Connecting education to exceptional patient care.

National Initiative IX

                                                                                              Addressing the Social and Moral Determinants of Health

    NI IX Addressing the Social and Moral Determinants of Health will be an eighteen-month initiative that features monthly Zoom cohorts or webinars and four in-person meetings*.  Monthly cohort groups will be structured by themes based on focus areas identified in the applications, with best practices from all cohort groups shared at the meetings. Learning session topics will include discussions on the social and moral determinants of health; strategies to counteract these determinants; and the importance of creating and fostering environments that serve all our patients regardless of their circumstances.  (*Please note that Meeting Three will be virtual.)

    The AIAMC’s sixteen years of experience with eight successful National Initiatives provide a rich and unique resource to the CLE community.  We have engaged numerous key leaders, including the Accreditation Council for Graduate Medical Education (ACGME), American Hospital Association (AHA), American Medical Association (AMA) and the American Association of Colleges of Osteopathic Medicine (AACOM) and look forward to their continued input and support.  The AIAMC is also an inaugural member of the National Collaborative for Improving the Clinical Learning Environment (NCICLE), facilitated by the ACGME and represented by more than 40 major health care organizations working to improve the educational experience and patient care outcomes within clinical learning environments. 

                                                                                                  WHY Social and Moral Determinants of Health?

    Social Determinants of Health are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.  They are well documented, yet too often ignored by those providing care3.  The Accreditation Council for Graduate Medical Education (ACGME) updated the Common Program Requirements effective July 1, 2023 to reflect the urgency for a systematic recruitment and retention of a diverse workforce of trainees, faculty, and education/academic staff, that professionalism requires residents to demonstrate competence in respect and responding to diverse patient populations, and that residents must demonstrate an awareness of a responsiveness to the larger context and system of health care including structural and social determinants of health and equity (systems-based practice).

    OBJECTIVES AND OUTCOMES OF NATIONAL INITIATIVE IX 
    At the end of NI IX, each participant will have engaged their clinical learning environment in addressing social and moral determinants of health.  Specific goals and outcomes for NI IX include: 

     

        Addressing the Social and Moral Determinants of Health

        Read and be able to articulate local Community Health Needs Assessment (CHNA)

        Assess social and moral determinants of health (SMDH)        

        Establish and measure programs for learners and others related to SMDH

        Engage the C-Suite in a review of Medicare requirements and how SMDH affect the clinical learning environment

        Significantly and measurably advance the clinical learning environment’s efforts in SMDH, disseminating results within your organization’s Micro, Meso, and Macro environments

        Participate in a collaborative national effort to identify and share best practices

        Author one or more peer reviewed scholarly products at the conclusion of the Initiative                                           

                                                                                         

                                                                                            SELECTION AND EXPECTATIONS OF NI IX PARTICIPANTS

        Application:  A completed application is required for consideration, and a member of the selection committee may follow up with a phone consultation, if needed.  Completed application forms are due to Mindi Apicella, AIAMC Administrative Coordinator, in Word format via email mindi@aiamc.org no later than June 2, 2023.

        Team: Each selected participant must have a team identified prior to the start of NI IX, composed of: 

        A.      Identified Team Leader who will be responsible for:

                                             (1)         The project from conception to completion including establishing and maintaining a collaborative, interprofessional team charged with aligning team aims with measures and methods to improve care

                                             (2)         Submitting all reports, documents, and NI IX required evaluations on time

                                             (3)      Ensuring that the team is represented at all NI IX meetings, local on-site meetings, and monthly    

             conference calls or webinars

        B.      Composition of each team must include:

                                          (1)      Resident(s)/Fellows(s):  Ideally, these team member(s) should be available to participate throughout the entire project, i.e., graduate on or after June 2025, to ensure continuity of team membership throughout the entire project period (Summer 2023 thru Spring 2025) 

                                          (2)      Leadership from your hospital or health system’s Community Health Office as well as external community organization representatives

                                          (3)      Representation from your hospital or health system’s Office of Patient Experience

                                          (4)      Faculty, Program Director(s) and/or DIO seeking opportunities to align with the ACGME’s Common Program Requirements effective July 1, 2023


        Meetings:   Attendance of the team leader or his/her designee at all meetings is required.  Other team members may attend as schedules and budgets allow.  The four learning sessions will be held as follows:


        Date

        Location

        Learning Content

        October 13, 2023

        Omni Chicago Hotel

        Chicago, IL

        Micro Environment Approach Understanding SMDH and its impact on health outcomes and the CLE

        April 5-6, 2024

        Loews Ventana Canyon Resort

        Tucson, AZ

        Meso Environment Approach

        Implementing a SMDH project

        October 11, 2024

         

        Virtual

        Macro Environment Approach

        Supporting the SMDH project and seeking input from others

        March 21-22, 2025

        Loews New Orleans Hotel

        New Orleans, LA

        Celebrating Our Results

        Inspiring the Sustained Improvements in the Social and Moral Determinants of Health



        Note that meetings two and four will be held in conjunction with the AIAMC Annual Meeting.Meeting four commitments include a staffed poster display and attendance at the annual awards dinner.


        Zoom Meetings and Webinars:  In addition to attending the four meetings, NI participants will be required to participate in monthly activities including Zoom meetings and webinars.  During these activities, timely and educational topics will be presented, progress reports will be shared, and participants will network and brainstorm with one another regarding how to implement sustainable and positive change more successfully.


        Financials:  AIAMC Members:  The participation fee for AIAMC member institutions selected is $4,000.  Payment options are available.  In addition to the $4,000 participation fee, member institutions will be responsible for covering any costs incurred for travel to on-site meetings.  The participation fee will cover one registration for each of the four meetings.  If additional team members wish to attend the meetings, they may do so at a rate of $250 per person per meeting.  


        Non-Members:  The participation fee for non-AIAMC member institutions selected is $6,000.  Payment options are available.  In addition to the $6,000 participation fee, institutions will be responsible for covering any costs incurred for travel to meetings.  The participation fee will cover one registration for each of the four meetings.  If additional team members wish to attend the meetings, they may do so at a rate of $250 per person per meeting.  


        Alternatively, institutions eligible for membership may join the AIAMC at the regular annual dues rate of $6,625 and participate in National Initiative IX for just $2,000.  A membership application form https://aiamc.org/become-member must be submitted by June 2nd to be eligible for the 50% new-member discount.


        For More Information:

        James (“JP”) Orlando, EdD, Chief GME Officer and DIO, St. Luke’s University Health Network, at james.orlando@sluhn.org

        Kimberly Pierce Burke, AIAMC Executive Director, at kimberly@aiamc.org




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