1. AAHC: Association of academic health centers
2018 GLOBAL ISSUES FORUM
TORONTO, ONTARIO, CANADA
April 30-May1, 2018
International Partnership Model for Capacity Building: The Sino-US Advanced Healthcare Professional Exchange Program
Kimberly Connelly, MAT
Senior International Officer
Office of International Programs, University of Kansas Medical Center
Robert M. Klein, PhD, FAAA
Chancellor’s Club Professor
Vice Chancellor for Academic and Student Affairs, University of Kansas Medical Center

2. presenters Kimberly Connelly Senior International Officer,
A life-long professional and ardent advocate of International Education, Kimberly Connelly currently leads the Office of International Programs as the Senior International Officer at the University of Kansas Medical Center managing both the inbound and outbound arms of international education. Ms. Connelly’s mission is to connect people to each other through international educational and cultural experiences. As Senator Fulbright said, “Educational Exchange can turn nations into people, contributing as no other form of communication can to the humanizing of international relations.” Prior to coming to KUMC in 2013, Ms. Connelly served as the Assistant Director of International Student Services and the interim Director at Park University for a stint of eight years. She has over 20 years of teaching and teacher-training experience having earned her Master of Arts degree in TESOL at The School for International Training in Brattleboro, Vermont, which she pursued after teaching on the island of Pohnpei, Federated States of Micronesia for three years. Ms. Connelly taught ESL and Culture and Diversity courses at the university level for years before transitioning into administration. She earned undergraduate degrees in Mass Communication and Political Science, with a minor in French from Regis University, Denver, Colorado.
Robert Klein
Chancellor’s Club Professor, Vice Chancellor for Academic and Student Affairs ,
Robert M. Klein, PhD, FAAA, is Vice Chancellor for Academic and Student Affairs and Chancellor’s Club Professor of Anatomy & Cell Biology at the University of Kansas Medical Center (KUMC). He earned his Ph.D. from New York University and completed postdoctoral work at Marquette University. Dr. Klein has been a faculty member at KUMC since His current responsibilities include oversight of the faculty and student academic life cycle. During Dr. Klein's academic career, he has been honored with an American Council on Education Fellowship and was Associate Dean for Professional Development and Faculty Affairs in the School of Medicine for 11 years. Dr. Klein has earned numerous teaching awards, including the Chancellor's Distinguished Teaching Award, the Bohan Teaching Professorship, The International Association of Medical Science Educators’ Master Teacher Award, The Alpha Omega Alpha (AOA) Robert J. Glaser AAMC Teaching Award, and was twice honored with the Kemper Teaching Excellence Award. He is an honorary member of the AOA Honor Medical Society, a Fellow of the American Association of Anatomists, and the 2010 Honorary KU Medical Alumnus. Dr. Klein was recently named a 2018 Icon of Education by Ingram's Magazine. His research career spans more than 30 years at KUMC where he has dedicated much of his career to mentoring of graduate and medical students, as well as junior faculty. 

3. Building capacity: Building the Sino-US Advanced Healthcare Professional Exchange Program

4. Building capacity: THE Foundation of the Sino-US Advanced Healthcare Professional Exchange Program
KUMC is committed to capacity building that promotes global health education and training for our students, residents and faculty. We work with global partners in reciprocal exchange relationships that are symbiotic and beneficial to our respective partners, communities, educational programs, patients and countries.  Through our global health programs we provide experiential learning opportunities that encourage our trainees and faculty to view healthcare through new lenses and bring innovation into the educational and patient care setting.

5. Building capacity: The foundation of the Sino-US Advanced Healthcare Professional Exchange Program
THE UNIVERSITY OF KANSAS MEDICAL CENTER (KUMC)
Main campus located in Kansas City, KS
School of Health Professions, School of Medicine, School of Nursing, and the University of Kansas Health System which is a separate entity.
Fast Facts:
Student enrollment (2016): 3509
School of Medicine: 2159 (3 campuses)
School of Nursing: 677 (2 campuses)
School of Health Professions: 655
KUMC is a National Cancer Institute-designated cancer center (one of only 69)
CTSA: Frontiers, KU Clinical and Translational Science Institute (one of ~57)
National Institutes of Health-designated Alzheimer's Disease Center (one of only 31)
12 medical and surgical specialties ranked in the top 50 by U.S. News and World Report

