Fellows/Residents receive quality feedback

Activity


We need 3 small program volunteers to share things they have done that have improved their CCC quality of life.

Large Program CCC

EMERGENCY MEDICINE

HOLDING UP!!!

EMERGENCY MEDICINE

Centralize into Resident Management System Develop process of managing all data points Streamline plan for problem residents Define reporting plan for milestones

GOAL: LOSE ALL THE PAPER – SAVE 2 TREES

Changes to Process

EMERGENCY MEDICINE

Identify missing evaluations for residents Ask faculty to follow-up

Discuss any specific resident issues, develop plan, Assign APD to follow-up

If a resident on remediation/probation, review progress on plan monthly

Manage CCC through Resident Management Portal

Monthly CCC

EMERGENCY MEDICINE

RMS – Clinical Competency Committee

EMERGENCY MEDICINE

Clinical Competency Committee Members

EMERGENCY MEDICINE

CCC Meetings

EMERGENCY MEDICINE

CCC Resident Specific

EMERGENCY MEDICINE

Thinking Milestones Data Elements

EMERGENCY MEDICINE

CCC Defines Performance Ranges

EMERGENCY MEDICINEConfidential – For Discussion Purposes Only

At or Above Expectation:2.8 and higher

Below Expectation: 1.7 – 2.7

Remediation: Below 1.7

Link Data Sources & Formatting


Conditional Formatting 1


Highlight cells to applythe conditional formatting

Conditional Formatting 2


Click on “Conditional Formatting” “Highlight Cells Rules”

Set RangesSelect, “Greater Than” Ranges “Less Than” or “Between” to Set Value

Choose the corresponding fill color (e.g., red, yellow, green)

Milestones Meetings

EMERGENCY MEDICINE

Impact of Changes

EMERGENCY MEDICINE

Saved those 2 trees – NO MORE PAPER Modified Monthly CCC to 1½ hours for adequate

review of all residents, performance planning Faculty more engaged when information readily

available in RMS Reduced amount of time needed for Milestones

with Red Light/Green Light process 2 6-hour meetings reduced to 1 5-hour meeting With reduced time commitment, faculty had

additional time for shifts, teaching, research Faculty salary cost savings to department

$31,500/year

Activity

Discuss at your table best practices for your program’s CCC.

EMERGENCY MEDICINE

Appreciation

We appreciate you sharing your best practices with us.

We appreciate your commitment to your house officers!!

We appreciate you spending time with us today!!

EMERGENCY MEDICINE

Thank You

EMERGENCY MEDICINE

GO BLUE!!!!

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