Addressing Critical Competency Gaps in the Health Care Workforce

“The fundamental approach to clinical education has not changed since 1910. Efforts must be made to retool practicing clinicians.”

Institute of Medicine (2001) Crossing the Quality Chasm

Current State Assessment:
Workforce Engagement & Readiness

• Limited awareness of the burning platform for health care change and the scope and type of change required.

• Widespread perception that chronic care is a “bolt-on” solution— rather than a redesign of acute care-oriented processes and a reorientation of professional roles.

• Lack of a shared vision and a common, complementary framework for chronic care improvement within health care teams, across organizations and communities, and between purchaser, health plan, and provider organizations.

• Failure to define new individual and team roles that specify exactly what professionals should be doing differently to address gaps and provide better care.

• Professional silos rather than true interdisciplinary care teams primarily organized for delivery of best care.

• Competency gaps related to the delivery of evidence-based prevention, medical care, population health, patient activation/engagement, self-care and adherence support—the major drivers of avoidable morbidity, mortality & spending.

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