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General Sessions

Friday, December 7, 8:45–9:30 am 

Creating a Manageable Cockpit for Clinicians: A Shared Responsibility

Christine Sinsky, MD, American Medical Association, Chicago, IL

For many clinicians, the work of health care has become undoable. The “cockpit” where physicians and other health professionals work now consists of a cacophony of warning alerts, pop-up messages, mandatory tick boxes, a Sisyphean inbox, and maddening documentation. Paradoxically, many interventions intended to improve quality, safety, or value, when taken in totality, may in fact contribute to health system dysfunction by virtue of the cumulative impact on workload and consequent burnout.

In this session, we will discuss the science supporting the quality, safety, and business cases for focusing on creating a manageable cockpit for physicians. We will also demonstrate practical leadership and workflow and teamwork interventions that can improve professional satisfaction and reduce burnout. We will demonstrate the AMA practice transformation modules (StepsForward) that can help physicians and staff reengineer their practice.


Saturday, December 8, 2:30–3:45 pm

From Good Intentions to Action: Tools and Systems Approaches to Address Social Determinants and “Injustice in Health”





Heather Bleacher, MD, MPH, University of Colorado Family Medicine Residency, AF Williams Family Medicine Clinic; Danielle Jones, MPH, Center for Diversity and Health Equity, American Academy of Family Physicians; Jerry Kruse, MD,   MSPH, Southern Illinois University School of Medicine; Viviana Martinez-Bianchi, MD, Duke University Medical Center Family Medicine Residency

In 1966, Martin Luther King, Jr. said “Of all the forms of inequality, injustice in health is the most shocking and inhuman.” Yet taking action as primary care providers to understand health inequity—health injustice—and impact the health related context of people’s lives can seem overwhelming. In this panel discussion, you’ll hear from those who have developed and/or implemented systems approaches and practical tools to provide comprehensive, coordinated care to complex patients within the context of their “social determinants” and theircommunities. Following the panel presentation, each panelist will join attendees in separate rooms to share national best practices and exploration of these important topics.


Sunday, December 9, 8–9 am

Slaking Tantalus: Reducing Burden for Supporting Advanced Clinical Practice

Robert Phillips, MD, MSPH, the American Board of Family Medicine, Lexington, KY

Meaningful use requires that electronic health records enable data solutions for informing and improving care have not only been toothless but the burden was shifted to clinicians. Like Tantalus of Greek mythology, we are immersed in data that we painstakingly collect but cannot use to satisfy our need to measure and improve care, to report quality or share data, or integrate with other data to understand our patients and their needs. For more than a decade, the ABFM has asked its Diplomates to use their clinical data to assess their practices and choose quality improvement activities. The Federal Quality Payment Program has adopted a similar process for value-based payments. There is growing pressure to use data from other sources, claims data and social determinant data, for example, to assess patient risks, adjust payments, and assess outcomes.

The ABFM PRIME Registry currently pulls data from more than 130 EHRs for all types of primary care clinicians in 49 states, turning the data into quality measure dashboards and population health management tools. The Population Health and Assessment Engine (PHATE) brings social determinant data to PRIME, enabling risk assessment and, eventually, payment adjustment. The ABFM aims to add meaningful primary care measures to PRIME such that reporting requirements, payment adjustment, certification, and clinical quality improvement are aligned and with reduced burden. These efforts are meant to be exemplary of what primary care needs to support advanced clinical practice.


Copyright 2018 by Society of Teachers of Family Medicine