Putting Recommendations into Action: Improving Care Management in Hospital-Sponsored Teaching Clinics

Grantee Name

Greater New York Hospital Foundation, Inc.

Funding Area

Special Projects Fund

Publication Date

February 2016

Grant Amount

$306,613

Grant Date:

November 2011 – August 2014

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Hospital-sponsored teaching clinics face an inherent challenge. They seek to provide strong continuity of care for patients, yet they largely rely on a discontinuous workforce comprising medical residents.

In 2010, NYHealth provided a planning grant to Greater New York Hospital Foundation, Inc., (GNYHF) to identify opportunities to improve the quality and continuity of patient care without compromising the educational requirements of residency programs. The planning grant repeatedly identified the resident scheduling format as the single biggest hurdle to improving continuity of care for patients. In 2011, NYHealth awarded GNYHF a grant to work with 15 residency programs—25% of all the programs in the State—to improve resident scheduling and care continuity through the implementation of models that have been successfully employed in other parts of the country.

Outcomes and Lessons Learned

Created a learning collaborative that assisted participating hospitals in implementing better care management practices through webinars, briefings, and regular communications;
Produced the report, “Redesigning the Teaching Clinic: A Toolkit for Improving Care Coordination and Resident Learning,” which was disseminated to hospitals detailing best practices;
Developed a financial matching program of up to $5,000 for hospitals to use toward consulting services;
Organized 5 of the 15 hospitals (all part of NYC Health + Hospitals) to participate in a collaborative effort on developing a patient-centered medical home (PCMH) curriculum for residents. PCMH certification from the National Committee for Quality Assurance is key component of the H-MH program.

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