/ en Sun, 27 Apr 2025 12:09:35 -0500 Tue, 12 Dec 23 08:27:22 -0600 /grady-health-system-teen-experience-and-leadership-program <div class="container"><div class="row"><div class="col-md-8"><h3>Grady Health System | Atlanta, GA</h3><h3><small>The Background</small></h3><p>Located in Atlanta, Grady Memorial Hospital is the fifth largest public hospital in the US. It serves a six-county area, primarily focusing on serving the underserved and uninsured population in Georgia. Grady is a 953-bed health system with 7,251 staff members. Recognizing a large demographic gap between their employee and patient populations, Grady’s leadership learned that the staff was interested in bridging that gap and in getting more local students engaged in health care careers.</p><h3><small>Development and Progression of the Teen Experience and Leadership Program</small></h3><p>Before the pandemic, Grady Health System already had a small teen volunteer program in which students gained exposure to careers in health care. When Senior Vice President and Inaugural Chief Health Equity Officer Yolanda Wimberly, M.D., joined Grady Health System, she recognized the keen inquisitiveness of the teenagers whom she cared for as a pediatrician and adolescent medicine physician. Impassioned by the curiosity rising from these teens and her deep commitment to education, Wimberly used her position at Grady to create the Teen Experience and Leadership Program (TELP). </p><p>Basing the development of the new initiative on an existing program allowed the TELP team to hit the ground running. Dr. Wimberly’s vision rapidly expanded the scope of the program to engage teen volunteers in clinical and non-clinical roles. With the blessing of Grady’s CEO, Wimberly first met with unit staff to learn about their work and to introduce them to her vision for the program. Grady has over 200 staff volunteers, so the program requires support from members and departments across the organization. Even from the beginning, the majority of units were enthused and wanted to participate. </p><p>The experience of months of careful planning provided a grounding in practicality. Wimberly was determined to ensure that contingencies were in place to forestall workforce shortages and avoid other challenges to staff participation that could deplete resources and weaken commitment. It is clear now and substantiated that TELP leadership will support participating units if issues arise. With knowledge of that assurance, the units are committed to providing an exceptional experience for the teens to learn what health care careers entail. </p><h3><small>Initial Success and Lessons Learned</small></h3><p>Grady began advertising the program with virtual meet and greets for high school students and their parents. TELP's pilot in 2022 saw 35 students participate, growing to 236 in 2023 from a pool of 400 applicants. </p><p>The program involves 42 hospital units available for rotation, including clinical and nonclinical units, such as human resources, finance and legal compliance, among others. Grady wanted to ensure that all students, regardless of their schedules, would be able to engage in the experience. TELP offers considerable flexibility in time commitment, with the minimum being eight hours every two weeks. Students choose from several shifts held seven days each week in order to accommodate students’ busy schedules with school, work, sports and other commitments. With the autonomy to structure their own experience, students select the number of shifts they attend and choose the units they want to experience from the wide variety offered. One student participated in 27 different units; other participants chose to attend the same unit every day.  </p><p>The large number of units participating ensures that the workload can be well distributed throughout the hospital, as well. The employees are excited to mentor the teens; that excitement is the fuel that propels TELP staff to continue innovating. </p><p>The surprising growth in the first year of the program was one of the biggest challenges for Grady. Despite a small marketing campaign in 2023, Grady received 433 applications and had to dismiss hundreds of potential participants. Nonetheless, even with the limited placements, the task of tracking the number of teenagers and assignments is significant. Soon after the first year began, Grady staff realized that they needed a dedicated liaison for each unit to coordinate the student experiences on a daily basis. </p><p>Many participants express interest in returning to TELP the next summer, which prompts the team to identify and develop ways to accommodate even more participants. The TELP team’s diligent measurement of the program’s progress is focused on tracking participants who pursue health care careers. The database of past TELP participants serves as a conduit to greater enrollment as the TELP staff continue to identify training and career opportunities that excite and shape the next generation of health professionals.