conversation

Michael: What did you see in your gallery walk?

  • A lof of the same things.
  • I see a need for common definitions or a glossary.
  • There's not unanimity in understanding what the GMP does.
  • There's strong consensus in our group that the GMP was too inclusive and not concise enough. People who attended to earlier.versions of that stated that things have been added to it.
  • A common language is more than a glossary.
  • We need the GMP to be broad enough to apply to medical school, residency and beyond. This is relatively new and we need to remember that.

Michael: There is a concept that we have to understand that 'done' is done for today. With continual improvement, nothing is ever done. Things can be good enough for now. What we've done is allowed these ideas to crystallize and let them bubble to the surface. People are now feeling gravity and feel like we need to get to the 'real work.' There is a tremendous amount of work that we need to do and all of this is 'real work.'

  • There was a reoccuring theme of a lack of trust.
  • Also of who is going to pay.
  • If you're going to sell this to physicians, you're going to have to also sell it to the practice attorneys. If you don't find a way to protect it, you'll never get the medical community to buy into it.
  • People need to know what has already been done as of right now, relative to competence, education, trusted agent.
  • This is really complicated.
  • We may be reaching a point in this dialogue where it might make more sense to do the work in the individual stakeholder groups than in the whole group.
  • The alliance in this chaordic model is not always going to look like this. It will solve certain issues, but there will still be some things to attend to.

Michael: Because we have all of you in one room having these conversations there is an opportunity to deal with and resolve issues that arise in the dialog. An example of this is a conversation now taking place between the licensing boards and the certifying boards about resolving some interface gaps. I asked several people to draw me a picture of how the medical system works and I think what we're doing now is not as complex as that.

  • Except that we're moving from an already existing system into something new.

Michael: True.

  • How are we going to convince individuals to move into this new system?
  • Anywhere along the line that leads to the physician not practicing medicine, things will stop right there. That's where the battle will be fought.
  • It seems to me that the GMP document has the most footage. That's where we should focus some energy to get more buy-in and refine it further.

team 1 - The GMP document
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on the Good Medical Practice document.

Objective

Develop a statement that articulates the ideal final result for the use of the Good Medical Practice document.

Process

Small Group Assignment

As a small group develop a statement that articulates the ideal final result for the use of the Good Medical Practice document.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
 
team 2 - Assessing GMP Competencies
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on Assessing the Good Medical Practice Competencies.

Objective

Develop a statement that articulates the ideal final result for assessment of competencies in the Good Medical Practice document.

Process

Small Group Assignment

As a small group develop a statement that articulates the ideal final result for assessment of competencies in the Good Medical Practice document.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve all advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
 
team 3 - The National Alliance
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on the formation of a National Alliance for Physician Competence.

Objective

Develop a statement that articulates the ideal final result for the National Alliance for Physician Competence relative to a system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.  

Process

Small Group Assignment

As a small group, develop a statement that articulates the ideal final result for the National Alliance for Physician Competence relative to a system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
 
team 4 - Maintenance of Competence
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on Maintenance of Competence.

Objective

Develop a statement that articulates the ideal final result for Maintenance of Competence.

Process

Small Group Assignment

As a small group, develop a statement that articulates the ideal final result for Maintenance of Competence.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
team 5 - Working Physicians & GMP
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on Physicians in Practice and the Good Medical Practice document.

Objective

Develop a statement that articulates the ideal final result for Physicians in Practice using the Good Medical Practice document.

Process

Small Group Assignment

As a small group develop a statement that articulates the ideal final result for Physicians in Practice using the Good Medical Practice document.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
 
team 6 - A Trusted Agent System
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on A Trusted Agent System.

Objective

Develop a statement that articulates the ideal final result for A Trusted Agent System as part of a system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.

Process

Small Group Assignment

As a small group develop a statement that articulates the ideal final result for A Trusted Agent System.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls
 
team 7 - Accountability for Competence
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on the entire initiative currently called Physician Accountability for Physician Competence that has the goal of developing a physician self-regulation system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.

