Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Advancing Team-Based Care: A Team Approach to Prevention and Chronic Illness ...CHC Connecticut
This webinar explored the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It built on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care were also discussed including training, career ladders, and communication management.
This webinar was present April 21, 2016 3:00 PM.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Advancing Team-Based Care: A Team Approach to Prevention and Chronic Illness ...CHC Connecticut
This webinar explored the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It built on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care were also discussed including training, career ladders, and communication management.
This webinar was present April 21, 2016 3:00 PM.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
This is a copy of my presentation from the 2012 AAM GIA Professional Development Conference in Palm Springs, California. The topic is marketing to referring physicians. Presenters: Dan Dunlop and Jill Lawlor.
This is the first webinar in the "Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies " track of CHC's Clinical Workforce Development National Cooperative Agreement
Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a...CHC Connecticut
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies- Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a Postgraduate Residency Program?
This webinar discussed the roles and responsibilities of preceptors and supervisors in ensuring the success of postgraduate residency programs. Criteria for preceptors and supervisors as well as on-the-ground staff roles were discussed. Current preceptors and supervisors were featured and spoke about their experiences.
This webinar took place March 23, 2016 3:00 PM ET
The 3rd Physician Liaison Summit – Chicago provides real-life examples and strategies for liaisons to strengthen their programs, capture referrals, and increase hospital/health system revenue. This meeting provides proven methods and best practices from your local peers who are leaders in the field as they share insight and tips on how to adapt and implement these same methods into your hospital/health system. Conveniently located, this Midwest Summit is a must-attend meeting for all physician liaisons – whether new to the role, or in a leadership position with years of experience.
Discover how to use analytics to drive objectives and results.
Establish value both internally and in referrers' offices.
Prepare for the future of the liaison role.
http://www.worldcongress.com/events/HL14020/
Creating a Process that Works for You: Infrastructure for a Successful Studen...CHC Connecticut
Health Professions Students in FQHCs - Creating a Process that Works for You: Infrastructure for a Successful Student Training Program
In this webinar, we discussed how to evaluate your FQHC infrastructure for successfully hosting health professions students. This discussion included what stakeholders need to engage both inside the FQHC and outside the FQHC to insure success. Participants were guided through the successes and challenges of hosting health professions students by highlighting model programs.
The webinar took place March 22, 2016 at 3:00 PM ET
10 Must Know Techniques for Managing Physician Relations in Today's Digital W...Endeavor Management
10 Must Know techniques for managing physician relations is Today’s digital world including 4 techniques to help you increase physician engagement, 3 ideas for enhancing strategic planning and 3 tips on demonstrating program effectiveness.
The AHSN and Centre for Implementation Science is working as the independent evaluator for the Happy, Healthy, at Home Vanguard programme in North East Hampshire and Farnham.
This was the second symposium of the independent evaluation and focused on the Farnham Locality. The event included presentations from the Farnham Integrated Care Team and the Farnham Referral Management Service, as well as a series of ‘Evaluation Stations’ where delegates spent time with teams from Farnham, North East Hampshire and Farnham CCG and NHS England.
The event was attended by a wide-range of people who are interested in seeing how the vanguard programme is making changes to the local health system in North East Hampshire and Farnham and who are interested in evaluation approaches. These are the collected slides from the day.
Can we solve the adult primary care shortage without more physicians? CHC Connecticut
Tom Bodenheimer,of the Center for Excellence in Primary Care at UCSF Dep’t of Family and Community Medicine talks about addressing the primary care shortage at the 2014 Weitzman Symposium
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
This presentation by Gelb Consulting performed during the annual NACCDO-PAN conference outlines howto manage referrer relationships. In this presentation, the case study revolves around OSUCCC-James - The James began an initiative to seek insight on the experience provided to referring physicians as well as glean key drivers for referrals and satisfaction. The James' goals included an action-based physician relations management program and ultimately increasing referrer loyalty.
Let's get digital
What happens when forty researchers, patients, entrepreneurs and health and social care staff come together to discuss digital technologies and their impact on NHS sustainability and transformation?
That was the experiment at the University of Southampton' s Web Sciences Institute on 16 January, at a workshop sponsored by the Institute, the CLAHRC and Wessex AHSN.
And the result?
A highly energetic and constructive exchange of views from the diverse stakeholders in the room.
