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Milestones Linked to Systems-Based Practice
- Understand unique roles and services provided by local health care delivery systems (SBP-A1)
- Manage and coordinate care and care transitions across multiple delivery systems, including ambulatory, subacute, acute, rehabiliation and skilled nursing (SBP-A2)
- Negotiate patient-centered care among multiple care providers (SBP-A3)
- Appreciate roles of a variety of health care providers, including but not limited to consultants, therapists, nursed, home care workers, pharmacists, and social workers (SBP-B1)
- Work effectively as a member within the interprofessional team to ensure safe patient care (SBP-B2)
- Consider alternative solutions provided by other teammates (SBP-B3)
- Demonstrate how to manage the team by utilizing the skills and coordinating the activities of interprofessional team members (SBP-B4)
- Recognize health system forces that increase the risk for error including barriers to optimal care (SBP-C1)
- Identify, reflect on, and learn from critical incidents such as near misses and preventable medical errors (SBP-C2)
- Dialogue with care team members to identify risk for and prevention of medical error (SBP-C3)
- Understand the mechanisms for analysis and correction of systems errors (SBP-C4)
- Demonstrate ability to understand and engage in a system level quality improvement initiative (SBP-C5)
- Partner with other healthcare team professionals to identify, propose improvement opportunities within the system (SBP-C6)
- Reflect awareness of common socio-economic barriers that impact patient care (SBP-D1)
- Understand how cost-benefit analysis is applied to patient care (i.e. via principles of screening tests and the development of clinical guidelines (SBP-D2)
- Identify the role of various health care stakeholders including providers, suppliers, financiers, purchasers and consumers and their varied impact on the cost of and access to health care (SBP-D3)
- Understand coding and reimbursement principles (SBP-D4)
- Identify costs for common diagnostic or therapeutic tests (SBP-E1)
- Minimize unnecessary care including tests, procedures, therapies and ambulatory or hospital encounters (SBP-E2)
- Demonstrate the incorporation of cost-awareness principles into standard clinical judgments and decision-making (SBP-E3)
- Demonstrate the incorporation of cost-awareness principles into complex clinical scenarios (SBP-E4)
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