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Overview. The Healthcare Can Change from Within ModelChanging Clinic Systems: ResultsHelping Battered Women: Early Results. Healthcare Can Change From Within. Academic-Community PartnershipFunded by a grant from the Healthier Wisconsin Partnership Program. IPV is a health care issue. . Models o
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1. Health Care Can Change from Within: A New Model to Improve the Prevention and Treatment of Intimate Partner Violence L. Kevin Hamberger, Bruce Ambuel, PhD, PhD, Marlene Melzer, MD, Mary Beth Phelan, MD & Amy Kistner, MS, Clare Guse, MS
Medical College of Wisconsin
2. Overview The Healthcare Can Change from Within Model
Changing Clinic Systems: Results
Helping Battered Women: Early Results
3. Healthcare Can Change From Within Academic-Community Partnership
Funded by a grant from the Healthier Wisconsin Partnership Program
4. IPV is a health care issue
5. Models of change Key leaders (surgeon general)
Professional associations
Regulatory: JCAHCO
Mandatory CME
Education -- the black box model
Collaboration with community advocates
Policies and procedures
6. Failure to bring about sustained change Lessons from McCleer & Anwar and associates
7. Healthcare Can Change From Within
8. What Multi-dimensional
Training & education
Systems change
Policies and procedures
Protocols
Chart prompts
Patient environmental changes
Collaborative
Multidisciplinary
9. Harness internal expertise to change and sustain healthcare culture that values and responds to IPV as a health issue
Emphasizes IPV as a health care problem
Public health issue-primary prevention
Medical problem w/ health consequences: intervention/secondary prevention
Cost effective
10. Key Features: Total system change Develop on-site healthcare advocates
Saturation training of all staffeveryone has a role
Policies and procedures for screening, documentation, intervention and prevention
Creating a trauma sensitive environment
11. Health care advocate training In depth
20 hours
Modeled on DV advocacy training
Health care systems change added
Time commitment
4 hours per week during intensive staff in-services
1-2 hours per week after training
12. Health Care Can Change from Within: Change in Health Care Systems Bruce Ambuel, PhD, L. Kevin Hamberger, PhD, Clare Guse, MS, Amy Kistner, MS, Marlene Melzer, MD & Mary Beth Phelan, MD
Medical College of Wisconsin
13. Research Design: Clinic Change