AMGA s Measure Up Pressure Down Campaign. Plank 7: All Team Members Trained in Importance of BP Goals
|
|
- Eleanor Smith
- 5 years ago
- Views:
Transcription
1 AMGA s Measure Up Pressure Down Campaign Plank 7: All Team Members Trained in Importance of BP Goals Elizabeth L. Ciemins, PhD, MPH, MA Barbara Holloway, RN, BSN, CDE September 19, 2013 Health Care, Education and Research
2 Plank 7: All Team Members Trained in Importance of BP Goals 1. Overview of philosophical approach 2. How we spread the message Health Care, Education and Research
3 Complexity Science-Informed Approach Health Care, Education and Research
4 .the next century will be the century of complexity. (Steven Hawking, 20 th Century)
5 5
6 Complexity Science Science that attempts to: Understand and explain the behavior and dynamics of systems composed of many interacting elements Uncover the principles and processes that explain how order, change and innovation emerge in these systems Health Care, Education and Research
7 What is a Complex Adaptive System? System implies: Multiple Agents Agents are Interdependent and Connected Complex implies: Diversity Many Elements Large Number of Connections Adaptive implies: Capacity to Alter or Change Health Care, Education and Research
8 Interdependent Attributes Self-Organization & Emergence Adaptable Elements Order & Disorder Embedded Systems Diversity Non-Linearity Distributed Control 8 Health Care, Education and Research
9 Diversity: A Complex Adaptive System, e.g., Health Care Organization, has many different elements. This enables a CAS to change. Seek it Out Health Care, Education and Research
10 Interdependent Attributes Self-Organization & Emergence Adaptable Elements Order & Disorder Embedded Systems Diversity Non-Linearity Distributed Control Health Care, Education and Research
11 Embeddedness: Each system is made up of other systems and is part of (embedded in) a larger Complex Adaptive System. Each is unique. Respect Culture City, State, National HEALTH SYSTEM Health Care Organization Clinical Department NURSE Health Care, Education and Research
12 Interdependent Attributes Self-Organization & Emergence Adaptable Elements Order & Disorder Embedded Systems Diversity Non-Linearity Distributed Control Health Care, Education and Research
13 Because Complex Adaptive Systems are nonlinear, a small change may produce a large effect, or a large change may produce a small or no effect. Inability to Predict: Outcomes are unpredictable. Think Many Small Actions The Butterfly Effect Health Care, Education and Research
14 Consider Type of Problem, Match Solution to Problem Technical Change Adaptive Work Health Care, Education and Research
15
16
17 Interdependent Attributes Self-Organization & Emergence Adaptable Elements Order & Disorder Embedded Systems Diversity Non-Linearity Distributed Control Health Care, Education and Research
18 Emergence: In a Complex Adaptive System outcomes emerge through a process of Self-Organization rather than through centrally planned or directed processes. Think Bottom Up Approach Health Care, Education and Research
19
20
21 Health Care, Education and Research 21
22 Conventional Change Model Complexity-informed Change Model Health Care, Education and Research
23 Complexity Science Tells Us.. 1. Relationships matter 2. Look for bright spots or positive deviants 3. Foster self-organization 4. Embrace uncertainty 5. Need both technical and adaptive solutions Health Care, Education and Research
24 Spreading the Message: Importance of BP goals Health Care, Education and Research
25 Who? Clinical Care Teams: Providers (MDs, DOs, NPs, PAs) Nurses (LPNs, RNs) Staff (MAs, Registration)
26 Where? Regularly scheduled IM and FP huddles Special sessions Face-to-face Telemedicine Other existing groups Clinical Practice Committee (Clinic RNs, LPNs) Clinic Quality Council
27 Why train everyone? Team-based care: every discipline plays a role in HTN management Patient part of team Project ownership (vs. buy-in)
