THCI offers the following curricula, online modules, workshops and conferences, CD-ROMs, videos, and reference materials to help train health care professionals, program directors and other faculty, students, and residents. These resources address the competency requirements of the Accreditation Council for Graduate Medical Education (ACGME), particularly in the areas of Systems-based Practice and Practice-based Learning and Improvement.

These educational resources can be used on a stand-alone basis, in connection with specific courses and workshops, or as part of a fully integrated curriculum.

Resources	Title	Description
Curriculum Framework	THCI Curriculum for Health Care Professionals	A curriculum framework defining domains of knowledge and skills for the effective practitioner; these specific areas relate to the ACGME competencies, particularly Systems-based Practice and Practice-based Learning and Improvement.
Curriculum Guides and Teaching Materials	Curriculum Guide on Managing Care: A Systems-based Approach	Describes a model rotation on managing care and provides teaching materials for 12 teaching sessions in community practices and at managed care organizations on relevant topics. Includes instructional materials and techniques for demonstrating the tools and techniques of care management. Teaching materials include objectives, slides, cases, readings, faculty notes.
	1. Case Management	Identifies the applications, components, and processes of case management, and describes the role of the physician. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Interpersonal and Communication Skills.
	2. Disease Management	Describes disease management and its components, and teaches about physician involvement in disease management programs. Relates to ACGME competencies of Practice-based Learning and Improvement, Systems-based Practice, Patient Care, and Professionalism.
	3. MCO-Physician Contracting	Explains important components of contract law that pertain to all types of contractual agreements and identifies the steps for a medical group to prepare for contracting with a health plan. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Professionalism.
	4. Patient Education and Health Education	Reviews tools and techniques to help practitioners achieve desired outcomes of optimal health status for the patient and improved financial performance through cost-effective activities, including online resources. Relates to ACGME competencies of Patient Care, Interpersonal and Communication Skills, Systems-based Practice, and Professionalism.
	5. Pharmacy Management	Identifies the drivers of pharmacy utilization and cost trends; describes programs and initiatives to manage pharmacy costs and utilization. Relates to ACGME competencies of Systems-based Practice and Patient Care.
	6. Population-based Care and Patient Management	Helps practitioners develop strategies for individual patients and groups characterized as healthy, at-risk, acutely ill, or chronically ill; also discusses disease-specific care plans for groups and individuals. Relates to ACGME competencies of Practice-based Learning and Improvement, Systems-based Practice, Interpersonal and Communication Skills, Patient Care, and Professionalism
	7. Practice Management Systems and Operations	Differentiates between fee-for-service practice and managed care practice and describes strategies, tools and techniques for successful practice management. Relates to ACGME competencies of Systems-based Practice, Practice-based Learning and Improvement, and Interpersonal and Communication Skills.
	8. Provider Performance Reports	Describes elements of reports provided to PCPs, specialists, and provider groups, and discusses how data are used to improve practice patterns. Relates to ACGME competencies of Practice-based Learning and Improvement and Systems-based Practice.
	9. Quality Assurance and Improvement	Defines health care quality from the perspectives of different parties; identifies existing quality measurement systems, and tools and techniques to monitor and improve quality. Relates to ACGME competencies of Systems-based Practice and Practice-based Learning and Improvement.
	10. Referral Management	Identifies factors that influence referral patterns, explores the relationships between primary care and specialist physicians, and describes tools and techniques for referral management. Relates to ACGME competencies of Systems-based Practice, Practice-based Learning and Improvement, and Patient Care.
	11. Utilization Management in the MCO	Defines utilization management (UM), describes the components of a UM program and its various techniques, and reviews important regulatory issues. Relates to ACGME competencies of Systems-based Practice and Patient Care.
	12. Utilization Management in the Practice	Describes utilization management and its key components as they apply to the practice setting and the decision-making of the individual physician. Relates to ACGME competencies of Systems-based Practice, Practice-based Learning and Improvement, and Patient Care.
	Preparing Physicians-In-Training To Succeed (PPTS)	A comprehensive curriculum designed to help program directors and other faculty integrate the principles and practices of managing care into residency training and medical school. Includes instructional approaches and moduleware Contains teaching materials for each session, with slides, cases, and readings Curriculum components are available separately Topics include: Evaluating, Adapting, and Using Clinical Practice Guidelines Practicing Patient-Centered Care in the Managed Care Environment
	Finding and Evaluating Web-based "Evidence" Using Pain Treatment as a Case Study	A 50+ page guide (plus a regularly updated disk of Internet resources) that helps practitioners learn to navigate the Internet to obtain and evaluate clinical evidence-based guidelines for application to practice. Includes bibliography, worksheets, and disk. Relates to ACGME competencies of Practice-based Learning and Improvement, Patient Care, and Medical Knowledge.
Online modules	Case-based, accredited modules authored by experts in their fields.	Up-to-date, dynamic, and interactive moduleware that address important topics for physicians and other health care professionals. Accredited for physicians, nurses and pharmacists. Each module is excellent for faculty in providing effective introduction for residents, other trainees, and students.
	Definitions and Measurement of Quality	Defines the elements of quality in health care and teaches how to adopt strategies to improve quality in practice. Relates to ACGME competencies of Systems-based Practice and Practice-based Learning and Improvement.
	Quality Improvement Techniques	Examines how quality improvement (QI) applies to physicians and other health care professionals in today's environment and teaches commonly used QI tools and techniques. Relates to ACGME competencies of Systems-based Practice, Practice-based Learning and Improvement, and Interpersonal and Communication Skills.