The take away messages:
1. The NHS has to embrace digital technologies to survive but precisely how it embraces these is critical;
2. successful adoption of digital technologies needs to take account of:
• the political imperative of developing a compact between public services, service providers and citizens about how their data may be used;
• the social processes involved in patient and workforce adaption to technologies and the substantial research base that already exists in this field *the technical challenges involved in ensuring that a proliferation of health data and digital devices develops in a way that supports integrated, patient-centred care rather than promoting fragmented data and digital silos;
• developing the capacity to adapt to and exploit fundamentally disruptive innovation from within the NHS and from SMEs many of which have their origins in academic research or front-line clinical practice
Next steps?
How might we maintain and develop the coalition of interests that met in the workshop to underpin a research-driven, innovation-friendly digital technologies implementation plan for the NHS in Hampshire and the Isle of Wight. Watch this space.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
An Introduction to the National Institute for Medical Assistant AdvancementCHC Connecticut
View the slides from NIMAA's Webinar about a groundbreaking new way to train key primary care team members featuring national leaders, including:
Thomas Bodenheimer, MD, MPH, UCSF School of Medicine, California
Edward Wagner, MD, MPH, MacColl Center, Washington
Mark Masselli, CEO, Community Health Center, Inc; Chairman, NIMAA
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
This is a copy of my presentation from the 2012 AAM GIA Professional Development Conference in Palm Springs, California. The topic is marketing to referring physicians. Presenters: Dan Dunlop and Jill Lawlor.
This is the first webinar in the "Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies " track of CHC's Clinical Workforce Development National Cooperative Agreement
Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a...CHC Connecticut
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies- Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a Postgraduate Residency Program?
This webinar discussed the roles and responsibilities of preceptors and supervisors in ensuring the success of postgraduate residency programs. Criteria for preceptors and supervisors as well as on-the-ground staff roles were discussed. Current preceptors and supervisors were featured and spoke about their experiences.
This webinar took place March 23, 2016 3:00 PM ET
The 3rd Physician Liaison Summit – Chicago provides real-life examples and strategies for liaisons to strengthen their programs, capture referrals, and increase hospital/health system revenue. This meeting provides proven methods and best practices from your local peers who are leaders in the field as they share insight and tips on how to adapt and implement these same methods into your hospital/health system. Conveniently located, this Midwest Summit is a must-attend meeting for all physician liaisons – whether new to the role, or in a leadership position with years of experience.
Discover how to use analytics to drive objectives and results.
Establish value both internally and in referrers' offices.
Prepare for the future of the liaison role.
http://www.worldcongress.com/events/HL14020/
Creating a Process that Works for You: Infrastructure for a Successful Studen...CHC Connecticut
Health Professions Students in FQHCs - Creating a Process that Works for You: Infrastructure for a Successful Student Training Program
In this webinar, we discussed how to evaluate your FQHC infrastructure for successfully hosting health professions students. This discussion included what stakeholders need to engage both inside the FQHC and outside the FQHC to insure success. Participants were guided through the successes and challenges of hosting health professions students by highlighting model programs.
The webinar took place March 22, 2016 at 3:00 PM ET
10 Must Know Techniques for Managing Physician Relations in Today's Digital W...Endeavor Management
10 Must Know techniques for managing physician relations is Today’s digital world including 4 techniques to help you increase physician engagement, 3 ideas for enhancing strategic planning and 3 tips on demonstrating program effectiveness.
The AHSN and Centre for Implementation Science is working as the independent evaluator for the Happy, Healthy, at Home Vanguard programme in North East Hampshire and Farnham.
This was the second symposium of the independent evaluation and focused on the Farnham Locality. The event included presentations from the Farnham Integrated Care Team and the Farnham Referral Management Service, as well as a series of ‘Evaluation Stations’ where delegates spent time with teams from Farnham, North East Hampshire and Farnham CCG and NHS England.
The event was attended by a wide-range of people who are interested in seeing how the vanguard programme is making changes to the local health system in North East Hampshire and Farnham and who are interested in evaluation approaches. These are the collected slides from the day.