<br> </p></div><div class="col-md-4"><a href="/system/files/media/file/2023/12/workforce-cs-grady-teens.pdf"><img src="/sites/default/files/styles/thumbnail/public/2023-12/Grady-TELP.png" width="232" height="300" alt="Grady Health System Teen Experience and Leadership Program page 1." class="align-center"></a><p class="text-align-center"><a class="btn btn-primary" href="/system/files/media/file/2023/12/workforce-cs-grady-teens.pdf">Download Case Study</a></p><p> </p><p> </p><p> </p><div></div><p> </p><div><a href="https://soundcloud.com/advancinghealth" target="_blank" title="Advancing Health">Advancing Health</a> · <a href="https://player.captivate.fm/episode/25b139df-111d-41b6-a4cb-178c83db9c0f" title="Meeting Demand: Creating a New Pipeline of Health Care Workers">Meeting Demand: Creating a New Pipeline of Health Care Workers</a></div><p> </p><p>The health care field needs workers, and the demand will increase even more in the years to come. Grady Health System realized that accessing a key demographic could unlock solutions to these labor shortages. In this conversation, Grady Health System’s Yolanda Wimberly, M.D., senior vice president and chief health equity officer, and Felicia Mobley, Ph.D., director of health equity, discuss their new teen experience and leadership program, and how providing hands-on internships for local teens is helping to build its workforce pipeline for decades to come.</p><p class="text-align-center"><a class="btn btn-primary" href="/advancing-health-podcast/2023-12-08-meeting-demand-creating-new-pipeline-health-care-workers">Listen to the Podcast</a></p></div></div></div> Tue, 12 Dec 2023 08:27:22 -0600 Physician Leaders /node/681453 <p>This pamphlet is an example of an active DEI initiative at a health organization. They clearly define diversity and inclusion, why it's important, outlining their mission and explaining what they do, and identifying their leaders and members. Most importantly, they indicate how they should be percieved in the community and in the hospital so they may be held accountable.</p> Thu, 06 Jan 2022 15:02:13 -0600 Physician Leaders <p>Built around the proactive concept of upstream care, the series was developed with Rishi Manchanda, M.D., M.P.H., president and CEO at <a href="https://healthbegins.org/" target="_blank" title="Visit the HealthBegins homepage.">HealthBegins</a>, an organization dedicated to supporting and strengthening the work of frontline clinicians and community partners to improve care and address the social determinants of health (SDoH). The AHA's Physician Alliance has developed resources to help clinicians address social determinants of health within a framework that maximizes their skills while helping organizations systematically approach these challenges.</p><p> </p><table border="0" cellpadding="3" cellspacing="3"><tbody><tr><td><img src="/sites/default/files/inline-images/icon-education.png" data-entity-uuid="6a9368f1-3545-4928-b6ff-c0e1589638e3" data-entity-type="file" alt="SDoH education" width="88" height="88" class="align-center"><p> </p></td><td><img src="/sites/default/files/inline-images/icon-food.png" data-entity-uuid="5b366de5-fadd-42c8-b0d8-4f08729a586f" data-entity-type="file" alt="SDoH food" width="84" height="84" class="align-center"><p> </p></td><td><h4><a href="/physicians/SDOH">Virtual Expedition Modules</a></h4><p>A series on how healthcare leaders use upstream quality improvement to address SDoH inequities.