Page 29 - Master Blueprint 2018 - 2019
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COMPETENCY            7        SYSTEMS-BASED PRACTICE IN
          DOMAIN
                                         OSTEOPATHIC MEDICINE




        REQUIRED ELEMENT 7.1                               MEASURED OUTCOMES                                 MEASURED OUTCOMES
        HEALTH SYSTEMS AWARENESS                           The osteopathic physician must:                   The osteopathic physician must:
                                                           • identify and define the roles of trainees (ie, medical  • recognize and work to reduce logistical and systems-
        DEFINITION
                                                            students and residents) and other health care     based barriers to patient care.
        The osteopathic physician must understand health care
                                                            professionals as members of the interprofessional
        delivery systems and their associated health care coverage
                                                            collaborative team.
        and access, including but not limited to Medicare, Medicaid,
        managed care, the Veterans Health administration,
                                                                                                             REQUIRED ELEMENT 7.5
        formularies, accountable care organizations, and patient-
                                                                                                             IMPROVE HEALTH SYSTEMS AND PATIENT SAFETY
        centered medical homes, all of which affect the practice of
                                                           REQUIRED ELEMENT 7.3
        an osteopathic physician and the care of his/her patients
                                                           INCORPORATE CONSIDERATIONS OF COST                DEFINITION
        and the community.
                                                           AWARENESS AND RISK-BENEFIT ANALYSIS IN            The osteopathic physician must understand, advocate for,
                                                           CARE                                              and apply methods for the evaluation and improvement of
        MEASURED OUTCOMES
                                                                                                             patient care systems, with the goal of improving patient
        The osteopathic physician must:
                                                           DEFINITION                                        safety and quality of care.
        • know the various types of medical practices and national  The osteopathic physician must consider how to allocate
         health care delivery systems, including types of third-party  resources (eg, evaluating value, quality, cost, risk-benefit  MEASURED OUTCOMES
         coverage and methods of payment.                  analysis, potential wastes) in the health care delivery system  The osteopathic physician must:
                                                           and incorporate them into the care of patients.
        • understand the impact of health care delivery systems on                                           • identify and use known effective methods for recognizing
         patient care at the national level.                                                                  health system errors, implementing potential system
                                                           MEASURED OUTCOMES
                                                                                                              solutions, and improving patient safety and systems of
        • identify global issues affecting the health of patients and  The osteopathic physician must:        care (eg, error reporting, root cause analysis, training to
         communities.
                                                           • incorporate considerations of cost awareness and risk-  improve effective transitions of care, best practices for
                                                            benefit analysis in patient- and/or population-based care.  safe prescribing, infection control, disease reporting,
                                                                                                              disaster management).
                                                           • make cost-effective decisions in the provision of optimal
        REQUIRED ELEMENT 7.2                                patient care (eg, request consults effectively, use
        ENGAGE IN AN INTERPROFESSIONAL HEALTH               diagnostic tests judiciously, participate in effective
        CARE TEAM FOR OPTIMAL PATIENT- AND                  transitions of care) involving health care and resource
        POPULATION-CENTERED CARE                            allocation.
        DEFINITION
        The osteopathic physician must understand the function of
        the interprofessional health care team and his/her role in the  REQUIRED ELEMENT 7.4
        team and also optimize team performance across the health  ADVOCATE FOR ALL PATIENTS WITHIN THE
        care system for safe, quality patient- and population-  HEALTH CARE SYSTEM
        centered care.
                                                           DEFINITION
                                                           The osteopathic physician must be an advocate for all
                                                           patients within the health care system.
        COMLEX-USA MASTER BLUEPRINT                                                                 DIMENSION 1     COMPETENCY DOMAIN 7       page 28
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