Can we solve the adult primary care shortage without more physicians? CHC Connecticut
Tom Bodenheimer,of the Center for Excellence in Primary Care at UCSF Dep’t of Family and Community Medicine talks about addressing the primary care shortage at the 2014 Weitzman Symposium
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
This presentation by Gelb Consulting performed during the annual NACCDO-PAN conference outlines howto manage referrer relationships. In this presentation, the case study revolves around OSUCCC-James - The James began an initiative to seek insight on the experience provided to referring physicians as well as glean key drivers for referrals and satisfaction. The James' goals included an action-based physician relations management program and ultimately increasing referrer loyalty.
Let's get digital
What happens when forty researchers, patients, entrepreneurs and health and social care staff come together to discuss digital technologies and their impact on NHS sustainability and transformation?
That was the experiment at the University of Southampton' s Web Sciences Institute on 16 January, at a workshop sponsored by the Institute, the CLAHRC and Wessex AHSN.
And the result?
A highly energetic and constructive exchange of views from the diverse stakeholders in the room.
The take away messages:
1. The NHS has to embrace digital technologies to survive but precisely how it embraces these is critical;
2. successful adoption of digital technologies needs to take account of:
• the political imperative of developing a compact between public services, service providers and citizens about how their data may be used;
• the social processes involved in patient and workforce adaption to technologies and the substantial research base that already exists in this field *the technical challenges involved in ensuring that a proliferation of health data and digital devices develops in a way that supports integrated, patient-centred care rather than promoting fragmented data and digital silos;
• developing the capacity to adapt to and exploit fundamentally disruptive innovation from within the NHS and from SMEs many of which have their origins in academic research or front-line clinical practice
Next steps?
How might we maintain and develop the coalition of interests that met in the workshop to underpin a research-driven, innovation-friendly digital technologies implementation plan for the NHS in Hampshire and the Isle of Wight. Watch this space.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
This presentation, given by our President at the 2018 MGMA Annual Meeting, explains why cultural fit is so important and how to create a physician recruitment blueprint that focuses on fit.
Are you involved in supporting or leading organisational change? As a result of work within our Mental Health Quality Improvement programme, we have developed a one-page visual roadmap for those involved in supporting or leading organisational change.
Based on well-established quality improvement methodology the roadmap outlines 12 steps that walks you through the central elements required for successful change.
Parallel Session: Collaborating to Give Every Child the Best StartNHSScotlandEvent2013
The Early Years Collaborative is the world’s first national, multiagency Quality Improvement Collaborative, working together across Scotland to give our children the best start in life. We have more work to do to ensure our efforts are safe and effective every time, for every child. This session highlighted this new and world-leading initiative and delegates were equipped with the information and tools to make their own contribution to the collaboration.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Similar to NCA TBC Learning Collaborative Session 2 Slides (20)
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Training the Next Generation within Primary CareCHC Connecticut
This webinar discussed the various avenues of workforce development including:
• training non-clinical roles
• the value of an administrative fellowship
• the key questions to ask before establishing a fellowship at your agency
The discussion referenced CHC Chief Operating Officer Meredith Johnson and CHC Project Manager Megan Coffinbargar’s publication “Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders” for the National Association of Community Health Centers (NACHC).
Panelists:
• April Joy Damian, PhD, MSc, CHPM, PMP, Vice President and Director of the Weitzman Institute, Community Health Center, Inc.
• Megan Coffinbargar, MHA, Project Manager, Optimizing Virtual Care Initiative, Community Health Center, Inc.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
2. Using Zoom
Turn your webcam on!
Please remember to
mute yourself during the
presentations.
If you have a question,
you may un-mute
yourself and ask after
each presentation, OR
use the Q&A button
3. Team Based Care (TBC)
Learning Collaborative
Session Two
November 2, 2016
3:35 - 4:30 EST
Developing a core team’s capabilities for implementing an advanced team based care model.
4. Introductions
TBC Collaborative Design, Facilitation, Faculty
Ann Marie R Hess NP, MS
National Cooperative Agreement
Anna Rogers, Director
Reema Mistry, Program Coordinator
Mentors , Coaching Faculty
Deborah Ward, RN (1:8)
Kasey Harding (1:8)
3:35
Evaluation Faculty
Kathleen Thies, PhD, RN
Improvement Science Faculty
Patti Feeney
Mark Splaine, MD
5.