</p></td></tr><tr><td><img src="/sites/default/files/inline-images/icon-health-behaviors.png" data-entity-uuid="547941cf-1ae2-40b2-b6b8-ba13bfb54ba1" data-entity-type="file" alt="SDoH health behaviors" width="88" height="88" class="align-center"><p> </p></td><td><img src="/sites/default/files/inline-images/icon-housing.png" data-entity-uuid="e275358e-b35f-4548-90bf-1cf110edda64" data-entity-type="file" alt="SDoH housing " width="87" height="87" class="align-center"><p> </p></td><td><h4><a href="/news/blog/2019-03-28-four-keys-applying-quality-performance-tools-and-tackling-social-determinants">Four Keys to Applying Quality Performance Tools and Tackling SDoH</a></h4><p>An AHA STAT Blog focusing on how to use existing skills and resources to tackle SDoH.</p></td></tr><tr><td><img src="/sites/default/files/inline-images/icon-social-support.png" data-entity-uuid="045b1af7-773e-47b2-a1a1-77bb9c286a61" data-entity-type="file" alt="SDoH social support" width="88" height="88" class="align-center"><p> </p></td><td><img src="/sites/default/files/inline-images/icon-employment.png" data-entity-uuid="1b862824-efb4-4e63-a13e-ae496aa6aadb" data-entity-type="file" alt="SDoH employment" width="87" height="87" class="align-center"><p> </p></td><td><h4><a href="https://www.healthbegins.org/">HealthBegins Resources</a></h4><p>HealthBegins, a professional home for Upstreamists, has developed resources to improve communication about and address health-related social needs and social determinants of health.</p></td></tr><tr><td><img src="/sites/default/files/inline-images/icon-violence.png" data-entity-uuid="9aa307fc-254d-461d-a0e9-fa0a8c88c47f" data-entity-type="file" alt="SDoH violence" width="94" height="94" class="align-center"><p> </p></td><td><img src="/sites/default/files/inline-images/icon-transportation.png" data-entity-uuid="33e11f5e-aded-4792-96c2-c9dca62c7b7a" data-entity-type="file" alt="SDoH transportation" width="94" height="94" class="align-center"><p> </p></td><td><h4><a href="/toolkitsmethodology/2019-06-05-screening-social-needs-guiding-care-teams-engage-patients">Screening for Social Needs:  Guiding Care Teams to Engage Patients</a></h4><p>AHA's <a href="/value-initiative">The Value Initiative</a> developed this tool to help hospitals and health systems facilitate sensitive conversations with patients about their nonmedical needs that may be a barrier to good health.</p></td></tr></tbody></table><p> </p><p> </p><p>The AHA, HRET and ACHI are working to support hospitals and health systems as they address social determinants of health, eliminate health care disparities and provide comprehensive care to every patient in every community—all of which improve community health. <a href="/social-determinants-health">Visit the Population and Community Health resources</a> for more tools on SDoH topics:</p><ul><li><a href="/ahahret-guides/2017-06-21-social-determinants-health-series-food-insecurity-and-role-hospitals">Social Determinants of Health Series: Food Insecurity and the Role of Hospitals</a></li><li><a href="/ahahret-guides/2017-08-22-social-determinants-health-series-housing-and-role-hospitals">Social Determinants of Health Series: Housing and the Role of Hospitals</a></li><li><a href="/ahahret-guides/2017-11-15-social-determinants-health-series-transportation-and-role-hospitals">Social Determinants of Health Series: Transportation and the Role of Hospitals</a></li></ul> Wed, 17 Apr 2019 12:01:48 -0500 Physician Leaders /education-events/aha-physician-leadership-experience-january-2019 <p><strong>2019 dates will be released soon. Contact physicianalliance@aha.org for more information.</strong></p> <p> </p> <p>$3,500 Early Bird Registration until January 15 **fee includes 3 days of lodging, meals, intensive coaching and skill development. </p> <p>Increasing demands on physician and administrative leaders have created an epidemic of burnout. AHA Physician Leadership Experience helps participants create a new professional strategy to offset the demands of the 24/7/365, fastpaced and unrelenting health care environment.</p> <p>Participants develop a powerful new ability to create new skills, patterns and rituals that intentionally create equilibrium between the competing dimensions of their lives. Participants learn to elevate their personal leadership in every aspect of their lives, which allows them to regain control of what is foundationally core, and what truly matters most in their life and work.</p> <p><strong>Location: </strong></p> <p>Hermosa Inn // Paradise Valley, AZ</p> <p> </p> <p><span><span><img alt="cid:image001.jpg@01D1E1D2.CAC142E0" src="image/jpeg;base64,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" /></span></span></p> <p><span><span><span>This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical education through the joint providership of the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) and the ���������� Association (AHA).  