28 Ownership vs. Buy-in * Ownership Invited to participate at start of project Participation a choice Helped design change Debated alternatives, contributed to decisionmaking Buy-in Invited to participate well into project Participation mandated Asked to accept change designed by others Unaware of alternatives discussed, not part of any decision-making *Henri Lipmanowicz, co-founder Plexus Institute, co-developer, Liberating Structures
29 Training Content
30 Goals of Three-Year Campaign Measurable improvements in high blood pressure prevention, detection, and control 80% of patients at goal according to NQF 0018 measure criteria 75% of AMGA membership adopt (at least one) campaign planks. Engage and empower patients to actively manage their health. 30
31 AMGF Chronic Care Challenge Hypertension Campaign Goal: 80% of Patients at Goal BP According to JNC 7 PRIMARY PROCESS PLANKS Process Planks for Achieving Goal Direct Care Staff Trained in Accurate BP Measurement Hypertension Guideline Used and Adherence Monitored BP Addressed for Every Hypertension Patient, Every Primary Care Visit All Patients Not at Goal and with New Rx Seen within 30 days Prevention, Engagement, and Self-Management Program in Place VALUE- ADD PROCESS PLANKS Registry Used to Identify and Track Hypertension Patients All Team Members Trained in Importance of BP Goals All Specialties Intervene with Patients Not in Control
32 Why Does Billings Clinic Care? Vision to be a national leader in providing the best clinical quality, patient safety, service and value. Hypertension control is an important quality metric along with prevention and control of other chronic conditions (DM, CHF, COPD, CAD, etc.) Several reimbursement mechanisms (Accountable Care Organization, Meaningful Use for HIT) require that we meet certain quality metrics (including HTN) in order to receive dollars. 32
33 Most Importantly. It s the right thing to do for our patients!! 33
34 Plank Specific Information: Importance of BP Goals Hypertension is leading risk factor for heart disease, stroke, kidney failure, diabetes complications. One of three American adults have high blood pressure Less than half of patients have their condition under control Hypertension = silent killer Often no symptoms until serious problem occurs 34
35 And For every 20 mm Hg systolic or 10 mm Hg diastolic: Risk for cardiovascular event doubles!! 35
36 THE QUIZ
37 Blood Pressure Measurement 1. If the cuff is applied too loosely, the pressure reading will be: a) Too low b) Too high c) Not affected 2. Which of the following can cause sounds to be heard down to zero? a) Anemia b) Vigorous exercise c) Heavy pressure on the stethoscope d) All of the above e) None of the above 3. If the nurse inflates the cuff slowly or inconsistently, which of the following may occur? a) Inaccurate reading b) Lower systolic pressure reading c) Auscultatory gap in systolic pressure d) A and B e) A and C
38 Importance of being at BP goal 1. Hypertension is leading risk factor for: a) Heart disease b) Stroke c) Kidney failure d) Diabetes complications e) All of the above 2. For every 20 mm Hg systolic of 10 mm Hg diastolic, risk for cardiovascular event: a) Doubles b) Triples c) Stays the same
39 Is there more than one answer? The Korotkoff phase used to determine diastolic pressure in adults is: a) The phase when all sounds disappear b) The phase when sounds become muffled c) The last sound heard through the stethoscope d) All of these
40
41 Other tools to spark conversation: AHA 2013 Fact Sheet Factors affecting accuracy of BP measurement Issues to consider while talking with your patient with hypertension
42 Purpose of Quiz & Message Sharing Techniques 1. It s not the quiz itself, but the discussion it elicits 2. The tools (quiz) provide time and space for conversations to occur 3. Within and across discipline learning regarding practices of others 4. Learning from each other, rather than the presenter