6. Name of FQHC Coach Team
Avenal Community Health Center John Kalfayan 1 BH, 1 Physician, 1 MA, 1 Medical Director, 1 Front Desk
Educational Health Center of Wyoming Brenda Burnett
1 Provider, 2 RN, 1 Radiologic Technologist, 1 EMR Manager, 1
MA, 1 Clinical Manager
El Rio Santa Cruz Josh Carzoli
1 MA, 1 RN, 1 BH, 1 Chief Clinical Officer, 1 LPN, 2 Physician, 1
Front Desk, 1 COO, 3 RN Clinic Manager, 1 IT
Holyoke Health Center
Megan T. Wechsler,
Rosie Romero
1 Director of Quality and Compliance, 1 Physician, 3 RN, 1 MA,
1 Front Desk
Peach Tree Healthcare Ruben Ruiz
1 Chief Quality Officer, 1 Quality Coordinator, 1 Dir of
Operations, 1 Site Manager, 1 Dir of HR, 1 NP, 3 MA, 1 Data
Analyst, 1 Ops Specialist, 1 Clinical Support Services Manager
Pecos Valley Medical Center L. David Young 2 RN, 1 NP, 1 MA
The Children’s Clinic Karla Rodriguez 1 Provider, 1 MA, 1 Care Team Rep
Via Care Community Health Center Kimberly McFerguson
1 FNP, 1 MA, 1 Outreach & Enrollment Specialist, 1 MSW, 1
Front Office Lead MA
Introductions
7. Introductions
Name of FQHC Coach Team
Carolina Family Health Centers ,
Inc.
Chasity Godwin
1 MD, 1 NP, 2 LPN, 1 Care Coordinator, 1 Front Desk, 1 Interpreter,
1 CNA
Community Health Initiatives Zlata Vainstein 1 Medical Director, 1 Physician, 2 MA, 1 Front Desk
Daughters of Charity Grace Mena 1 Area Practice Manager, 1 MD, 3 FNP, 2 Care Coordinator, 4 MA
Healthcare for the Homeless Carlie Brown Need new team
Johnson City Community
Health Center
Flo Weierbach
1 front Desk, 1 PNP, 1 LCSW, 1 RN, 1 Interpreter
Sumter Family Health Center
Sandra Sturkie
1 Director of Patient Services, 1 Clinical Manager, 1 BH Clinical
Manager, 1 BH RN, 1 Physician, 2 Case Managers, 1 MA, 1 Dental
Services Coordinator, 1 Patient Financial Coordinator, 1 Clinical IT,
1 Pharmacist, 1 Call Center Rep, 1 Referrals Manager
Syracuse Community Health
Center, Inc.
Cathy Brigden
1 Physician, 1 FNP, 1 LPN, 2 RN, 3 MA, 1 Office Manager
Tyler Family Circle of Care Sherri Gould
1 CMO, 1 COO, 1 LVN, 1 OA, 1 PNP, 1 Process Improvement
Manager
8. Objectives Session 2
Summarize Action Period 1 Milestones (6 weeks)
Provide concept overview
Learn from team assignments
→ Adjusting Core and Extended Team Structure (Sumter)
→ Practicing Effective Meeting Skills (Teams)
→ Testing Daily Huddles (Carolina Family Health Center)
→ Completing cycle time data collection (Johnson City Community Health Center)
→ Completing role activity data collection (El Rio Santa Cruz| K Harding)
Learn new skills: Process Mapping and PDSA Methodology
“Moodle” TBC Website Refresh
Provide path forward and resources for Action Period 2
9. Agenda (3:00-4:30)
3:00 10 min Welcome and Introductions
3:10 35 min Action Period 1 Milestones
Key TBC Concepts Overview
Learn From Collaborative Teams
3:45 30 min Teach New Improvement Skills for Action Period 2
Process Mapping
Methodology
4:15 7 min “Moodle” TBC Website : A Refresh
4:22 5 min Path Forward and Resources : Action Period 2 Assignments
4:27 3 min Evaluate Meeting and Wrap Up
10. Achieve multiple TBC
specific aims
Standardize (SDSAs)
roles and key processes
(Playbook, Spread Plan)
Improve team and coach
skills (improvement
science, team work,
coaching)
Move Practice
Assessment Data toward
Level A
Develop a post
collaborative team
action plan
TBC Learning Collaborative
90 min
Learning
Sessions
Between Session Action Periods (6 weeks)
Complete Assignments
Weekly Team Meetings (5-6), Daily Huddles
Monthly Reporting
Implementation Tools and Skills
Change Concept Resources
