SBIRT Training in Georgia
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Delivered by Dr. Paul Seale, Family Physician and Professor & Director of Research in the Dept. of Family Medicine Navicent Health/Mercer University, this presentation shows the potential Georgia has for being a leader implementing SBIRT.
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SBIRT is an evidence based approach to the delivery of early intervention and treatment to people with substance use disorders and those at risk of developing these disorders. Collaborative SBIRT Training for Maine’s Future Health Profession Leaders is a three-year grant totaling $870,000 from the U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA). The first of its kind to be awarded in Maine, this grant utilizes an interprofessional approach to the development and implementation of training programs to teach UNE students across 8 health professions the skills necessary to provide evidence-based Screening and Brief Intervention as well as Referral to Treatment for patients who are at risk for a substance use disorder (SUD). Additionally, the training will develop the leadership skills needed in order to champion the implementation of SBIRT throughout our healthcare system with the ultimate goal of helping clients avoid substance use disorders.
This presentation deals with SBIRT and Social Work in particular.
2016 Kithcart Resume - Clinical Transformation
Bobbie Kithcart has over 30 years of experience in clinical nursing, health administration, and pharmaceutical consulting. She currently works as a Clinical Science Consultant for Boehringer-Ingelheim Pharmaceuticals, where she has led several initiatives to reduce readmission rates, improve medication adherence, and increase the use of new oral anti-coagulants. Previously, she has held leadership roles developing medical management programs, directing evidence-based asthma education, and obtaining multiple grants to study and prevent chronic diseases. Kithcart also has extensive experience cultivating partnerships across academia, healthcare organizations, and government to implement successful public health programs.
Mary Rose Gaughan curriculum vitae
Mary Rose Gaughan has over 30 years of experience in nursing education, clinical practice, and healthcare administration. She currently works as an Assistant Professor of Nursing at Erie Community College, where she teaches medical surgical and pediatric nursing courses. Previously, she has held roles as an adjunct professor, clinical manager, insurance outreach specialist, and nurse educator. Gaughan has a PhD, Master's degree in Nursing Administration, and Bachelor's degree in Nursing. She has a proven track record of expanding programs, achieving measurable outcomes, and receiving awards for her work in healthcare.
RESEARCH Open AccessTelecoaching plus a portion control pl.docx
RESEARCH Open Access
Telecoaching plus a portion control plate
for weight care management: a
randomized trial
Jill M. Huber1, Joshua S. Shapiro2, Mark L. Wieland1, Ivana T. Croghan1, Kristen S. Vickers Douglas3,
Darrell R. Schroeder4, Julie C. Hathaway5 and Jon O. Ebbert1,6*
Abstract
Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-
related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational
interviewing paired with a portion control plate for obese patients in a primary care setting.
Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern
United States. Patients were randomized to either usual care or an intervention including telecoaching with a
portion control plate. The intervention was provided during a 3-month period with follow-up of all patients
through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist
circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included
measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks.
Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion
control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline
demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P = .038) and waist to hip ratio
(estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate
group compared to usual care. These differences were not statistically significant at 6 months. In females, the
telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI
at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m2, P = .020) and 6 months (estimated
treatment effect -2.3 kg, P = .013 and -0.8 kg/m2, P = .025). In males, the telecoaching plus portion control
intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment
effect -0.04, P = .017), but failed to show a significant difference in weight and BMI.
Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese
primary care patients; however, changes depend upon sex.
Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/
NCT02373878.
Keywords: Obesity, Telecoaching, Portion control plate, Primary care, Patient-centered medical home
* Correspondence: [email protected]
1Division of Primary Care Internal Medicine, Department of Medicine,
Rochester, MN 55905, USA
6Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
Full list of author information is ...
Incorporation Population Health into Medical Education
The document outlines plans to incorporate population health into the medical education curriculum at the Medical College of Georgia at Georgia Health Sciences University. It discusses assessing internal resources and community needs. A framework is proposed to introduce population health concepts into the 3rd and 4th year of medical school through lectures, seminars, clinical experiences, and service learning opportunities. The goal is to better prepare physicians for a healthcare system focused on prevention and community health as recommended by organizations like the Institute of Medicine and licensing exams. Contact information is provided for those wanting more details on the population health initiative.
Newsletter Volume 5, Edition 4
This document summarizes the October 2016 edition of "Good News You Should Know", a newsletter from the LBJ campus of UTHealth. The newsletter highlights recent progress and achievements in quality care at LBJ Hospital and affiliated clinics. It discusses the hospital receiving re-designation as a Pathway to Excellence facility for nursing care. It also summarizes several quality improvement projects from LBJ faculty that were recognized in a quality competition.
Original ArticleThe Establishment of Evidence-BasedPract.docx
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes,.
