ADGAP Action Plan

Retreat participants have identified four SMART goals, together with strategies and tactics that will support geriatric academic programs and advance ADGAP’s mission in the next several years.

Goal I

Goal I: Models of Care
Champion: Richard Besdine and Mary Tinetti
By June 2016, 60% of academic geriatric programs will implement one evidence-informed geriatrics relevant innovative model of interdisciplinary care within their health system.
Strategy 1: ADGAP will provide programs with tool kits, consultation, current and emerging models and other resources necessary to implement and/or improve these care models.
Tactics
  1. Conduct a literature search on evidence-informed care models in 2013.
  2. Create resources to support adoption of geriatrics care models by health systems by May 2014 (two), May 2015 (five), and May 2016 (seven):
    • Business case and rationale for presentation to institutional leaders
    • Tool kits of resources – protocols, order sets, educational materials, etc.
  3. By January 2014, identify a list of consultants and host sites for short term training for each care model that are available to provide assistance.
  4. Develop an annual AGS preconference or symposium presenting evidence-informed geriatrics relevant innovative models of interdisciplinary care.
  5. Link with and access resources from the Medicare Innovation Center to be current with care models by 2014.
Strategy 2: ADGAP will work in coalition to support the development of curricula and establish competencies to link interprofessional education with collaborative practice.
Tactics
  1. Link with and access resources from the University of Minnesota National Coordinating Center for Interprofessional Education and Collaborative Practice and the Partnership for Health in Aging consortium to establish geriatrics as champions for IPE-CP by January 2015.
  2. Link with and access resources from the IPE products from the Reynolds Next Steps institutions by January 2014.
Strategy 3: Identify short-term training opportunities for geriatricians in emerging care models and quality improvement.
Tactics
  1. Develop short-term training experiences with Centers for Medicare & Medicaid Service (CMS) to equip faculty with skills in improvement science by 2015.
  2. Develop short-term training experiences with Institute for Healthcare Improvement (IHI) and/or (depends on cost)
  3. Develop short-term training experiences with Quality Improvement Organizations (QIOs) and others.

Goal II

Goal II: Alternative Pathways
Champion: Rosanne Leipzig and Suzanne Fields
By 2014, there will be at least one new alternative pathway to geriatrics certification and at least two additional alternative pathways by 2015.
Strategy 1: Identify viable alternative pathways for geriatrics certification.
Tactics
  1. By December 2013, develop a document describing each pathway in detail and identify relevant national stakeholders (e.g. subspecialty societies, boards).
  2. By June 2014, meet with relevant stakeholders about each viable pathway. (completed)
  3. By June 2015, develop, facilitate, and coordinate steps for implementation of the pathways.
Strategy 2: Disseminate information on individual exceptions for certification that have been approved on a case by case basis.
Tactics
  1. By 2014 AGS Annual Meeting, have an implementation guide for fellowship program directors on currently available strategies to receive an exception for an individual fellow to use an alternative pathway to certification.

Goal III

Goal III: Education
Champion: Jim Campbell and Kevin Foley
By 2016, there will be three new community based fellowship networks.
Tactics
  1. By Fall 2013, form a national taskforce to guide development of new community-based fellowship networks. (completed)
  2. By 2014 AGS Annual Meeting, identify proven program models and the key factors needed for successful implementation. (completed)
  3. By Fall 2014, identify potential regions and regional champions. (completed)
  4. By January 2015, develop, facilitate and coordinate steps for implementation of these networks.

Goal IV

Goal IV: Leadership
Champion: Sharon Brangman and Ron Adelman
By 2015, ADGAP will develop and implement a leadership program for program and fellowship directors.
Strategy 1: Create a half-day leadership development preconference at the 2014 AGS Annual Meeting for Program Directors and Fellowship Directors that would complement the Fellowship Director pre-conference.
Tactics
  1. Establish a 2 leader workgroup to develop the preconference program (Together with the existing Fellowship Directors Pre-Conference, this will form an ADGAP Leadership Day). (completed)
  2. Develop half day program agenda and content, identify speakers. (completed)
  3. Discuss fee structure with the AGS staff.  (completed)
  4. Develop measures of success, number of attendees/satisfaction, number of new ADGAP members. (completed)
Strategy 2: Develop a leadership mentoring program for Program Directors and Fellowship Directors.
Tactics
  1. Complete a needs assessment of content and format of leadership mentoring by surveying the membership by October 2013.
  2. Identify members and emeritus members with specific expertise who are willing and able to serve as leadership mentors by December 2013.
  3. Develop the menu of mentoring opportunities based on the needs assessment by March 2014.
Strategy 3: Develop leadership resources for program directors and fellowship directors.
Tactics
  1. Identify and disseminate currently available leadership resources by January 2014 (e.g., create a handbook for Fellowship Directors)
  2. Develop a menu of existing leadership resources, identify gaps, and develop a list of potential new leadership resources by March 2014.
  3. Identify Program Directors and Fellowship Directors priorities from the menu of new leadership resources at May 2014 AGS Annual Meeting.
  4. Develop new ways of meeting the leadership development needs that geriatric academic leaders identify by 2015.