Learning From Each Other
Action Period One
Team Based Care
Webinars (8)
Core and Extended
Team Refinements
Effective Meetings
and Daily Huddles
Team Practice
Assessment (LEAP)
Team Skills Data
Cycle Time Data
Collection
Role Activity
- Doing what now
- Data collection
Global and Specific
Aims
Fishbone : Defining
Problem
Between Session
Mentoring and Faculty Support
7
Sept 21 Nov 2 Dec 14 Jan 25 Mar 15 Apr 26 June 14
11. Improvement Ramp for Implementing TBC
Team Composition
Engage the team
Weekly meetings
1
Action
Period 6
4-5
2-3
12. Improvement Science Theory Bursts (10 min)
Developing Skills
Session 1 : Sept 21st
o Running effective team meetings using tools
o Developing and using a cause and effect diagram to inform PDSAs
o Writing a global and specific aim statement
Session 2 : Nov 2nd
o Developing a process map or current state workflow
o Applying PDSA methodology for improvement
Session 3 : Dec 14
o Using data for improvement (run charts, control charts)
Session 4 : Jan 25
o Standardizing (SDSAs) and Reliability Science
Session 5 : March 15
o Spreading Change
Session 6 : April 26
o Gantt Charting : 3-6 month Core Team improvement plan
13. Team Skills Assessment Summary (N=68)
Percentage Strongly Agree or Agree are Competent
66
86
76
68
91
0
10
20
30
40
50
60
70
80
90
100
Gathering and
Using Data Skills
Using Effective
Meeting Skills
Implementing
Daily Huddles
Using
Improvement
Skills
Applying
Teamwork Skills
%StronglyAgreeorAgree
Team Skills Self-Assessment Summary (N=68)
Percentage Strongly Agree or Agree are Competent
October 2016
14. How were some Coaches
feeling Week One?
Mentors Helping
Weekly Coach : Mentor Group Meetings, Individual as Needed
Teaching skills, reviewing tools (more skill building
needed from theory bursts, struggling with tools)
Addressing Online Learning Network Site (Moodle)
challenges
Advising difficulties getting meetings off the ground
(no time to meet), using roles (resistance)
Clarifying assignments, how to use assessment tools
Providing advice for managing : ‘turmoil’,
‘overwhelming assignments’, ‘team and leadership
engagement issues’ , ‘team vs coach ownership’,
‘worried management will roadblock us’
Reminding : Start Where you Are, Use What you
Have, Do What you Can….
Action Period 1 : 4 Mentor Sessions
10 of 16 coaches attended 3 or 4
Individual as Needed
15. Transform your practice with team based care (webinar 1,2,3)
→ Define your Core and Extended Team Structure
→ Strategically redistribute work among team
members (reduce waste, duplication, variation)
→ Create new responsibilities and provide training
→ Improve efficiencies (wait times, start times)
→ Standardize processes to reflect new model
16. Action Period 1 MILESTONES
Work on your Core (Pod) and Extended Team Structure ** (if needed)
6 Teams do not have significant work to do on Team Structure (session 1 polling)
El Rio, Carolina Family Health Center, Peach Tree, Holyoke, Healthcare for Homeless, Sumter
4 Teams Working on Refining and Defining Structure
-why am I on this team? , leader communication?
-did not include RN or Front Desk
-provider changes
-RN and MA turnover (dilutes enthusiasm for change)
-Dyad is “haphazard”
-people on team do not consistently work together
-not clear what is core and extended – need to define roles
-team members work across multiple sites
1 Team part of a spread plan , implementing POD concept across clinic
** PCMH
17. Core (POD) and Extended Team Structure
Refining and Defining
Sumter Family Health Center
How did you refine and why?