43 Summary 1. Examining problem/issue through lens of complexity science allowed for more effective approach 2. Recognizing health system as Complex Adaptive System permitted focus on attributes and design of appropriate interventions 3. Opportunities for teams to talk, discuss, debate ANY TOPIC will result in stronger, more cohesive teams 4. Spread through self-organization more effective than through centralized approach 5. Importance of fostering ownership versus persuading buy-in
44 Questions? Elizabeth Ciemins: Barb Holloway:
45 Percent with most recent bp < 130/80 Complicated HTN Patients with DM or CKD Billings Clinic Comparator Q Q4 Q Q2 Q3 Q4 Q Q2 Q3 Q4 Q Q2 Time Period
46 Percent with Most Recent BP < 140/ Billings Clinic: All Patients <=85 Billings Clinic Comparator Q Q4 Q Q2 Q3 Q4 Q Q2 Q3 Q4 Q Q2 Time Period
47 Percent of Patients with ALL BP < 140/90 Stillwater Billings Clinic: All HTN Patients < 85 years Year
Appleton, WI Lori Arnoldussen Kim Wildes
Appleton, WI Lori Arnoldussen Kim Wildes The speaker has no actual or potential conflict of interest in relation to this presentation. ThedaCare Physicians 200 Providers 27 Clinic locations 480, 260 office
More informationHypertension Efforts Mercy Medical Group, Inc. November 5, 2016 Alan R. Ertle, MD, MPH, MBA Chief Medical Officer
Hypertension Efforts Mercy Medical Group, Inc November 5, 2016 Alan R. Ertle, MD, MPH, MBA Chief Medical Officer Mercy Medical Group, Inc. 420+ provider multi-specialty group in the Sacramento metro area
More informationPrevea Health Automates Population Health Management and Improves Health Outcomes
CASE STUDY Prevea Health Prevea Health Automates Population Health Management and Improves Health Outcomes After adopting the patient-centered medical home care delivery model to improve the health and
More informationHypertension Management Improvement Automated Cuffs Implementation and Training
Hypertension Management Improvement Automated Cuffs Implementation and Training Rae Ann Williams, MD, FACP Regional Assistant Medical Director Jo McLaughlin, MA, BSN, RN Director Nursing and Nutrition
More informationAlabama Department of Public Health Bureau of Health Promotion and Chronic Disease Hypertension Control Initiatives Request for Proposals FY 2018
I. Overview and Purpose Alabama Department of Public Health Bureau of Health Promotion and Chronic Disease Hypertension Control Initiatives Request for Proposals FY 2018 One in three American adults, about
More informationTeam Care Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc.
2008 Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc. November 12-14, 2008, Scottsdale, AZ Great Falls Clinic, LLP Great Falls, Montana Team Care
More informationA M.A.P. for improving blood pressure: Application within the QIN-QIO community
A M.A.P. for improving blood pressure: Application within the QIN-QIO community Donna Daniel, PhD Director, Improving Health Outcomes Strategies American Medical Association Michael Rakotz, MD Director,
More informationGeisinger s Use of Technology in Case Management and the Medical Home: A Heart Failure Study
Geisinger s Use of Technology in Case Management and the Medical Home: A Heart Failure Study JOANN SCIANDRA, RN, BSN, CCM DOREEN SALEK, BS, RN, CCS/CPC DANIEL MAENG, PHD February 18, 2015 Geisinger at
More informationManaging Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
More informationObjectives. Prototyping tools and resources. The M.A.P. framework. Hypertension statistics. Barriers to success
The M.A.P. Framework and Hypertension Control Linda Murakami, RN, BSN, MSHA Senior Program Manager, Quality Improvement Objectives Understand the M.A.P. Framework Learn the importance of accurate blood
More informationCREATING A NATIONAL CAMPAIGN TO IMPROVE HYPERTENSION CONTROL. Improving chronic care: It takes a team
F I N D I N G S T R E N G T H Improving chronic care: It takes a team CREATING A NATIONAL CAMPAIGN TO IMPROVE HYPERTENSION CONTROL Jerry Penso, MD, MBA, chief medical and quality officer American Medical
More informationPresentation Outline
Chronic Disease Toolkits: Spreading Quality Outcomes Simply Gerald H. Angoff, MD, FACC, MBA Steve Sarette, BA Presentation Outline It Introduction ti Setting the scene Quality Improvement Project Details
