M.J. Horstman is assistant professor, Department of Medicine, Section of Health Services Research, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, investigator, Center for Innovations in Quality, Effectiveness, and Safety, and core faculty, VA Quality Scholars Coordinating Center, Houston, Texas.
R.S. Miltner is associate professor, University of Alabama at Birmingham School of Nursing, and associate faculty scholar, VA Quality Scholars Fellowship Program, Birmingham VA Medical Center site, Birmingham, Alabama.
Acad Med. 2021 Jan 1;96(1):68-74. doi: 10.1097/ACM.0000000000003658.
Despite the need for leaders in health care improvement across health professions, there are no standards for the knowledge and skills that should be achieved through advanced interprofessional health care improvement training. Existing health care improvement training competencies focus on foundational knowledge expected of all trainees or for specific career pathways. Health care improvement leaders fill multiple roles within organizations and promote interprofessional improvement practice. The diverse skill set required of modern health care improvement leaders necessitates the development of training competencies specifically for fellowships in applied health care improvement. The authors describe the development of the revised national Veterans Affairs Quality Scholars (VAQS) Program competencies. The VAQS Program is an interprofessional, postdoctoral training program whose mission is to develop leaders and scholars to improve health care. An interprofessional committee of VAQS faculty reviewed and revised the competencies over 4 months beginning in fall 2018. The first draft was developed using 111 competencies submitted by 11 VAQS training sites and a review of published competencies. The final version included 22 competencies spanning 5 domains: interprofessional collaboration and teamwork, improvement and implementation science, organization and system leadership, methodological skills and analytic techniques for improvement and research, and teaching and coaching. Once attained, the VAQS competencies will guide the skill development that interprofessional health care improvement leaders need to participate in and lead health care improvement scholarship and implementation. These broad competencies are relevant to advanced training programs that develop health care improvement leaders and scholars and may be used by employers to understand the knowledge and skills expected of individuals who complete advanced fellowships in applied health care improvement.
尽管医疗保健行业需要各个健康专业领域的领导者来改善医疗服务，但目前还没有针对高级跨专业医疗保健改善培训所需的知识和技能的标准。现有的医疗保健改善培训能力侧重于所有受训人员或特定职业道路所需的基础知识。医疗保健改善领导者在组织中扮演着多种角色，并推动跨专业的改善实践。现代医疗保健改善领导者所需的多样化技能集需要专门为应用医疗保健改善的进修课程制定培训能力。作者描述了修订后的国家退伍军人事务部质量学者（VAQS）计划能力的制定过程。VAQS 计划是一个跨专业的博士后培训计划，其使命是培养领导者和学者来改善医疗服务。一个由 VAQS 教师组成的跨专业委员会在 2018 年秋季开始的 4 个月内审查和修订了这些能力。第一份草案是使用来自 11 个 VAQS 培训基地提交的 111 项能力以及对已发表的能力的审查制定的。最终版本包括 22 项能力，涵盖 5 个领域：跨专业合作和团队合作、改进和实施科学、组织和系统领导、用于改进和研究的方法技能和分析技术以及教学和指导。一旦获得 VAQS 能力，将指导跨专业医疗保健改善领导者参与和领导医疗保健改善学术和实施所需的技能发展。这些广泛的能力与培养医疗保健改善领导者和学者的高级培训计划相关，并且雇主可以使用这些能力来了解完成应用医疗保健改善高级进修课程的个人所期望的知识和技能。