6. INTERNATIONAL AGREEMENTS
Building capacity: Building the foundation of the Sino-US Advanced Healthcare Professional Exchange Program
INBOUND PROGRAMS
OUTBOUND PROGRAMS
INTERNATIONAL AGREEMENTS
CULTURAL PROGRAMMING
Needed process and infrastructure already in place for existing Inbound Programs that support over 600 internationals who come to the medical center:
Visitor
Observer
Special Programs
Visiting Medical Student
Research Learner
Internships
F-1/J-1 International Student
J-1 Exchange Visitor
Support for GME International Residents/Clinical Fellows
H-1B Employee

7. Building capacity: building the program of the Sino-US Advanced Healthcare Professional Exchange Program
THE HISTORY
Through a collaboration with the American Chamber of Commerce in China, Dr. Susan Pingleton travelled to China to visit several healthcare facilities.
Subsequently, a delegation from China visited KUMC in the fall of 2013.
An initial Memorandum of Understanding was then signed in June 2014 between KUMC and the Ministry of Health in China.
Per the request of the Chinese Ministry of Health, KUMC worked with them to develop extended Observerships at KUMC for Chinese physicians.

8. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program
Program terms and objectives confirmed
Timeline established
Budget finalized
Implementation agreement signed
Program Duration: 3 months
Number of Participants Per Group: 6-7 observers
Number of Groups Hosted Annually: 3 groups
TIMELINE SAMPLE
SINO-US (KANSAS) ADVANCED HEALTHCARE PROFESSIONAL EXCHANGE PROGRAM
GROUP # Program Dates: June 1 to August 25
DECEMBER 1 – 8
KUMC receives 10 names of incoming Observers from the Implementation Center.
DECEMBER 9 – 19
Program Curriculum and China-US Relations Advisor and Program Clinical Department Advisor confirms the placements of 6-7 Observers in the KUMC clinical departments and conducts SKYPE or phone interviews with the candidates.
OIP provides the Center with and Invitation Letter first by and then by DHL for each incoming Chinese Observer.
OIP s and DHL’s the Implementation Agreement with an invoice for the deposit and an invoice for the balance.
JANUARY 23 –27
OIP s the Center the Observership questionnaire and immunization instructions for each of the Observers to complete.
FEBRUARY 27
The Center s the Chinese Observer questionnaire and all supporting documents (including immunizations) for each Observer to OIP.
MARCH 3
The Implementation Center s KUMC a color copy of the passport ID page of each Chinese Observer
OIP provides the Center with a Consulate Letter by and then original by DHL for each incoming Observer.
Incoming Observer schedules a VISA appointment and obtains B/1- B/2 VISA
MAY 1
The Center s KUMC OIP a color copy of each of the Observers VISA
The Center s KUMC the flight itinerary
Note: Arrival should be Thursday - Saturday prior to the program-start date
JUNE 1
The Observers arrive in Kansas City
JUNE 5
The Observers have orientation with OIP and the China Team.
JUNE 6
The Observership begins.
AUGUST 25
Last day of the Observership at KUMC

9. PROGRAM TEAM RESPONSIBILITIES: AT KUMC
Program Logistics, Program Facilitation, Agreement and Immigration Advisor
Clinical Department Advisor
Program and Curriculum Director China-US Relations Advisor
OIP LOGISTICS AND SUPPORT:
Housing (International House near campus)
Onboarding Requirements:
Check-in and documentation collection (i.e. passport, visa stamp, I-94, emergency contact information, proof of health insurance)
Immunizations approval
Badges
HIPPA training compliance
View only patient record access
Campus tour
Orientation Program
English Pronunciation Workshops (once per week)
OIP Cultural Programming:
Culture Hour
Clinical Culture and Diversity Series
International Education Week Events
International Education Experience Poster Presentations
ISI
IRC Sponsored Events
Conduct assessments
PROGRAM CURRICULUM:
Curriculum Orientation
Tailored schedules and plans of activities are created for each physician, which includes:
Clinical procedures observation
Administrative and management functions
Administrative meetings
Seminars
Lectures
Debriefings
10-week seminar series led by Program Director

10. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program
Program Content: Seminar Series Topics
U.S. Health Policy
Glendon G. Cox, M.D., M.B.A., M.H.S.A.,Senior Associate Dean for Medical Education
American Medical Education
Giulia Bonaminio, PhD, Research Professor/Associate Dean for Medical Education
Graduate Medical Education
Lori L. Roop, M.B.A., Assistant Dean of Graduate Medical Education
Leadership Development
Karen L. Miller, Ph.D., RN, FAAN, Professor
Hospital Management
Bob Page, President and Chief Executive Officer of The University of Kansas Health System
Tammy Peterman, Executive Vice President and Chief Operating Officer, and Chief Nursing Officer of The University of Kansas Health System
Hospital Materials Acquisition and Management
Tim Dwyer, MD, Assistant Professor, Pulmonary and Critical Care Medicine
Quality Improvement and Patient Safety in the U.S. Since 2000
Terry Rusconi, Vice President of Performance Improvement
Patient Safety- How Pharmacy Organization Works to Prevent Human Errors
Rick Couldry, Vice President of Clinical Professions and Pharmacy Services
Hospice and Palliative Care
Karin Porter-Williamson, MD, Associate Professor, Division Director Palliative Care Administration of Clinical Departments
Administration of Clinical Departments
Amy O’Brien-Ladner, MD, Internal Medicine

11. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program

12. Building capacity: Building the pROGRAM of the Sino-US Advanced Healthcare Professional Exchange Program

13. NUMBER OF OBSERVERS HOSTED
Building capacity: building outcomes in the sino-us advanced healthcare professional exchange program
DEPARTMENT
NUMBER OF OBSERVERS HOSTED
Anesthesiology 1
Cardiovascular Diseases 3
Cardiothoracic Surgery 2
Endocrinology, Metabolism, and Genetics
Gastroenterology
General Surgery
Hematologic Malignancies and Cellular Therapeutics
Infectious Diseases
Nephrology
Neurology 6
Neurosurgery
Obstetrics and Gynecology
Ophthalmology
Orthopedic Surgery 4
Otorhinolaryngology
Pulmonary and Critical Care Medicine
Radiation Oncology
Radiology
Physical Medicine and Rehabilitation
School of Nursing
Surgery and Orthopedic Trauma
Urology
As of April 2018, KUMC has hosted 8 groups for a total of 44 participants.
22 of KUMC’s clinical departments have hosted the physicians and one nurse
39 different hospitals from China have been represented
Fees collected have established the OIP Faculty and Resident Travel Fund

14. Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program

15. Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program
BENEFITS For the Chinese observers:
Insight into U.S. healthcare, patient care management, the role of nurses, team/interdisciplinary care model, and medical education
American culture and connections for future collaborations
BENEFITS for KUMC staff and faculty:
Learned from Chinese physicians about the Chinese culture and healthcare system through daily interactions and formal presentations
Established new relationships that led to other collaborations and exchanges
Clinical rotation opportunities for KUMC medical students in China
Higher number of KUMC faculty attending and visiting Chinese colleagues at conferences
Research collaborations among KUMC faculty members and previous physician participants in China

16. Building our reputation
Building capacity: Building outcomes in the Sino-US Advanced Healthcare Professional Exchange Program
Building our reputation

17. Building capacity: outcomes : cAVEATS AND LESSONS LEARNED FROM BUILDING the Sino-US Advanced Healthcare Professional Exchange Program
CAVEATS AND LESSONS LEARNED
Regular communication with KUMC Partner in China
Verbiage- avoid describing program as “training”
Incorporate deemed export compliance
No Patient Care
Cultural Differences
The timeline is different for China than at your home institution.
Passport and Visa issues
It is a huge initial investment by the medical center in money, people and resources.
A program like this requires immense support from leadership, the departments and logistical management.
If you plan to build a similar program, engage an expert advisor or consultant.

18. Building capacity: Building the future of the Sino-US Advanced Healthcare Professional Exchange Program
Capacity building in China
Support other hospitals which have an interest in the establishment of similar programs with the HHRDC
Establish a formalized Mentoring Program
Encourage “reverse Observerships”
Assess implementation of initiatives and changes 6 months after return, one year, two years and five years post-KUMC Obsevership.
Build capacity in Nursing and Research
Offer this program to other global health partners – for example Ghana and Zambia

19. LOOKING AHEAD: CAPACITY BUILDING INTO NURSING AND RESEARCH

20. Questions

21. Thank you!