More informationNew Models of Care: Diabetes and the Triple Aim
Robert Gabbay MD, PhD, FACP Chief Medical Officer Joslin Diabetes Center Harvard Medical School Boston, MA The Triple Aim New Models of Care: Diabetes and the Triple Aim Healthcare is changing, what does
More informationClinical Documentation Improvement at UIHC
Clinical Documentation Improvement at UIHC Deanna Brennan, RN BSN Quality & Operations Improvement Manager/Director Clinical Documentation Improvement 1 Clinical Documentation Improvement Clinical Documentation
More informationGoals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
More informationHealthPartners and the Triple Aim. IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners
HealthPartners and the Triple Aim IHI Open School August 23, 2012 Beth Waterman, RN MBA Chief Improvement Officer HealthPartners HealthPartners Not for profit, consumer governed Integrated care and financing
More informationMeasuring Success in the Campaign for Action using Dashboard Indicators Joanne Spetz, PhD. May 28, 2015
Measuring Success in the Campaign for Action using Dashboard Indicators Joanne Spetz, PhD May 28, 2015 What does a Dashboard do? Dashboards provide concise data Dashboards are linked to goals and actions
More informationHypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
More informationImproving Perinatal Quality Outcomes: Assessing the Efficacy of an Asynchronous Learning Activity
Improving Perinatal Quality Outcomes: Assessing the Efficacy of an Asynchronous Learning Activity Nursing Research Conference May 7, 2014 Amy Scott, MSN, WHNP, RNC-OB Janet Trial, EdD, CNM OBJECTIVES At
More informationUPMC Health Plan. Value Based Insurance Design (VBID) Spark Your Health
UPMC Health Plan Value Based Insurance Design (VBID) Spark Your Health Value Based Insurance Design (VBID) Spark Your Health Medicare Advantage Summit April 6, 2017 Helene Weinraub 1 The statements contained
More informationEvaluation of the West Virginia Cardiovascular Health Program (CVHP)
Evaluation of the West Virginia Cardiovascular Health Program (CVHP) 2013 Background/Introduction: The West Virginia Cardiovascular Health Program (CVHP) and the West Virginia University Office of Health
More informationHeart Failure Education Consider Health Literacy
Heart Failure Education Consider Health Literacy Sandy Hall RN BSN Heart Failure Case Manager Mercy Medical Center Des Moines, IA August 2012 What does this mean to you? Cardiac diet 1 Is it this? Low
More informationManaging Your Patient Population: How do you measure up?
Managing Your Patient Population: How do you measure up? Paul M. Palevsky, M.D. Chief, Renal Section VA Pittsburgh Healthcare System Professor of Medicine University of Pittsburgh School of Medicine Ben
More informationKaiser Permanente Northern California Large Scale Hypertension Control Program
Kaiser Permanente Northern California Large Scale Hypertension Control Program Marc Jaffe, MD Clinical Leader, Kaiser Northern California Cardiovascular Risk Reduction Program Clinical Leader, Kaiser National
More informationPHASE Preventing Heart Attacks & Strokes Everyday
PHASE Preventing Heart Attacks & Strokes Everyday Welcome to the PHASE Learning Community! Webinar Housekeeping 1. Lines are muted. 2. Chat in questions or unmute your line by pressing *7 to ask a question
More informationClinical Webinar: Integrated Pharmacy
Clinical Webinar: Integrated Pharmacy Benjamin Gross, Pharm D, MBA, BCPS, BCACP, CDE, BC ADM, ASH CHC Associate Professor Director of Residency Programs Lipscomb University College of Pharmacy Objectives
More informationPCMH to ACO: Carilion Clinic s Journey
PCMH to ACO: Carilion Clinic s Journey Michael P. Jeremiah, MD, FAAFP Chair, Department of Family and Community Medicine Carilion Clinic and the Virginia Tech-Carilion School of Medicine Patient-Centered
More informationMEASURING YOUR BLOOD PRESSURE AT HOME
MEASURING YOUR BLOOD PRESSURE AT HOME Helping you to lower your blood pressure BLOOD PRESSURE UK About this booklet This is one of a series of booklets produced by Blood Pressure UK, to help people with
