Journal article
Going "all in" to transform the Tulsa community's health and health care workforce
Academic medicine, Vol.88(12), pp.1844-1848
12/2013
DOI: 10.1097/ACM.0000000000000039
PMID: 24128637
Abstract
Oklahoma's health status ranks among the lowest of the states', yet many Oklahomans oppose the best-known aspects of federal health reform legislation. To address this situation, the University of Oklahoma College of Medicine's School of Community Medicine in Tulsa adopted an "all-in," fully committed approach to transform the Tulsa region's health care delivery system and health care workforce teaching environment by leading community-wide initiatives that took advantage of lesser-known health reform provisions. Medical school leaders shared a vision of improved health for the region with a focus on equity in care for underserved populations. They engaged Tulsa stakeholders to implement health system changes to improve care access, quality, and efficiency. A partnership between payers, providers, and health systems transformed primary care practices into patient-centered medical homes (PCMHs) and instituted both community-wide care coordination and a regional health information exchange. To emphasize the importance of these new approaches to improving the health of an entire community, the medical school began to transform the teaching environment by adding several interdependent experiences. These included an annual interdisciplinary summer institute in which students and faculty from across the university could explore firsthand the social determinants of health as well as student-run PCMH clinics for the uninsured to teach systems-based practice, team-based learning, and health system improvement. The authors share lessons learned from these collaborations. They conclude that working across competitive boundaries and going all in are necessary to improve the health of a community.
Details
- Title: Subtitle
- Going "all in" to transform the Tulsa community's health and health care workforce
- Creators
- Gerard P Clancy - University of OklahomaF Daniel Duffy - Cancer Prevention and Control
- Resource Type
- Journal article
- Publication Details
- Academic medicine, Vol.88(12), pp.1844-1848
- DOI
- 10.1097/ACM.0000000000000039
- PMID
- 24128637
- NLM abbreviation
- Acad Med
- ISSN
- 1040-2446
- eISSN
- 1938-808X
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Psychiatry; Emergency Medicine; Medicine Administration
- Record Identifier
- 9984280837302771
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