CITE Project: Case Western Reserve, 2000-03

Partnerships for Quality Education

Field of Work: Aligning the training of physicians and nurse practitioners with the demands of 21st-century clinical practice.

Problem Synopsis: In the 1990s, managed care became one of the dominant forces in health care. Physicians and nurse practitioners (NP's) were expected to know how to manage patients' health, often within a fixed budget. Although care was increasingly taking place in outpatient settings, physicians continued to receive most of their training in hospitals rather than in ambulatory care centers. They also received little training in preventive care, or in interprofessional collaboration.

Synopsis of the Work: Partnerships for Quality Education (PQE) (April 1999 through January 2009), was initially funded by the Pew Charitable Trusts (during which time it focused on physicians only) and then by RWJF (which expanded it to include NP's). The program sought to improve a core set of skills in physicians and nurse practitioners, including interprofessional collaboration, chronic illness management, systems-based care and practice-based quality.

Case Western Reserve University participated in the Collaborative Interprofessional Team Education component of PQE (CITE). Its CITE project (entitled Catalyst for Kids) partnered its Bolton School of Nursing; its medical school's departments of pediatrics and pharmacy; and MetroHealth System, a managed care organization.

The goal was to implement and evaluate a model educational experience in which learners (Case Western Reserve's pediatric residents, nurse practitioner students and pharmacy residents), medical faculty and clinic staff learned to work as teams of six to eight individuals to provide and improve the care of children.

Key Results:

  • Project learners developed better teamwork skills when compared with a control group.
  • Faculty found that patients treated by the intervention group had slightly fewer visits to the emergency department—but this difference was not statistically significant.
  • Case Western incorporated the project model, Catalyst for Kids, as a permanent part of resident training at MetroHealth.

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