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Download Topical Issues, resources, references, information about THCI products, and articles of interest here.

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Published Curriculum Resources and Teaching Materials
Improving Practice Though Education
Tufts Health Care Institute is a leading independent source of educational programs on improving and managing health care. To learn more about the audiences we serve, our offerings, and the expert faculty who have provided guidance and input into our programs, view or print the download.
Published Curriculum Resources to Meet Training Requirements
THCI offers teaching materials and other resources for understanding the fundamental principles of effective care management: meeting the needs of patients and populations for health care that is both high quality and cost-effective. The roles and responsibilities of physicians are changing significantly, and new requirements by the ACGME mandate programs teach systematic approaches to care delivery. For more detailed information about THCI materials, view or print the download.
THCI Curriculum Guide on Managing Care: A Systems-Based Approach
This unique Guide has been developed to help program directors and affiliated faculty teach a series of 12 sessions on effective care management in community practices or managed care organizations. Includes lesson plans, content summaries, cases and practice scenarios, references, quizzes, and other materials. For more detailed information and pricing, view or print the download.

Preparing Physicians-in-Training to Succeed: A Curriculum Guide on Managing Care for Primary Care Residents

Written by physicians, peer reviewed, and tested and proven in residency programs across the nation, Preparing Physicians-in-Training to Succeed (PPTS) is designed to help faculty integrate care management principles and practices into residency training. Includes supporting instructional materials and can be customized for specific program needs. For a detailed description, view or print the download.
 
THCI Faculty Development Offerings

THCI Faculty Development Services

THCI offers faculty development and educational consulting services to help residency programs, GME leadership, and other clinical faculty teach about the ACGME (Accreditation Council on Graduate Medical Education) requirements, with a particular focus on SYSTEMS-BASED PRACTICE and PRACTICE-BASED LEARING AND IMPROVEMENT. For more detailed information, view or print the download.
 
THCI Newsletter

THCI Currents

For current information on THCI faculty development programs and online learning resources, view or print the download.
 
Online and Computer-based Resources
THCI Online Learning Campus
This secure, "state-of-the-art" comprehensive educational environment offers resources and tools for faculty to teach residents primarily in the ACGME competency areas of systems-based practice and practice-based learning and improvement. Resources include: learning modules and self-assessments, associated Applied Learning Exercises (AppLEs) and assessment instruments, personal portfolios to document progress, and online reports for faculty to track learning activities. For detailed information, view or print the download, or click here.
Understanding Managed Care CD-ROM
This interactive resource establishes a framework for understanding the principles and practices of systems-based care and effective care management. For detailed information about the CD-ROM and to order, view or print the download. For technical support issues and CD-ROM updates, click here.
Understanding Managed Care CD-ROM User/Facilitator Guide
Information for users and facilitation and teaching strategies for using our CD-ROM series in an academic setting. Provides an outline of the CD contents. 24 pages, 197kb. For technical support issues and CD-ROM updates, click here.
Making Care Decisions at the End of Life: Three CD-ROM Series and Facilitator's Guide: Fact Sheet and Order Form
This resource, excellent for teaching conferences and grand rounds, helps develop physician's and other clinical staff's skills and comfort level with assisting patients and families at the end of life. To learn more, and to order a free CD-ROM series, view or print the download.
     
Topical Issues    

Current and archived Topical Issues can also be found in the THCI Library .

Defining New Competencies: Systems-Based Practice and Practice-Based Learning and Improvement
September/October 2002

Two of the new AGCME competency categories, Systems-Based Practice and Practice-Based Learning and Improvement,compromise knowledge, skills, and attitudes that complement physicians' clinical responsibilities.

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New Competency Requirements in Graduate Medical Education
July/August 2002

Graduate medical education programs in the United States are facing major changes. The Accreditation Council for Graduate Medical Education (ACGME) has launched an Outcome Project that is impacting two fundamental aspects of training.
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Quality and Clinical Decision Support
Systems
May/June 2002

In this month's piece we briefly examine clinical decision-support systems: their prevalence and role in improving the quality of care and reducing the occurrence of medical errors.
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Quality and Financial Incentives
March/April 2002

In this month's piece we briefly examine the efforts of health plans and employers to improve the quality of care by using financial incentives to reward providers for their performance.
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Health Care Trends for 2002
February 2002

In this month's piece we review and highlight some of the dominant themes and trends in health care and managed care for the year 2002.
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Capitation: Status and Trends
January 2002

The status of capitation has received considerable attention over the past year. A few years ago, managed care featuring capitation contracts was considered to be the future of health care in America. However, enrollment in HMOs has leveled off, and capitation arrangements are less common than expected...
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Emergency Department Utilization: Trends and Management
November/December 2001