ABQAURP is accredited by the ACCME to provide continuing medical education for physicians.</span></span></span></p> <p> </p> <p><span><span><span>The American Board of Quality Assurance and Utilization Review Physicians, Inc. designates this live activity for a maximum of <b><i>24.5 AMA PRA Category 1 Credits™.</i></b>  Physicians should claim only the credit commensurate with the extent of their participation in the activity.</span></span></span></p> <p> </p> <p><span><span><span>ABQAURP is an approved provider of continuing education for nurses. This activity is designated for 24.5 contact hours through the Florida Board of Nursing, Provider # 50-94.</span></span></span></p> Fri, 12 Oct 2018 15:38:27 -0500 Physician Leaders /education-events/aha-physician-leadership-experience-nov <p>Increasing demands on physician and administrative leaders have created an epidemic of burnout.</p> <p>AHA Physician Leadership Experience helps participants create a new professional strategy to offset the demands of the 24/7/365, fastpaced and unrelenting health care environment.</p> <p>Participants develop a powerful new ability to create new skills, patterns and rituals that intentionally create equilibrium between the competing dimensions of their lives. Participants learn to elevate their personal leadership in every aspect of their lives, which allows them to regain control of what is foundationally core, and what truly matters most in their life and work.</p> <h3><small>Location</small></h3> <p>Garden of the Gods - Colorado Springs, CO</p> Wed, 15 Aug 2018 10:45:44 -0500 Physician Leaders /clinical-partnering Wed, 01 Aug 2018 08:39:59 -0500 Physician Leaders /news/blog/2018-04-06-preventing-spread-multidrug-resistant-organisms-mdros <p><span><span><span><span>This week, the Centers for Disease Control and Prevention (CDC) released a <a href="https://www.cdc.gov/vitalsigns/containing-unusual-resistance/">Vital Signs report</a> identifying the threats associated with antibiotic resistance (AR) and recommending “early and aggressive action” to prevent resistant pathogens from spreading in health care facilities. The containment strategy that the CDC describes is a holistic approach to prevent the spread of multidrug-resistant organisms (MDROs). </span></span></span></span></p> <p><span><span><span><span>The AHA supports and amplifies the work of the CDC to increase awareness among health care leaders, clinical labs and health care providers, including infection prevention and control professionals, of all the issues related to antibiotic resistance and of the resources available to support this work from the CDC and state and local health departments.  </span></span></span></span></p> <p><span><span><span><span>In addition, the AHA offers many resources that complement the CDC’s prevention efforts, particularly through the AHA/Health Research & Educational Trust (HRET) Hospital Improvement Innovation Network (HIIN). The AHA/HRET HIIN supports more than 1,600 acute care hospitals in their efforts to control transmission of MDROs. The AHA recognizes the importance of employing effective strategies and tactics to control transmission, including surveillance; implementation of <a href="http://www.ahaphysicianforum.org/resources/appropriate-use/antimicrobial/?utm_source=newsletter&utm_medium=email&utm_content=04032018%2Dat%2Dmemnonfed&utm_campaign=aha%2Dtoday">antibiotic stewardship</a> programs, such as those from the <a href="http://www.ahaphysicianforum.org/about/index.shtml">AHA Physician Alliance</a>; hand hygiene adherence; patient and family engagement; and systems approaches to equipment cleaning and appropriate precautions to prevent transmission.  