Katrina RRC

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Information about Katrina RRC

Published on May 2, 2008

Author: Heather

Source: authorstream.com

the richest nation:  the richest nation Slide3:  …an the unexpected happened Slide4:  SAFETY . . . the aftermath :  . . . the aftermath environmental hazards criminal element lack of infrastructure void in communication failed information technology population displacement destroyed/loss documents …the response:  …the response RRC-Surgery:  RRC-Surgery L D Britt (Chair) J David Richardson (Vice-Chair) Pat Clagett Eric Van Eaton (resident member) Josef Fischer Jerry Goldstone Donald Kaminski Letch Kline Patrick O’Leary Linda Reilly Bradley Rodgers Tom Whalen RRC-Surgery:  RRC-Surgery Doris Stoll (Executive Director) Frank Lewis (Ex Officio) Ajit Sachdeva (Ex Officio) Independent initiatives:  Independent initiatives Southeastern Surgical Congress (Sharp, Richardson,Cofer et al) numerous individual programs Slide11:  ? + – …a delicate balance… Slide12:  junior residents being told by their Chiefs to disperse residents/faculty receiving limited info(if any) regarding program matters residents working at medical facilities without their institution’s knowledge dispersed faculty members Fact or Fiction? Communication methods:  Communication methods no land phones no fax machines erratic mobile phone communication inconsistent e-mail capability Slide14:  time on task graduation requirements certification requirements makeup of didactic work “education gap” Slide15:  Teaching Hospital JCAHO ACGME Medical Errors CMS/HIPAA Local “turf” batttles Nursing Shortages Uncompensated Care Medicare and Medicaid Cuts Medical Liability IME/DME Cuts Added Patient Expectations RRC Oversight:  RRC Oversight Optimal educational environment(with the necessary resources) for residency training Slide19:  Executive Committee of the RRC – Surgery Special Meeting Slide20:  Committee’s post-Katrina plan strategy developed ACGME approval site surveyors chosen Deans/PD’s notified dates confirmed on-site visits scheduled Action items Decision:  Decision Dispatch a senior team to visit the programs on a fact-finding mission Site Surveyors:  Site Surveyors Dr. Jay Grosfeld (former vice-chair RRC) Dr. Phillip Burns (immediate past member – RRC) Dr. Doris Stoll (Executive Director – RRC) Slide23:  Residency Review Committee Special Meeting( post-site visit) January 30, 2006 Slide24:  CAUTION “Two-hit” phenomenon:  “Two-hit” phenomenon the devastation of the hurricane/flooding diminished appeal of the programs Slide26:  temporary resident transfers permanent resident transfers redoing transfers major program reorganization strategies establishment of new institutions for GME new faculty and administration flexibility items to address Format of Analysis:  Format of Analysis History/background Infrastructure Faculty/staff Resident complement Education curriculum Clinical volume Commentary/recommendations Restructuring the education system:  Restructuring the education system Short cycle and a formal RRC site visit:  Short cycle and a formal RRC site visit Slide33:  What could we have done better? ACGME:  ACGME 724 sponsoring institutions 7,800 accredited programs 99,000 residents 27 RRC’s for 26 core specialties and 115 subspecialties RRC for Surgery Program Accreditation Statistics:  RRC for Surgery Program Accreditation Statistics Slide38:  the next chapter? ? ? ? CHALLENGES ? ? :  ? ? ? CHALLENGES ? ? ? ? ? ?

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