More informationMedicare Advantage Quality Improvement Project (QIP) & Chronic Care Improvement Program (CCIP)
Medicare Advantage Quality Improvement Project (QIP) & Chronic Care Improvement Program (CCIP) Medicare Drug and Health Plan Contract Administration Group Donna Williamson & Brandy Alston December 6, 2016
More informationIntegrating Technology into Care: Telehealth and Beyond
Integrating Technology into Care: Telehealth and Beyond Cindy Campbell RN, BSN, MHA (c) Director Operational Consulting Fazzi Associates, Inc. Play the 2018 Conference Post to Win Game for a chance to
More informationBright Spots in primary care
Bright Spots in primary care A High- Performing Teaching Practice: Site Visit to Oregon Health & Science University s (OHSU) Family Medicine Clinic at Gabriel Park General information Tom Bodenheimer MD
More informationQuality & Systems Improvement Resources, Updates, and Local Initiatives
American Heart Association American Stroke Association Quality & Systems Improvement Resources, Updates, and Local Initiatives Illinois Association for Healthcare Quality - 2018 Annual Conference May 8,
More informationDeveloping Systems to Improve Hypertension Monitoring at a Primary Care Clinic. Theresa M. Holsan, RN, DNP, FNP-C
Developing Systems to Improve Hypertension Monitoring at a Primary Care Clinic Theresa M. Holsan, RN, DNP, FNP-C Introduction Hypertension is one of the most common reasons adult patients seek care from
More informationNATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS 2200 Century Parkway, Suite 250 Atlanta, GA
NATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS 2200 Century Parkway, Suite 250 Atlanta, GA 30345 770.458.7400 1. Agencies and organizations providing training to state staff working on 1305/SPHA should
More informationPopulation Health and the Accelerating Leap to Outcomes-Based Reimbursement. Craig J. Wilson
Population Health and the Accelerating Leap to Outcomes-Based Reimbursement Craig J. Wilson Agenda / Goals Define Population Health Management Review emerging reimbursement landscape eg MACRA Review why
More informationHypertension Control: Self-Measured Blood Pressure Monitoring
Source: Flickr Hypertension Control: Self-Measured Blood Pressure Monitoring High blood pressure, or hypertension (HTN), is a major risk factor for heart disease, stroke and kidney disease. It affects
More informationHypertension and African Americans: A Retrospective Review of Provider Education on Lifestyle Counseling and Medication Management
University of Kentucky UKnowledge DNP Projects College of Nursing 2016 Hypertension and African Americans: A Retrospective Review of Provider Education on Lifestyle Counseling and Medication Management
More informationHIMSS Davies Enterprise Application --- COVER PAGE ---
HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:
More informationOverview of Variation Reduction and. Laura Holmes MD. Background. Wide variation in medical practice Jack Wennberg, MD, Dartmouth
Overview of and the PAMF experience with VR Laura Holmes MD IHI International Summit 2014 Session L3 This presenter has nothing to disclose Background Wide variation in medical practice Jack Wennberg,
More informationChronic Care Management Services: Advantages for Your Practices
Chronic Care Management Services: Advantages for Your Practices Rachel S. Eichenbaum, RN, MSN Yvonne La-Garde, M.ED Susan Whittaker, CPC, CPMA This material was prepared by the New England Quality Innovation
More informationPhysician Quality Reporting System & VBPM, 2015
Physician Quality Reporting System & VBPM, 2015 Andrew Bienstock Transformation Support Services Manager 1 Agenda 1. PQRS Penalty 2. PQRS Eligibility 3. PQRS Reporting Options 4. Value Based Payment Modifier
More informationNew Models of Care- Looking at PCMH & Telehealth
New Models of Care- Looking at PCMH & Telehealth Paula Block, RN, BSN, Clinical Process Improvement Manager Montana Primary Care Association pblock@mtpca.org or 406.442.2750, ext. 1003 Agenda What is PCMH?
