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2/6/15 Assuring and Enhancing Quality Education in Athletic Training MAATA District III Meeting May 2014 Execu,ve Commi2ee Mark Laursen, MS, ATC President Boston University Eric Sauers, PhD, ATC, FNATA Vice President A.T Still University Bernard Griesmer, MD Treasurer American Academy of Pediatrics Representative HealthTracks Center, Springfield, MO Athle,c Training Members Ray Castle, PhD ,ATC Louisiana State University Mark Merrick, PhD, ATC, FNATA The Ohio State University Paula Maxwell, PhD, ATC James Madison University LesLee Taylor, PhD, ATC Texas Tech University Health Sciences Chad Starkey, PhD, ATC Ohio University 2/6/15 Administra,ve Member Physician Members Gregory Frazer, PhD Administrative Member Dean and Professor Rangos School of Health Sciences Duquesne University Joseph Guettler, MD AOSSM Representative Oakland University William Beaumont School of Medicine LaMont Cavanaugh, MD American Academy of Family Physicians Representative University of Oklahoma School of Medicine Public Member Jack Weakley Director, Athletic Training Consulting Services, LLC Johnson & Johnson Sports Medicine Division (retired) Overview • • • • • • • Analytics Public Accountability and Transparency Quality Improvement Current Quality Improvement Future Strategic Goals Examining the Professional Degree Your Questions/Comments TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 2/6/15 Assurance Value Excellence Analytics By the Numbers Professional Programs (N=364) Baccalaureate 336 Masters Programs 28 Transi,oning submi2ed New Programs (applying 2014-‐16) Baccalaureate, 4 Post-‐Baccalaureate Post-‐Professional Degree 16 Residency 1 submi2ed TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION BOC Pass Rate 2011-2013* Program Type Number 1st A=empt Pass Rate Overall Pass Rate Bachelors programs 338 77% 89% Masters programs 27 94% 100% All 365 78% 90% *Based on exam candidates, not total graduates TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 2/6/15 BOC Pass Rate by cohort GraduaCon Cohort 1st Cme Pass Rate Overall Pass Rate Class of 2011 76% 91% Class of 2012 79% 91% Class of 2013 80% 89% TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Professional Programs Not Meeting 70% Minimum Pass Rate Standard 2011-13 Professional Program Type Bachelors programs Masters programs All programs Number Number of programs not meeCng 70% 1st a=empt pass rate (excludes new programs with < 3 exam cohorts) Percentage of programs not meeCng 70% 1st a=empt pass rate (excludes new programs with < 3 exam cohorts) 338 94 27 28% 4% 365* 95 26% * There were 367 accredited programs during 2012-‐13 Of these, 3 programs closed at the end of the year Two of these 3 did not provide exam cohort data and are not included here TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 2/6/15 Transparency and Public Information The Public demands it: • 30 day period – Search for accredited programs 8,080 hits – BOC pass rate 3,505 hits • On our website “Search for Accredited Programs” was second only to the “Home Page” for number of views “Pass rate” was third TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Accountability, Transparency and Public Information • Higher Education Accreditation Requires It – CHEA Standard 12 (A) (3) - standards or policies that include expectations of institutional or program quality, including student achievement, – CHEA Standard 12 (B) (1) require institutions to provide reliable information to the public, including student achievement – CHEA Standard 12 (C) Encourages self-scrutiny and planning for change and needed improvement TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Post-Professional Programs • Revised Standards released – Effective July 1, 2014 • Revised fee for post-professional programs – Going into effect Academic Year 2016−2017 TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 2/6/15 Residency Programs • Accredited two Residency Programs • Currently administratively aligning the Residency Standards with Professional and Post Professional Degree Standards • Will be out for public comment late spring TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION CHEA Recognition • Deemed eligible to apply for recognition in September 2012 • Site visit February 21 – 22, 2014 • Submitting recognition documents spring of 2014 • Committee on Recognition hearing, June 2014 • CHEA Board action September 2014 TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION CURRENT QUALITY IMPROVEMENT 2/6/15 Professional Programs • E-Accreditation – 26 Programs completing Self-Study electronically this year • Annual Report – Best on-time return rate ever • All but two programs completed AR on time – ARs reviewed with action taken by Commission at February Meeting • Data about our programs TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION QUALITY EDUCATION Quality Improvement • Standards Designed to Drive Quality – Established minimal pass rate – Minimum number of faculty – Outcomes based standards – Flexibility in clinical time • Substantive Change Process TRANSFORMING THE PROFESSION THROUGH Quality Improvement for the Future 2/6/15 Institute of Medicine Core Competencies for Health Professionals • • • • • Delivering patient-centered care Working as part of interdisciplinary teams Practicing evidence-based medicine Focusing on quality improvement Using information technology Ins,tute of Medicine Health Professions Educa3on: A Bridge to Quality Washington, D.C.: The Na,onal Academy of Sciences; 2003 TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION QUALITY FOR THE FUTURE Alignment with other healthcare professions • AT programs that are housed within schools of health professions • We support the status of Level II Providers for athletic trainers – Currently • National Uniform Claims Committee identifies ATs as Level III Providers (specialist and technologist) • Professions we are most like are classified as Level II Providers – Knowledge, skills and abilities that are comparable to other Level II Providers TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION QUALITY FOR THE FUTURE STRATEGIC GOALS 2/6/15 Creating an educational format which produces graduates that…… • • • • Have a strong scientific foundational knowledge Are clinically competent Want athletic training as a career Have the knowledge, skills and abilities comparable to other Level II Providers • Have a place in healthcare as a Level II Provider TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Creating a quality educational environment in which programs have…… • Periods of full-time clinical engagement • Faculty with specific areas of expertise TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Encouraging and Recognizing Excellence • Creating standards and a process that encourages creativity and excellence • Analyze the characteristics of quality programs and create an environment that fosters those characteristics • Create an environment that encourages innovative and new curricula that prepare athletic trainers for our future place in health care • Provide a purposeful continuum of education TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 2/6/15 Currently, the Commission believes: • Standards should be continually examined • KSA’s need to change as medical practice and needs change TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Examining the Professional Degree • Commission continually evaluates quality in education and – Constantly considering the impact of accreditation standards on existing degree levels – Examining degree level changes in other other health professions TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Examining the Professional Degree • Currently, the Commission believes: – Compelling evidence indicates that better outcomes are being achieved at the masters level – The elements of quality improvement we have identified will be easier to implement at the masters level – It is important to facilitate programs who want to transition their program to the post-baccalaureate level TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 10 2/6/15 The Commission also believes… • Changing the degree level is NOT a “silver bullet” • To accomplish our mission, changes need to continue to be made in professional education regardless of the level of the degree TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Positive comments have we heard? • Increase respect with legislators • Increase recognition with other health care providers • More mature students • Students who want to stay in athletic training • Curricular flexibility TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Concerns have we heard? • • • • Cost Salary Lack of evidence regarding patient outcomes Loss of research due to a loss of graduate programs • Loss of GA’s as workforce • Potential impact on diversity (race and ethnicity) TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 11 2/6/15 Questions we are currently examining • Number and degree level of faculty • Unit in which the program is housed • Impact of renewed interest on Federal level in regard to undergraduate credit hours and its potential impact on AT education TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Examining the Professional Degree • Commitment to an objective evaluation and transparent process are warranted prior to making any decision that accomplishes our mission • Open forums at all district meetings • Online solicitation of stakeholder feedback • Ongoing evaluation of the impact of current and future standards • Evaluation of evidence as it becomes available • Collaboration with our strategic partners TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION Save the Date!! CAATE AccreditaCon Conference October 17-‐18, 2014 Tampa, Florida TRANSFORMING THE PROFESSION THROUGH QUALITY EDUCATION 12 2/6/15 Comments May 2014 13