AHA/HRET HIIN hospitals are also committed to reducing the prevalence of MRSA bacteremia by September 2018. </span></span></span></span></p> <p><span><span><span><span>AHA/HRET provides these resources to support health care organizations in their MDRO-prevention efforts: </span></span></span></span></p> <ul> <li><a href="http://www.hret-hiin.org/Resources/mdro/17/multidrug-resistant-organism-infections-mdro-top-ten-checklist.pdf"><span><span><span><span>MDRO Infections Top 10 Checklist</span></span></span></span></a></li> <li><a href="http://www.hret-hiin.org/Resources/mdro/17/multidrug-resistant-organism-mdro-change-package.pdf"><span><span><span><span>“Preventing MDRO Infections” change package</span></span></span></span></a></li> <li><a href="http://www.hret-hiin.org/resources?category=webinar&topic=multidrug-resistant-organism-mdro"><span><span><span><span>Webinar recordings on MDRO topics</span></span></span></span></a></li> <li><span><span><span><a href="http://www.hret-hiin.org/Resources/mdro/17/date-of-last-multidrug-resistant-organism-mdro-infection-checklist-poster.pdf"><span>“Date of Last MDRO Infection” checklist poster</span></a></span></span></span></li> </ul> <p><span><span><span><span>On top of providing HIIN resources, HRET also supports many hospitals across the U.S. through infection prevention-specific initiatives, such as the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Intensive Care Units: Preventing Central Line-associated Bloodstream Infections and Catheter-associated Urinary Tract Infections and the <a href="http://www.hret.org/quality/projects/strive.shtml">CDC STRIVE (States Targeting Reduction in Infections via Engagement)</a></span><span><span><span> project. These projects bring together national and local subject matter experts, state health departments and other state partners, including state hospital associations and quality improvement organizations, with hospitals to support and provide resources to prevent the spread of disease, including MDROs. </span></span></span></span></span></span></p> <p><span><span><span><span>Preventing MDRO infections is part of creating a safe health care environment for patients, families and health care professionals. Such an environment also involves rounding together, huddling together and planning patient care together—that is, working together with one vision of creating a climate and culture of safety and quality. We thank the CDC for their continued leadership and partnership on these important patient safety issues.</span></span></span></span></p> <p> </p> <p><span><span><span><i><span>Jay Bhatt, D.O., is chief medical officer of the ���������� Association and president of the Health Research & Educational Trust. </span></i></span></span></span></p> <p> </p> <p> </p> Fri, 06 Apr 2018 08:06:24 -0500 Physician Leaders /websites/2017-12-19-additional-macra-resources <p>The AHA has collected links to additional MACRA resources that you may find helpful.</p> <ul> <li><a href="http://www.ahaphysicianforum.org/" target="_blank">AHA Physician Alliance</a></li> <li><a href="http://www.hhnmag.com/topics/321-macra" target="_blank">Health Forum</a></li> <li><a href="https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html" target="_blank">CMS MACRA website</a></li> <li><a href="https://qpp.cms.gov/" target="_blank">Quality Payment Program</a> <ul> <li><a href="https://qpp.cms.gov/measures/quality" target="_blank">Quality Measures</a></li> <li><a href="https://qpp.cms.gov/measures/ia" target="_blank">Improvement Activities</a></li> </ul> </li> <li><a href="https://hcp-lan.org/" target="_blank">Health Care Payment Learning and Action Network (HCP-LAN)</a></li> <li><a href="https://aspe.hhs.gov/basic-report/ptac-physician-focused-payment-model-technical-advisory-committee" target="_blank">Physician Focused Payment Model Technical Advisory Committee (PTAC)</a></li> <li>Podcast: <a href="http://www.ahaphysicianforum.org/webinar/podcasts/index.shtml" target="_blank">Preparing for MACRA Implementation</a></li> </ul> <p> </p> Tue, 19 Dec 2017 12:37:24 -0600 Physician Leaders /toolkitsmethodology/2017-12-13-macra-resources-post-acute-care-providers <p>MACRA Resources for Post-acute Care Providers</p> Wed, 13 Dec 2017 00:00:00 -0600 Physician Leaders /toolkitsmethodology/2017-12-11-macra-decision-guide <div class="outlineContent clearfix wide"><div class="clearfix"><p>By answering a series of questions, AHA's MACRA Decision Guide will help hospitals and clinicians determine which QPP track - the Merit-based Incentive Payment System (MIPS) or alternative payment models (APMs) - would be best to pursue. Responses lead participants to briefs on associated topics.