Publications by authors named "Michael A Clay"
The Veterans Health Administration (VHA) designed the Opioid Safety Initiative (OSI) to help decrease opioid prescribing practices associated with adverse outcomes. Key components included disseminating a dashboard tool that aggregates electronic medical record data to audit real-time opioid-related prescribing and identifying a clinical leader at each facility to implement the tool and promote safer prescribing. This study examines changes associated with OSI implementation in October 2013 among all adult VHA patients who filled outpatient opioid prescriptions.
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- Soaring healthcare costs, longer patient lifespans with chronic conditions, and dwindling interest in primary care highlight the need for a new healthcare delivery model, leading to the development of the patient-centered medical home (PCMH).
- Clinical educators face unique challenges in implementing this model, such as teaching unmastered concepts, redesigning care systems while practicing within them, and collaborating with expanded interprofessional teams.
- To address these challenges, the authors recommend adapting faculty development programs to include mutual learning for faculty and learners, expanding the definition of faculty to include diverse healthcare team members, supporting interprofessional collaboration, and incorporating change management training into faculty development.