18. Blue Pod
(Core Teams)
Dr. Etheridge
Jackie, MA
MA
Dr. Brant
Joe, MA
Porcelyn, MA
Richie Hall, NP
Vicky, LPN
MA
Team RN – Linda
Team Scheduler – Pending
Care Coordinator – Pending (referrals, med records, health coaching)
20. Team Based Care Model (webinar 1)
All Teams Have Met
12 Teams
3-6 Meetings
4 Teams
1-2 Meetings
Mondays 12:15
Tuesdays 9:00
Wednesdays 3:00
Thursdays 1:00
Friday 1:00
30, 45, 60 minutes
Some Cancel, Some Always Meet (shorter)
*leadership support for team meetings
21. Schedule your Weekly Meetings and Practice Skills using Tools
Challenging
Getting meetings off the ground is a
struggle, plus new staff and changes
Frustrating process using tools, agendas too
structured, need discussion time
Team members hesitating and resisting to
take lead, and other roles.
Cancelling meeting due to different
schedules .
Team at different sites, no common time
Transitioning from coach as Lead
Focusing on what is in the core team’s
control vs focusing on management issues
Finishing notes after meeting too much
Cannot shut down clinic
Using improvement skills **
Leader support for meeting time
Going Well
Using a lead rotation schedule, same lead multiple
meetings, coach help us practice all roles
Frank and honest dialogue is happening
Group norms are being created and adhered to (e.g.
getting off topic, equal voice, don’t cancel meeting)
People are making this meeting a priority over other
commitments, want to stay on track
Sharing roles and meeting together has helped us
become a more cohesive team.
Agenda’s created at the end of every meeting, notes
typed in the meeting from flipcharts
Managers join meetings as show of support
Team meets without coach, but coaches role
invaluable stepping in to help us
Admin helping with meeting scheduling
Schedulers protecting provider time for meeting
– TBC fits our Transformation ‘project’
** PCMH
25. Action Period 1 MILESTONES
Try Daily Huddles to improve efficiency **
4 Teams
( 2) POD Huddles working well: Plan the Day,
Improve Efficiencies, Standardizing
(1) Tried and did not work, worked on reducing
anxiety and back on track
Requested standard tools (posted Moodle)
** PCMH
Team Role Analysis :
At least 2 hours/6 hour day of staff time can be spent
identifying patients due for screenings and immunization.
Could a huddle streamline these efforts, save time?
26. Huddle Experience
Carolina Family Health Center
When do you huddle and who attends?
How long have you been testing huddles?
How are huddles going?
Overall going well
Took some time to get into a good routine and iron out the logistics
In the process of modifying a huddle template to use daily to log our efforts
Tool will help standardize our huddles:
• Everyone on the team knows the expectations
• We have a record of the discussion
27. Huddle Experience
Carolina Family Health Center
What do we talk about?
1. What patients are scheduled today and how many appt slots
are available for each provider?
2. Are there outstanding orders or referrals on each patient?
3. Does the patient have any recent hospital visits? If so, obtain the records.
4. Discuss patient specific needs : Interpreter? More time during visit needed?
5. Discuss staffing for the day and go over roles for the day.
Carolina Family Health
28. Action Period One Milestones
Collect Cycle Time Data using patient tool** (15 patients randomly)
9 Teams
Completed or in process of completing cycle time data collection
When tools have incomplete data, add more patients
Varied the days and times
Customizing (e.g. added labs, referral steps)
Want to do it again – verify results
3 Teams analyzing the data
Example 19 patients : average 57 min
Finding Quick Hits: Educate the Scheduler
2 teams
Developed and implemented a Spanish tool
** PCMH
29. Cycle Time Data Collection
Johnson City Community Health Center
30. Time 1 October 26, 2016 30
0
20
40
60
80
100
120
140
160
180
total time
in office
check in
time
waiting
room time
time with
the nurse
exam
room wait
time
time with
provider
check out
time
Cycle Time: Johnson City CHC
Mean Minimum Maximum
How did we collect our data?
How many patients, how selected,
when collected?
What appointment type was used?
Any challenges?
What did our data show, and what
did we learn?
Average time and breakdowns , any
surprises?
Min and max time insights?
English vs Spanish?
What else are we curious about?
• Can interruptions be reduced during
exam room time with patient?
• Are rooming standards reliable?
• Do we start on time 8am, 1pm?
What opportunities for
improvement are we identifying?
