Greenville Health System (GHS) is the only academic health center of its kind in the nation. GHS and its primary academic partners — Clemson University, Furman University, and the University of South Carolina — are working together to pave the way for breakthroughs in healthcare delivery, access, and affordability through a unique concept known as GHS Clinical University. Providing access to more than 40 academic professional programs, a medical school, clinical and translational research, and the region’s largest healthcare delivery system, GHS Clinical University is dedicated to helping the health professionals of today and tomorrow meet the real-world needs of the community.
In an effort to teach and implement high value care in our clinical university, we have started several initiatives.
The graduate medical education (GME) “Cases in High Value Care” competition was started at GHS in 2015 (see link below for GME Competition Information). Faculty “value care champions” from Internal Medicine, General Surgery, and OB/GYN mentored residents and completed 10 submissions. Department chairmen endorsed the initiative and provided financial support to be used for continuing education for our winners. Winners then created posters that were shown at our annual Resident Education Day in May 2016. Our 1st place winner published his case in our health system journal, GHS Proceedings, and our 2nd place winner is doing a QI project to reduce unnecessary spending on IV antibiotics in surgical evacuation of the uterus for 1st trimester pregnancy loss. She also published her peer reviewed case on the American College of OB/GYN website in a curriculum resource for residency programs to use in teaching high value care and will be submitting the completed performance improvement project to the GHS Proceedings for consideration as a Value Vignette.
In 2016, this initiative expanded to the Departments of Orthopedic Surgery, Family Medicine, and Pediatrics. Again, department chairmen stepped up with financial support and endorsed creation of our 1st annual system-wide Value Care Grand Rounds on January 25, 2017. This event will include an introduction to the importance of high value care by the President and CEO of GHS, LLC, a multi-region health system in upstate South Carolina; a patient story of the impact of cost of care on a family; a financial M&M reviewing a hospital bill; recognition of last year’s winner; and a summary of our first year successes.
Winners for the 2017 contest will be chosen in February and posters will be shown at our annual Resident Education Day. These vignettes will serve as a platform for quality and process improvement in keeping with our first year.
GHS Proceedings’ inaugural issue was published in May 2016. As an academic health center with a mission to heal compassionately, teach innovatively, and improve constantly, our leadership created this publication to highlight relevant scholarship in healthcare innovation and delivery. Building on the creation of the GME competition and the GHS commitment to providing high value care, the editorial board created an article type, “Value Vignette.” This is a short clinical vignette displaying high value care, as well as a proposed intervention (See link below for "Value Vignette" guidelines).
The original example “Case in High Value Care” for the GME competition was published in the inaugural issue of GHS Proceedings and was based on high value improvement work in the GHS Department of OB/GYN (See link below for "Case in High Value Care").
Our programs have succeeded in teaching and implementing high value change in our health system and are now embedded in 6 departments. Our next step will be to include our medical students, who are part of our longitudinal elective, as well as to involve nursing, pharmacy, and other medical professional peers.
GME Competition Information: drive.google.com/file/d/0B92Qf...
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