The Atlanta Interprofessional Student Hotspotting Program: Service-oriented education and community-centered accountable care for high utilization patients

Location

Suwanee, GA

Start Date

14-5-2019 1:00 PM

End Date

14-5-2019 4:00 PM

Description

PCOM Georgia has partnered with Grady Memorial Hospital (GMH) and joined the Atlanta Interprofessional Student Hotspotting (AISH) Program. Program participants include students and mentors from eleven health professional schools/universities in the Atlanta area. The program utilizes a national service-learning curriculum that engages students from different healthcare-related disciplines to work with medically and socially complex patients that have high healthcare utilization rates. Nationwide, high utilizers make up 5% of the patient population, but account for over 50% of healthcare costs. To address this burden, the AISH program objectives align with the ultimate goals of accountable care organizations, including providing patient-centered care and improving outcomes for both the patient and the healthcare system. AISH teams work in coordination with the Chronic Care Clinic at GMH to conduct home visits with high utilization patients. We define high utilization as four or more inpatient admissions within a twelve-month period. Student participants receive training, conduct team meetings, and work with their mentors. Teams establish relationships with the enrolled patients and apply motivational interviewing techniques to maximize self-efficacy and to explore the biopsychosocial and environmental factors contributing to high utilization rates. Notably, students are not providing clinical care or recommendations. Program evaluation includes analysis of qualitative and quantitative measures assessing patient health outcomes, healthcare system outcomes, and effectiveness of interprofessional service-learning in health professions education. Objectives specific to PCOM-GA include the following: describe frequently reported patient barriers to health maintenance (personal and systemic), identify prevalent risk factors and disease specific management issues for GMH high utilization patients, and compile evidence-based tools for practitioners and patients to improve patient self-efficacy. Our ultimate goals include increasing PCOM-GA student participation (DO, Pharmacy, PA, PT programs) in the AISH program and exploring a similar service-oriented educational model for PCOM-South GA.

Embargo Period

1-28-2020

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COinS
 
May 14th, 1:00 PM May 14th, 4:00 PM

The Atlanta Interprofessional Student Hotspotting Program: Service-oriented education and community-centered accountable care for high utilization patients

Suwanee, GA

PCOM Georgia has partnered with Grady Memorial Hospital (GMH) and joined the Atlanta Interprofessional Student Hotspotting (AISH) Program. Program participants include students and mentors from eleven health professional schools/universities in the Atlanta area. The program utilizes a national service-learning curriculum that engages students from different healthcare-related disciplines to work with medically and socially complex patients that have high healthcare utilization rates. Nationwide, high utilizers make up 5% of the patient population, but account for over 50% of healthcare costs. To address this burden, the AISH program objectives align with the ultimate goals of accountable care organizations, including providing patient-centered care and improving outcomes for both the patient and the healthcare system. AISH teams work in coordination with the Chronic Care Clinic at GMH to conduct home visits with high utilization patients. We define high utilization as four or more inpatient admissions within a twelve-month period. Student participants receive training, conduct team meetings, and work with their mentors. Teams establish relationships with the enrolled patients and apply motivational interviewing techniques to maximize self-efficacy and to explore the biopsychosocial and environmental factors contributing to high utilization rates. Notably, students are not providing clinical care or recommendations. Program evaluation includes analysis of qualitative and quantitative measures assessing patient health outcomes, healthcare system outcomes, and effectiveness of interprofessional service-learning in health professions education. Objectives specific to PCOM-GA include the following: describe frequently reported patient barriers to health maintenance (personal and systemic), identify prevalent risk factors and disease specific management issues for GMH high utilization patients, and compile evidence-based tools for practitioners and patients to improve patient self-efficacy. Our ultimate goals include increasing PCOM-GA student participation (DO, Pharmacy, PA, PT programs) in the AISH program and exploring a similar service-oriented educational model for PCOM-South GA.