31. Action Period 1 Milestones
Complete Role Activity Assessment and Tracking Tools **
5 Teams
Assessed Role Activity in the Past : HC for Homeless, EHC of Wyoming, Daughter of Charity, Sumter, Peach Tree
10 Teams
Completed or in the process of completing Role Optimization Assessment and Role Activity Tracking
Working on compiling the data
Completing assignment timely and appropriately has been challenging (tried more days, less time tracking)
Modified tools to shorten (easier to complete) and aligned with their unique tasks plus new ones
Repeating the data collection, did not think data was accurate or did not meet our needs
Very surprised by the number and type of tasks that they ‘were not doing’
Finding significant duplication of efforts supporting assumptions about working in silos (e.g. RN and NP
Asked staff outside their team to complete role activity to learn more
Everyone coming up with ideas for roles, want radical changes now
Struggling with ‘the point’ of assessment roles and activity current state
MAs do not want MORE work
** PCMH
32. Role Activity Tracking
El Rio Santa Cruz
How did they collect the data?
How did they display the data?
What did the data show ?
What are the next steps?
34. What did the data show and what are we learning?
35.
36. Please share your work TBC Online Learning Network (Moodle)
Who is doing what now?
Is there duplication of effort?
Are core processes standardized?
Are there protocols and standing orders?
What is the miscellaneous work?
How is our time spent?
Is there a more efficient way to do things?
Is there anything we should stop doing, start doing
(always did it that way, did not know another way)
37. “Using role and cycle time data to fishbone or brainstorm
reasons why there are workflow ‘redundancies’ and unequal
distribution of work across team members.
• Data shows lots of duplicative efforts during patient visits
• Core team wants to improve ‘everything at once’
Quick Hit:
• Educate call center on appointment scheduling issues
causing bottleneck.
Lengthy
Appointments
People Equipment
Materials Process
Clinical staff inconsistent Support staff not
trained
No one responsible for patient flow Patients arrive with more
needs than originally
stated
Providers are late
Support staff unprepared
for patient visits
Equipment
broken
Not enough computers
Equipment missing
Inventory low
Missing exam
room supplies
Charts are missing
Information, e.g. test
results missing
No standard
registration process
MA does paper flow and patient flow
Variation in rooming process
Check out
process delays
Poor communication between all
staff on patient status
Fishbone (Cause and Effect) of Lengthy Appointments
Rio Monthly Report
Using Role Activity Data
38. Using Role Activity Data
If there are No Standards for Roles that are ‘doing the same activity’, or current
standards are inconsistently followed – this is waste and inefficient
For example : Data for Closing Gaps in Care Using Registry Data
• MA 6% of time
• LPN 33% of time
Leveraging Waste Elimination and Standardization Creates Capacity
40. Primary Care Team Guide Assessment Data (n=16 Teams)
0
2
4
6
8
10
Level A Level B Level C Level D
Medical Assistant (MA)
0
2
4
6
8
Level A Level B Level C Level D
Registered Nurse (RN)
0
5
10
Level A Level B Level C Level D
Medication Management
0
5
10
Level A Level B Level C Level D
Planned Care
0
5
10
Level A Level B Level C Level D
Population Management
41. Level D: Just Getting Started
Level C: Early Stages of Change
Level B: Implemented Basic Changes
Level A: Achieved Most or All of the Important Change Required
50. 50
Brainstorming Change Ideas for PDSAs
Take a minute or so for silent thinking
Be creative
Record ideas from ALL participants
WITHOUT judgment
Clarify as needed and No discussion.
Build on other’s ideas
Combine similar ideas
Vote on idea(s) you want to try
Test change ideas using PDSA cycles
51. Benchmarking to Identify Change Ideas Using Best Practices
51
Literature Search , Conferences
Internal
Within Your Team or Practice
Across Organization
External
ImprovingPrimaryCare.org
PCMH
“Moodle” TBC Website REFRESH
Dartmouth Microsystem Improvement Curriculum (DMIC)
52. NCA Online Learning Network
Find material for download, TBC
webinars, and team folders for
sharing your work...
Improvingprimarycare.org
Discussion Board
Ask questions or make requests
of teams, faculty….
