Systems, Leadership, Integration and Management (SLIM)

Systems, Leadership, Integration and Management (SLIM)
P&S Graduates as Leading Agents of Health System Transformation
Overview: In June of 2012, based on a proposal from P&S, IBM delivered funding to Columbia to develop a unique new course, designed to provide all P&S graduates with the ability to become agents of health system transformation through exposure to performance improvement theory and practice, additionally armed with insights into U.S. health system function and health policy creation. Informed by input of a P&S student focus group and by prior experience teaching component topics, Course Directors for each element of curriculum related to Systems, Leadership, Integration and Management (SLIM) training have convened and developed a proposed approach to delivering SLIM preparation to P&S students across their four years of education, as follows:
Mission Statement: P&S graduates will possess the background knowledge and essential problem-solving skills to lead healthcare into the future, and will personally embrace the responsibility to do so. 
P&S graduates becoming transformation agents: Students will accomplish the below course objectives:
  • Objective 1:  What is the system?  Students will know various approaches to U.S. healthcare delivery at macro and micro levels, as well as approaches of other countries distinguished by favorable healthcare performance and cost.
  • Objective 2:  Why this system?  Students will know the process of U.S. health policy formation, which shapes healthcare delivery in the trenches.
  • Objective 3:  How will physicians, working collaboratively in multi-disciplinary teams, lead transformation in the healthcare delivery system?  Students will grasp principles of performance improvement and principles of organizational psychology which catalyze effective, efficient and sustainable change; and will have classroom-based hands-on experience in performance improvement techniques.

The Learning Process:

Objective 1:  Three two hour sessions.  Speakers followed by small group sessions.  Speakers will include individuals from CMS, health system leadership, and major stakeholder industries. (Bridging early FCM1 and into FCM2) (CD:  Dr. Taylor)

Objective 1 and 2:  Seven two hour sessions.  Again, speakers followed by small group sessions.  Speakers will include individuals actively involved in health policy development.  (During FCM2) (CD:  Dr. Taylor)

Objective 3:  Students will be taught principles of performance improvement and organizational psychology, including classroom exercises to embed core concepts.  Further, they will make environmental observations of systems challenges; and they will define the problem in one instance of an environmental issue and propound a solution.  (Four two hour sessions in early FCM3; one M&P intersession half day; and seven two hour sessions in Back-to-the-Classroom)  (CD:  Dr. Sideli)

Objective 4 (Electives):  For those students wanting advanced training in performance improvement, electives and a Scholarly Project array of choices will be offered (CD:  Dr. Sideli, Dr. Weil)

Assessment:  Under auspices of CERE, pre and post course SLIM knowledge, skills and attitudes will be assessed, and benchmarked against the RIME developmental paradigm.