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Implementation of P4P in a Residency Program. Peter Harper MD MPH. Key Elements of Success. Clear goals Leadership/faculty buy-in Clinical Financial Educational Open discussion Deal with the demons Air the angst Get on the balcony – adaptive leadership.
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Implementation of P4P in a Residency Program Peter Harper MD MPH
Key Elements of Success • Clear goals • Leadership/faculty buy-in • Clinical • Financial • Educational • Open discussion • Deal with the demons • Air the angst • Get on the balcony – adaptive leadership
Key Elements of Success (continued) • Infrastructure • Can’t just work harder • Build systems and infrastructure to support • Clear, consistent, repetitive messaging • All forums – meetings, lectures, precepting • EMR templates
Key Elements of Success (continued) • Data/feedback • Clinic • Individual • Patient specific • Champion • Addressing educational value with residents
Challenges • Communication • Faculty • Autonomy, suspicious • Consistency with large number of residents • Limited time in clinic • Limited opportunities for consistent messaging
Challenges (continued) • Education vs service • Resident needs to learn and error VS consistent system to provide that service • Inadequate systems • Hard to build, hard to institutionalize • Clinical inertia