53. Action Period Milestones
6 Teams
General Focus of Global Aims
o Team Based Care
o PCMH
o New Mission Statement
General Focus Specific Aims
“sub-aims” of Global Aim
o Reduce Waste, Reduce Cycle Time, Reduce
Wait for Provider, Close Care Gaps
o What Patients Love and Drives Them Nuts
o Other : ‘education’ and ‘communication’ -
(what do you want to achieve by this – that
might be the aim)
Create a therapeutic alliance with each
individual patient that promotes
comprehensive care for every member of the
community with efforts to proactively promote
health and wellness while treating disease
Reduce cycle time for a 15 min appointment from
45 min to 25 min by Dec 15
PDSA 1: daily huddles for better
communication to avoid duplication of effort
PDSA 2: start time 8 am and 1pm
PDSA 3: rooming protocols
PDSA 4 : redesign check out process
54. Action Period 2 Assignments
1. Meet weekly (30-60 min) as a Core Team
Practice effective meeting skills and use tools with
coaching support
2. Continue Daily Huddles or Start Daily Huddles
Work on standardizing (PDSAs, SDSAs)
Align Huddle intervention with a specific aim
3. Continue to work on using tools, practice skills:
Core and Extended Team Structure
Role Optimization Assessment and Role Tracking
Cycle Time
Fishbone – define problems discovered by data or
other sources
Specific Aim Statement(s) Aligned with Global Aims
55. Complete Readiness Survey
1. Access the ORIC Tool on
the NCA Moodle Website
2. Follow the link and
complete the form
3. Alternatively, scan and
upload on the NCA
Moodle Website: Post and
Access Assignments Here
>> Health Center Reports
56. Action Period 2 Assignments
4. Complete Readiness Survey
5. Develop a process map of a workflow you want to improve
6. Plan your tests of change
7. Do some PDSA cycles to achieve your specific aim
8. Upload monthly progress report to inform Session 3 Planning
57. Action Period 2 Assignments
Mentoring and Faculty Support
Continue Weekly Mentor meetings for 2 groups of Coaches
Individual coaching support as needed
Teach improvement skills, how to use tools – helping teams learn
Analyze and post Readiness Survey data
Improve everyone’s experience using the Online Learning Network
Prepare for Session 3 : Identify | support teams for sharing their improvement work
58. Looking Ahead Session 3
Has your POD and Extended Team model evolved?
What have you continued to learn from all assessments, other data?
How are your meetings and huddles going?
How are you defining problems using a fishbone diagram?
How are you doing with specific aims and PDSAs? Aligned with Global aim?
What TBC change ideas are you testing? (guidelines, tools, protocols, role descriptions, processes)
New
Learning about data sampling, run charts and control charts
Update from CHCI : MA Training Program
Welcome everyone to the TBC Learning Collaborative.
This is session 1 of 7 over the next 9 months.
Our agenda after more introductions…
We will be referring to this ramp throughout the collaborative as a road map, or the structure to a proven approach to change.
As shown by the skills assessments, there is opportunity to close some gaps by building improvement science into the sessions over time. What you need, when you need it – to be successful.
For example -
During our interviews, this was the model we used to help you identify the core team members for collaborative participation.
Core team can be 1-3 provider and MA dyads. At a minimum , your core team is a dyad.
When huddel, who attends, how long, focus, any prep, tools, achieve?
Get in routine – PDSA
TOOL standarize (SDSA)
When huddle, who attends, how long, focus, any prep, tools, achieve?
Get in routine – PDSA
TOOL standarize (SDSA)
Does the scheduler attend for question ONE
This shows cycle time for all the patients at JCCHC, cycle time sheets were distributed to English (n=9) and Spanish (n=6) speaking patients over a weeks time, most of the cycle times were completed in the morning (n=10), afternoon (n=2) unknown time of day (n=3) the days they were completed were predominantly on Wednesday and Friday with 2-3 on either Monday (n=2) or Thursday (n=5), 3 unknown day of the week
Missing miscellaneous activity – other than what is on their tool – just as important
We also have some preliminary information from the primary care assessment from each 11 teams to date, not individuals.
What are the roles and activities associated with 10 Key Functions or processes that define team based care
Assess the elephant –
Over 9 months
we will be understanding current state before implementing strategies to optimize and standardiz BOTH roles of team members and processes or clinical workflows
We will help you understa
We will also work
break it down into small achievable aims
We will be referring to this ramp throughout the collaborative as a road map, or the structure to a proven approach to change.
TRISHA:
Can you give an overview of what we do now vs what this might have from the past process? What to revisit?