More informationMedication Management Center
Academic-Community Partnership to Implement Medication Therapy Management (MTM) Services in Rural Communities to Improve Adherence to Preventative Health Guidelines for Patients with Diabetes and/or Hypertension
More informationTopics for Today s Discussion
MICAH Quality Network Population Insights Reporting and 2017 2018 PG5 P4P Program Year Updates Blue Cross Blue Shield of Michigan Hospital Incentive Programs August 18 th, 2017 Topics for Today s Discussion
More informationNext Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups
Next Gen Training Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Why is Next Gen So Important? Better for the VFC: All the necessary info can be accessed from any VFC
More informationMidmark IQvitals Zone Technology: Connecting Vitals Acquisition within the Point of Care Ecosystem
Midmark White Paper Midmark IQvitals Zone Technology: Connecting Vitals Acquisition within the Point of Care Ecosystem Introduction This is Part Two of Midmark s Point of Care Ecosystem Series that examines
More informationData Quality Improvement Plan
Data Quality Improvement Plan Goal This interac ve document is for Clinical Health Informa on Technology Advisors (CHITAs) to work with a prac ce to ins tute sustainable quality improvement. The Data Quality
More informationSlide 1. Slide 2 Rural Princeton. Slide 3 Agenda Rural ACO RURAL ACOS CAN WORK AND LEAD THE WAY
Slide 1 RURAL ACOS CAN WORK AND LEAD THE WAY Nebraska Rural Health Association September 20, 2017 Slide 2 Rural Princeton Slide 3 Agenda Rural ACO Illinois Rural Community Care Organization (IRCCO)/Statewide
More informationCareConcepts Integrating Payor Sponsored Disease Management into Primary Care Practice
Integrating Payor Sponsored Disease Management into Primary Care Practice Physicians Foundation for Health Systems Excellence Grant # 9600013 (2005 PFHSE Grantees) January 2006 June 2009 PO Box 762, Farmington,
More informationAmbulatory Care Delivery Strategy: The Key to Successful Population Health Management
Ambulatory Care Delivery Strategy: The Key to Successful Population Health Management Christopher T. Olivia, MD, President Michael Renzi, DO, Chief Medical Officer March 18, 2014 2014, Continuum Health
More informationExamining the Differences Between Commercial and Medicare ACO Models
Examining the Differences Between Commercial and Medicare ACO Models Michelle Copenhaver December 10, 2015 Agenda 1 Understanding Accountable Care Organizations 2 Moving to Accountable Care: Enhancing
More informationHealth Literacy Mara McDermott RN, BSN Elizabeth Blazek RN, BSN
Health Literacy Mara McDermott RN, BSN Elizabeth Blazek RN, BSN Kathy J. Morris, DNP, APRN-NP, FNP-C, FAANP Sue Barnason PhD, RN, APRN-CNS Judy Jesz, DNP, MBA, RN Jana Uryasz, MSN, RN The Problem In a
More informationCONNECTED SM. Blue Care Connection SIMPLY AN ACTIVE APPROACH TO INTEGRATED HEALTH MANAGEMENT
SIMPLY CONNECTED SM Blue Care Connection AN ACTIVE APPROACH TO INTEGRATED HEALTH MANAGEMENT Jeanine Patterson, MS, RN, HSMI Clinical Account Consultant July 23, 2013 Blue Cross and Blue Shield of Illinois,
More informationJourney in managing practice variation in Diabetes and Hypertension (Part 2/2)
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2) For Part 1 of this presentation, go to http://rightcare.berkeley.edu/sacramento-university-of-best-practices Parag Agnihotri,
More informationImproving Diabetes Care in 75 Minutes. Moderator: Jerry Penso, M.D., M.B.A., President & CEO, AMGA
Improving Diabetes Care in 75 Minutes Moderator: Jerry Penso, M.D., M.B.A., President & CEO, AMGA SESSION OBJECTIVES 1. Identify specific tactics that health care delivery systems can implement to improve
More informationThe Science of Medication Adherence P R E S E N T E D T O L E A D I N G A G E W A S H I N G T O N J U N E 6 TH,
The Science of Medication Adherence P R E S E N T E D T O L E A D I N G A G E W A S H I N G T O N J U N E 6 TH, 2 0 1 2 Why are we talking about adherence? Nonadherence Waste $258.3 Billion 62% Adherence
More informationHypertension. Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning
Hypertension Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning Al Bradley Senior Program Manager Director, High Blood Pressure Collaborative Finger Lakes Health Systems
More informationHIMSS Davies Award. Case Study #1 Self Measured Blood Pressure Program. Joe Humphry MD, FACP, CPEHR, Jared Medieros, APRN Geneva Castro, RN
HIMSS Davies Award Case Study #1 Self Measured Blood Pressure Program Joe Humphry MD, FACP, CPEHR, Jared Medieros, APRN Geneva Castro, RN December, 2017 501(c)3 Non profit Organization Federally Qualified
More informationMAHP Annual Conference. October 18 th -19th
MAHP Annual Conference October 18 th -19th Learning Objectives Highlight UMMC s National Business strategy Provide MAHP members a UMMC Center for Telehealth update Understand the need for Telehealth services
More informationOldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices
Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities
More informationJune 2015 News Bulletin
June 2015 News Bulletin Claims tip of the month Patient history vs history (of) Providers may document a condition as history (of) to show that the patient has had the diagnosis for a long period of time.