Objective

Develop a statement that articulates the ideal final result for the Physician Accountability for Physician Competence initiative.

Process

Small Group Assignment

As a small group develop a statement that articulates the ideal final result for the Physician Accountability for Physician Competence initiative.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls

 
 
team 8 - public
Assignment

Context

Before moving on to work the details of the session we want to take a round of work to identify an ideal final result for the products and processes being imagined and developed in these Summits.

Your group will focus on The Public.

Objective

Develop a statement that articulates the ideal final result for The Public relative to a system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.

Process

Small Group Assignment

As a small group, develop a statement that articulates the ideal final result for The Public relative to a system to determine, measure, and assure the public concerning physician competence over the entire career of the physician.

Use the following criteria to develop your statement:

  • The Ideal Final Result must not introduce new harm into the current system
  • The new ‘solution’ must preserve the advantages of the existing system
  • The new ‘solution’ eliminates the disadvantages of the existing system
  • There is minimal or no increase in complexity

Using the markers provided, use the white walls to capture your key thoughts and feelings from each perspective. Use words and images to capture your understanding of what is important and develop your statement.

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.

 

workwalls

 
part 2 contradicitons assignment - same for all groups

Context

In order for you to achieve your ideal final result it is likely that there are contradictions, conflicts, gaps and constraints in the current system that the new envisioned system could resolve.

The purpose of this activity is to articulate the contradictions, constraints, conflicts and gaps that the envisioned system would need to be resolve in order to realize your ideal final result.

Objective

Develop a list of statements that clearly articulate the contradictions, gaps, constraints and conflicts the envisioned system would resolve.

Process

Small Group Assignment

As a small group develop a list of statements that clearly articulates the contradictions, constraints, conflicts and gaps that currently exist in the system.

By statements we mean something like the following:

  • There is a gap in the interface between licensing boards and certifying boards.
  • While we want physicians to control access to data about their practices we also want patients and the public to have access to that data.
  • While we want physicians to practice high quality medicine we also want the cost of healthcare to be low.

 

Using the markers provided, use the white walls to capture your key thoughts and feelings. Use words and images to capture your understanding of what is important and develop your statements

You have 30 minutes to complete this part of the assignment.

Exchange

After you finish this activity you will be given further instructions.
 
 
teamlist
Team 1 Team 2 Team 3
The GMP document Assessing GMP Competencies The National Alliance
Barbara Barzansky Ann Jobe Bill McCord
Carol Thomson Dale Austin Christine Cassel
Daniel Wolfson Henry Pohl Daniel Fox
David Swankin Ian Bowmer Jim Thompson
Dennis Kendel Joseph Tollison John Crosby
Don Melnick Peter Scoles Jordan Cohen
Frederick Meoli Rosemary Gibson Kelly Podgorny
Lucian Leape Timothy Kowalski Modena Wilson
William Hartmann
     
Team 4 Team 5 Team 6
Maintenance of Competence Working Physicians & GMP A Trusted Agent System
Carol Clothier Brian Little Ann Mowery
Clara Adams-Ender Carol Wilhoit Barbara Schneidman
Danny Clark David Watt James Carland
James Guest James McHugh John Becher
James Hallock Jeanne Heard Laurence Gardner
John Anderson Melissa Thomas Melanie Brim
Julie Pung Michael Sheppa Norman Johnson
Norman Kahn Richard Morrison Stephen Clyman
   
Team 7 Team 8
Accountability for Competence Public
Frank Lewis Bruce Spivey
Kathleen Haley Carol Aschenbrener
Lynn Eckhert David Leach
Michael Opipari James Rohack
Paul Gardent John Strosnider
Peter Ajluni Robert Galbraith
Ronald Ayres Stephen Schoenbaum
William Harp Susan Johnson

 

 

 
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