In this month's piece we briefly describe the reasons for rising utilization of emergency department (ED) services in the U.S., and strategies and techniques that insurers and providers are using to manage this utilization.
Patient Education and the Internet
September/October 2001

In this piece, we describe how the Internet is affecting patients, physicians, and their relationship.
Health Information on the Internet
July/August 2001

This month, we describe how the Internet is dramatically altering the way patients seek and obtain health information.
Practitioner-Patient Communication in Managed Care
June 2001

In this brief essay we cite some concerns and suggested strategies. We also offer readings on this topic.
Teamwork in Health Care and Professional Training
May 2001

In this month's piece we review recent calls for training physicians and others in teamwork and collaborative care.
Disease Management and the Internet
April 2001

In this month’s piece we describe efforts to integrate the Internet and wireless technology into traditional disease management (DM) programs, and the subsequent benefits and difficulties associated with the process.
The Medical Profession in Today’s Health Care System
March 2001

Three thoughtful articles published in 2000 consider aspects of being a physician in the changing health care environment...
Health Care Trends for 2001
February 2001

This month we review and highlight some of the dominant themes in health care and managed care, for the year 2001 as well as for the decade and beyond.
Defined Contribution: Overview and Resources
January 2001

To open the new year, we present an overview of defined contribution, a marketplace phenomenon garnering a good deal of attention.
Demand Management: Introduction and References December 2000
In this month's piece we briefly describe demand management, the name given to a package of programs and processes designed to improve health and encourage appropriate use of medical services for consumers and patients.
Population-Based Health Care: Definitions and Applications
November 2000

In this brief review, we highlight key elements of this emerging phenomenon and provide a selection of articles for those wishing to understand concepts of population-based health care.
 
White Papers

THCI's Curriculum Framework

The Tufts Health Care Institute Curriculum© acknowledges the tensions and dynamics that are inherent in practice today, and the competencies required of health care professionals. Based on extensive research and field experience, we have organized the curriculum as ten domains within five content categories.

A Brief History of Managed Care

The structure and system of care that are known today as "managed care" trace their history to a series of alternative healthcare arrangements that appeared in various communities across the country as early as the 19th century...

Managed Care Models and Products

Managed care appears in many forms. This paper reviews the different models of managed care plans and their insurance products and describes the different payment and risk-sharing arrangements between health plans and providers (Forms of Reimbursement and Risk Sharing, and Capitation).

Forms of Reimbursement and Risk Sharing

The healthcare system encompasses a range of ways in which physicians are paid. The payment continuum includes models that have evolved over time and that still exist today...

The Health Care System in the United States: Integrating Cost and Quality

The actual practice of medicine by physicians takes place within a large and complex system of healthcare financing and delivery. The healthcare system includes consumers, patients, clinicians, providers, regulators, individuals, corporations, private employers, government, and so on. Without giving a detailed history and description of this system, there are some important points for physicians to recognize...

Executive Summary—Improving Health Care System Performance: Physician-Driven Solutions

A five-page summary of proceedings from THCI's October 2000 Annual Conference.
Executive Summary—Collaboration in a Competitive Health Care Environment View/
Download

A four-page summary of proceedings from THCI's July 26, 2001 summit for senior medical leaders.
You may order the full proceedings for free from our online store.

Executive Summary—Meeting the Challenge of Medicaid Managed Care: Best Practices for Clinical Care and Teaching View/
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A 13-page summary of proceedings from a national conference for clinical leaders, researchers, faculty, and policy makers. For full conference proceedings, contact THCI or call 617-636-1000. For the conference coursebook, click here.

     
Technical Support/CD-ROM Updates    

Understanding Managed Care CD-ROM Update Patch
This patch addresses the following issues on Microsoft Windows Systems:

  • Adds an uninstall routine to the CD-ROM program group
  • Detects/fixes user tracking and bookmarking problems on some machines
  • Detects/fixes incompatible sound drivers on some machines

The "Understanding Managed Care" CD must already be installed on your system before the patch is applied.

Please follow 5 quick steps here to download the patch:

  1. Click "download" and select "open".
  2. If Zip menu appears, then double click the unzipped file: TMCICDUpdate.exe. Follow the instructions for initializing.
  3. If WinZip Wizard appears, then:
    1. Select "next".
    2. When asked "do you want to add a folder..?", select "no".
    3. Select "unzip or install" and "unzip now".
    4. Double click the unzipped file: TMCICDUpdate.exe at C:\unzipped folder to finish the installation.
    5. Finally close the WinZip Wizard.

Note: If you need a free copy of the WinZip software for your computer, please click here.

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