More informationPatient-Centered Primary Care
Patient-Centered Primary Care Greg Moody, Director Office of Health Transformation July 30, 2014 www.healthtransformation.ohio.gov Agenda 1. Health System Challenges 2. Health System Trends in Primary
More informationLinking the Coding Process, the OASIS & the POC to Make Them All Work Together
Linking the Coding Process, the OASIS & the POC to Make Them All Work Together Presented by Jennifer Warfield, RN, BSN, HCS-D, COS-C Education Director PPS Plus Software Linking the Coding Process, the
More informationAlexander Valley Healthcare Hypertension Blood Pressure Control Redwood Community Health Coalition Promising Practice
AVH Promising Practice Hypertension Control 08/23/18 PG. 1 Alexander Valley Healthcare Hypertension Blood Pressure Control Redwood Community Health Coalition Promising Practice PROMISING PRACTICE OVERVIEW
More informationA Systems Approach to Achieve the Triple Aim
12/5/2012 A Systems Approach to Achieve the Triple Aim George Isham, MD, MS Senior Advisor HealthPartners Institute of Medicine: Workshop on Core Metrics for Better Care, Lower Costs & Better Health Ants
More informationStaying Connected with Patient-Generated Health Data
Staying Connected with Patient-Generated Health Data April 14, 2015 Dr. Danny Sands, Chief Medical Officer Dr. Philip Marshall, Chief Product Officer DISCLAIMER: The views and opinions expressed in this
More information10/10/2017. Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP
Mythbusters: Primary Care Edition (Expanding Opportunities) Amina Abubakar, PharmD, AAHIVP Olivia bentley, PharmD, CFts, AAHIVP 1 Disclosures Amina Abubakar, PharmD, AAHIVP, RX Clinic Pharmacy and Olivia
More informationUTILIZING TELEHEALTH SERVICES TO IMPROVE ACCESS TO QUALITY CARE IN RURAL SETTINGS
UTILIZING TELEHEALTH SERVICES TO IMPROVE ACCESS TO QUALITY CARE IN RURAL SETTINGS Charles Gizara, MS, BSN, RN, CCM Director Integrated Care Management Jennifer Light, RN Telehealth Coordinator Goals /
More information90207/90217 Ambulatory Blood Pressure Systems
90207/90217 Ambulatory Blood Pressure Systems 92506 ABP Report Management System New software provides fast, easy to interpret graphical summaries that correlate 24-hour BP readings with patients daily
More informationIntegrated Behavioral Health
1, Core Competencies, Chapter 16 Integrated Behavioral Health Contributor: Michael Mabanglo and Elizabeth Morrison Edited by Marc Avery Revision Date: 2/6/17 Definition and Why Supporting Integrated Behavioral
More informationTransforming to Value: One Way Forward
Transforming to Value: One Way Forward Intermountain Healthcare s Value-Based Reimbursement and Change Management Strategy Mark Briesacher, MD Senior Administrative Medical Director Intermountain Medical
More informationCoordinated Outreach Achieving Community Health (COACH) for Heart Failure Learning Objectives
Coordinated Outreach Achieving Community Health (COACH) for Heart Failure Session C917 October 9, 2015 Colleen Cameron, DNP, FNP-BC Rochelle Eggleton, MBA, BS, RN Susan Spink, BSN, RN-BC Linda Griffin,
More informationEHR Innovations for Improving Hypertension Challenge Winners and Phase 2
EHR Innovations for Improving Hypertension Challenge Winners and Phase 2 January 23, 2015 Agenda Million Hearts Blood Pressure Protocols Hilary Wall, MPH Green Spring Internal Medicine Holly Dahlman, MD,