</p><hr><div id="toolkit-group"><div id="toolkit"><h2>MACRA Decision Guide</h2><h2 id="surveyContainer">Qualified Participants (QPs)</h2></div><div id="resourceDisplay"><div class="toolkit-body" id="resourceContainer1"><p>Clinicians who demonstrate significant participation in advanced alternative payment models in 2017 based on the CMS methodology are “Qualified Participants” (QPs), exempt from reporting under the MIPS. QPs also earn an advanced APM incentive payment, payable in 2019 for clinicians designated as QPs in 2017.</p><p>Resources:</p><ul><li><a href="/system/files/2018-01/rl4a-advanced-apms-criteria-and-qualifying-models.pdf" target="_blank">Advanced APMs: Criteria and Qualifying Models</a></li><li><a href="/system/files/2018-01/rl1a-calculating-adv-apm.pdf" target="_blank">Calculating Advanced APM Incentive Payment</a></li></ul></div><div class="toolkit-body" id="resourceContainer2"><h2>Partial QPs</h2><p>Clinicians with significant participation in Medicare advanced APMs just slightly under the thresholds to qualify for an advanced APM incentive payment in 2017 still receive favorable treatment under the Quality Payment Program.</p><p>Resources:</p><ul><li><a href="/other-resources/2018-01-08-partial-qualified-participants-qp-status" target="_blank">Partial QP status</a></li></ul></div><div class="toolkit-body" id="resourceContainer3"><h2>MIPS APMs</h2><p>Clinicians who participate in Medicare APMs but do not qualify for exemption from MIPS (for example, because their payment model does not include downside risk, or their advanced APM volume is too low) may still receive favorable treatment under the Quality Payment Program.</p><p>Resources:</p><ul><li><a href="/other-resources/2018-01-08-mips-alternative-payment-model-participants-reporting-under-mips" target="_blank">Alternative Payment Model Participants Reporting Under MIPS</a></li></ul></div><div class="toolkit-body" id="resourceContainer4"><h2>Interested in exploring advanced APMs in future</h2><p>Though there are limited options for Medicare advanced APM participation in 2017, CMS plans to increase the number of available Medicare advanced APMs in future years. In addition, beginning in 2019, clinicians may earn advanced APM incentives based on participation in advanced APMs across all payers.</p><p>Resources:</p><ul><li><a href="/system/files/2018-01/rl4a-advanced-apms-criteria-and-qualifying-models.pdf" target="_blank">Advanced APMs: Criteria and Qualifying Models</a></li><li><a href="#" id="showC6">MIPS Participation</a></li></ul></div><div class="toolkit-body" id="resourceContainer5"><h2>Clinicians who are exempted due to low-Medicare volume</h2><p>The MACRA provides an exemption for those eligible clinicians that have low volumes of Medicare patients. CMS has the authority to adjust the threshold through rulemaking.</p><p>Resources:</p><ul><li><a href="/system/files/2018-01/rl5a-mips-low-volume.pdf" target="_blank">MIPS Exemption for Low-volume Providers</a></li><li><a href="/system/files/2018-01/rl6a-mips-overview-reporting-requirements.pdf" target="_blank">Overview of MIPS</a></li></ul></div><div class="toolkit-body" id="resourceContainer6"><h2>MIPS Participants</h2><p>The MIPS is the default payment track under the MACRA. It ties positive and negative payment adjustments to performance on quality, cost, improvement activities and advancing care information (i.e., the meaningful use of EHRs).</p><p>Resources:</p><ul><li><a href="/system/files/2018-01/rl6a-mips-overview-reporting-requirements.pdf" target="_blank">Overview of MIPS</a></li><li><a href="/other-resources/2018-01-08-mips-quality-measurement-implications-hospitals-and-clinician-partners" target="_blank">Quality reporting</a></li><li><a href="/2018-01-09-adjusting-payment-under-mips" target="_blank">Payment under MIPS</a></li></ul></div><div class="toolkit-body" id="resourceContainer7"><h2>Rural Providers</h2><p>Rural providers are not explicitly excluded from the reporting requirements and potential payment adjustments under the MIPS. How rural facilities and clinicians are treated under the MIPS depends on the type of facility and how Medicare is billed for professional services.</p><p>Resources:</p><ul><li><a href="/other-resources/2018-01-08-applicability-mips-rural-providers" target="_blank">Applicability of MIPS to Rural Providers</a></li><li><a href="/system/files/2018-01/rl6a-mips-overview-reporting-requirements.pdf" target="_blank">Overview of MIPS</a></li></ul></div></div></div></div></div> Mon, 11 Dec 2017 00:00:00 -0600 Physician Leaders