	Quality Oversight in the Marketplace	Describes trends, key players, and methods in monitoring quality of health plans, delivery systems, and physician practices, including online reporting. Relates to ACGME competency of Systems-based Practice.
	Evidence-based Medicine	Presents the rationale for and value of evidence-based medicine, and describes the steps in the process of using EBM in clinical decision-making. Relates to ACGME competencies of Practice-based Learning and Improvement, Medical Knowledge, and Patient Care.
	Clinical Guidelines	Examines the purpose and utility of clinical guidelines and their integration in delivery systems and practice settings as an evidence-based approach to improving the processes and outcomes of care. Relates to ACGME competencies of Practice-based Learning and Improvement, Systems-based Practice, and Patient Care.
	Disease Management	Examines disease management (DM) as a cost-effective means to improve the quality of care for groups of patients who share a common disease, and demonstrates the steps to integrate DM into clinical practice. Relates to ACGME competencies of Practice-based Learning and Improvement, Systems-based Practice, and Patient Care.
	Case Management	Explores the essential components of case management as an approach to achieving quality and cost outcomes, and examines the collaborative process involving physicians and case managers. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Interpersonal and Communication Skills.
	Referral Management	Examines what referral patterns are, how they are measured, and the techniques for positively and actively influencing the referral process to improve quality and continuity of care. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Interpersonal and Communication Skills.
	Managing Pharmacy in the Hospital Setting	Explores the tools and techniques of pharmacy management in hospitals. Valuable for all clinicians and holds special interest for pharmacists. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Interpersonal and Communication Skills.
	Emerging Roles of Pharmacists in Collaborative Care Delivery	Presents practitioners with information, strategies, and tools for optimizing the respective roles of physicians and pharmacists in managing and providing high quality and cost-effective care for patients. Valuable for all clinicians and holds special interest for pharmacists. Relates to ACGME competencies of Systems-based Practice, Patient Care, and Interpersonal and Communication Skills.
	Definitions and Measurement of Quality for Advanced Practice Nurses	Identifies key issues regarding quality in health care and considers strategies for improvement that pertain to advanced practice nurses.
	Quality Improvement Techniques for Advanced Practice Nurses	Examines how quality improvement (QI) applies to advanced practice nurses in today's environment and teaches about commonly used QI tools and techniques.
Online Assessment Tools	Knowledge Assessment	A 50-question self-scoring instrument that measures the respondent's familiarity with content drawn from THCI's Curriculum Framework.
	Managed Care Opinion Survey	Designed to measure attitudes about approaches to managing care among practicing clinicians and clinicians-in-training.
Online Reports	Various	Enables organizations and programs to accurately track, report, and analyze data gathered on their target learners. Offers programs and institutions the ability to assess topic knowledge, relative performance, and compliance with assignments for individual learners and groups of learners. Aggregated reports inform learning plans and allow for benchmarking among groups and institutions.
Faculty Development/ Train-the-Trainer Programs	Customized programs and conferences on competency based education and integrating and utilizing THCI resources to achieve competencies	Interactive workshops taught by experts in the field to help program directors and faculty meet new requirements for training for effective practice in today's complex environment, with a particular focus on systems-based practice and practice-based learning and improvement.
Other Customized Programs	Programs range in length from half-day to one week, and feature sessions by and interaction with expert faculty, all of whom have practical experience in their fields.	Call 617-636-1000 for more information)
	Emerging Specialty of Physician Leadership	Half-day or full-day module that addresses the transitions required of all physicians as they take on new roles of leadership in a changing health care environment.
	Putting Quality into Practice	Half-day or full-day program on ways to achieve high quality clinical care by drawing on proven quality improvement techniques.
	Patient Satisfaction - Measurement and Results	Helps newly trained and practicing clinicians understand patient satisfaction reports by reviewing the difference between patient reports and patient satisfaction; summaries of current satisfaction surveys; results of recent studies on the relationship between satisfaction and other factors, such as health status and demographics, physician characteristics, and health plan characteristics.
Videos and CD-ROMs	Physician-Patient Communication (Video)	This program reviews problems associated with patients' lack of compliance with treatment plans, barriers to compliance, and risks that are associated with deficiencies in physician communication. Participants also learn the techniques for applying the patient-centered approach to maximize patient satisfaction and compliance, and behavior change strategies to increase. Relates to ACGME competencies of Interpersonal and Communication Skills, Patient Care, Systems-based Practice, and Professionalism.
	Understanding Managed Care: Learning the Essentials through Case Presentations (CD-ROM)	A 4-module, self-paced CD-ROM that establishes a framework for understanding the basic principles and practices of managing care effectively with emphasis on the changing role of the physician, sharing financial risk, allocating budgeted resources and improving quality. Relates to ACGME competencies of Systems-based Practice, Practice-based Learning and Improvement and Patient Care.
	Making Care Decisions at the End of Life (CD-ROM Series)	A three-part series of trigger vignettes plus a facilitator's guide intended to increase the knowledge and comfort of clinicians and impart interactive and communication skills for making care decisions at the end of life. Relates to ACGME competencies of Interpersonal and Communication Skills, Patient Care, Professionalism, and Systems-based Practice.
Online Articles	Lessons from Three Healthcare Markets	Proceedings from a Symposium for Healthcare Leaders: a 57-page report summarizing a THCI program on the evolution of three mature managed care markets and the implications for the nation's health care system.
Online Library	Topical Issues	Review articles with references, written by THCI, that delve into timely topics and pressing issues within the changing health care environment.
	Content Resources on Topics in Care Management	Selected, up-to-date references on key areas of care management, quality of care, and population-based care.