Original ArticleThe Establishment of Evidence-BasedPract.docx
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes, ...
GSW School of Nursing Preview Day Presentation
Presentation given to prospective nursing students and parents during a breakout session from GSW Campus wide Preview Day.
Similar to SBIRT Training in Georgia (20)
Improving Patient Health Outcomes with an EHR whitepaper
Improving Patient Health Outcomes with an EHR whitepaper
RESEARCH Open AccessTelecoaching plus a portion control pl.docx
RESEARCH Open AccessTelecoaching plus a portion control pl.docx
Incorporation Population Health into Medical Education
Incorporation Population Health into Medical Education
Original ArticleThe Establishment of Evidence-BasedPract.docx
Original ArticleThe Establishment of Evidence-BasedPract.docx
Original ArticleThe Establishment of Evidence-BasedPract.docx
Original ArticleThe Establishment of Evidence-BasedPract.docx
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Finding Policy Solutions for Provider Directories and Surprise Medical Bills
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SBIRT Training in Georgia
- 1. Georgia: National Leader in Training an SBIRT Workforce J. Paul Seale, MD Family Physician Professor & Director of Research Dept. of Family Medicine Navicent Health/Mercer University Macon, GA, USA
- 2. Healthy Habits Project 2002-3 Macon Family Medicine clinic Clinicians trained: 25 residents, 8 faculty and 2 physician assistants (now 108 residents after 13 years) Screened 3,041 patients, 241 (8%) positive screens, 115 (3.8%) received BIs Demonstrated SBIRT’s feasibility Seale, Shellenberger et al, Substance Abuse 2005; Seale, Shellenberger et al, BMC Family Practice 2005
- 3. Project 2: GA-TX “Improving Brief Intervention” Project Timeline: 2005-2007 Aim: Replicate results of Healthy Habits Project in 8 residency programs (4 in GA, 4 in TX) Engaged “early adopter” faculty to serve as site coordinators: Rome (Floyd Medical Center), Atlanta (Morehouse Family Medicine), Albany (Phoebe Putney Family Medicine), Savannah (Memorial Family Medicine)
- 4. Dissemination Results 189 residents & 6 faculty trained Broad geographic distribution across Georgia Shellenberger, Seale et al, Academic Medicine 2009; Seale, Velasquez et al, Substance Abuse 2012
- 5. Project 3: Georgia BASICS State SBIRT Initiative 2008-2013 Aim: Implement alcohol/drug SBIRT in 2 largest hospital systems in GA Partnered with state health dept, Grady Health Systems, Emory & GA State U. Focused on SBIRT in emergency departments New: “specialist model” of SBI delivery $15 million over 5 years Johnson et al. Use of AUDIT-based measures, ACER 2013; Johnson et al. Integration of screening question…Annals of Emerg Med 2013
- 6. SBIRT Grants by State, 2008 Missouri W. Virginia Georgia Medical School Residency Grants
- 7. Project 4: Southeastern Consortium for Substance Abuse Training Rationale: limited SBI/substance abuse initiatives in the southeastern US Aim: Implement alcohol/drug SBIRT in primary care residencies GA/NC/SC Recruited 4 Family Medicine, 3 Internal Medicine residencies & PA program
- 8. Dissemination Results 9 new clinics in 8 training programs,189 residents & 6 faculty trained in 3 states Added SBI training in new discipline: Physician Assistant training program Training, systems intervention & strong QI component led to increased SBI rates in clinics Pioneering work on coding & billing Seale, Johnson et al, Academic Medicine 2015; Le, Johnson et al, JGIM 2015
- 9. Project 5: SECSAT for Advanced Practice Registered Nurses Rationale: as primary care delivery changes to serve more patients, nurse practitioners are in ideal role to do SBI and bill for services provided Engaged 6 GA advanced practice nursing programs (Mercer, Emory, UNG, Armstrong Atlantic, GCSU, South U.) Recruited 2 other “top ten” nursing programs—Johns Hopkins, UAB
- 10. Dissemination Outcomes Training in 8 new nursing programs, 587 students, 74 faculty and preceptors trained in initial 2 years (goal: 900) Creation of online training materials for distance learners Very high level of interest, engagement and ownership of this important preventive practice Major efforts toward establishing national SBIRT training standards
- 12. Newest Wave of SBIRT Trainees (63 new US grants) Augusta University Medical students, nurse practitioners, residents in Family Medicine and psychiatry, & psychology students Morehouse School of Medicine Training students in medicine, nursing and social work
- 13. GA Workforce—Poised for SBIRT Dissemination 13 years of training projects >2,600 students/residents & 118 faculty in medicine, nursing and PA programs across Georgia & nearby states Follow-up interviews indicate these trainees use SBI after graduation Opportunities to accelerate use of this important preventive service by “turning on” and funding SBIRT codes