More informationBuilding an Ambulatory System of Care: Using Population Health to Combat Secular Trends & Achieve the Triple Aim
Building an Ambulatory System of Care: Using Population Health to Combat Secular Trends & Achieve the Triple Aim Christopher T. Olivia, MD, President June 11, 2014, All Rights Reserved and CONTINUUM HEALTH
More informationTarget BP: First Year in Review
Target BP: First Year in Review Teaching Clinic Point of View R. Bruce Hanlin, M.D. Care Coordination Institute and American Medical Association The MAP Hypertension Control QI Project R. Bruce Hanlin,
More informationPPMI in a Community Teaching Hospital
Presentation Objectives PPMI in a Community Teaching Targeting VBP and ACO metrics Pharmacist Objective: List ACO metrics that pharmacists can share accountability to achieve targets Technician Objective:
More information2015 Annual Convention
2015 Annual Convention Date: Tuesday, October 13, 2015 Time: 8:00 am 9:30 am Location: Gaylord National Harbor Resort and Convention Center, National Harbor 10 Title: Activity Type: Speaker: Opportunities
More informationInnovative Reimbursement Models Value-Based Insurance Design and the Medical Home En Route to an ACO Model
Innovative Reimbursement Models Value-Based Insurance Design and the Medical Home En Route to an ACO Model Mary Ellen Benzik,MD PCPCC Conference March 14, 2011 Community Collaboration to Transform Health
More informationHHW-HIPP0314 (9/13) MDwise Annual IHCP Seminar. Exclusively serving Indiana families since 1994.
HHW-HIPP0314 (9/13) MDwise 101 2013 Annual IHCP Seminar Exclusively serving Indiana families since 1994. Agenda Indiana Health Coverage Overview MDwise Overview MDwise Hoosier Healthwise MDwise Healthy
More informationMove the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure
Move the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure A Centauri Health Solutions Sm White Paper By melanie Richey 2016 by Centauri Health Solutions, Inc. All
More informationImprove Your Revenue for the Services Your Provide with Proper Coding and Documentation. by Christina Rock, BSN, RN Supervisor, Clinical Education
Improve Your Revenue for the Services Your Provide with Proper Coding and Documentation by Christina Rock, BSN, RN Supervisor, Clinical Education Objectives Awareness of resources and reference materials
More informationHealthy Patients/Engaged Patients
Healthy Patients/Engaged Patients PRESENTED BY: SUE LING LEE RN, MPA KENNETH FELDMAN, PHD, FACHE CHCANYS 2015 STATEWIDE CONFERENCE AND CLINICAL FORUM FACULTY DISCLOSURE It is the policy of the AAFP that
More informationExample 1 G202 Home Health Aide Services
Example 1 G202 Home Health Aide Services NAME OF PROVIDER OR SUPPLIER: (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION)
More informationFAHC employs more than 6,700 employees including 483 physicians and 6,267 non-physician employees.
patient-directed blood pressure control 1 Best Practices in Hypertension Getting to Goal: Patient-Directed Blood Pressure Control Fletcher Allen Health Care / University of Vermont Burlington, VT MEDICAL
More informationThe 10 Building Blocks of Primary Care Building Blocks of Primary Care Assessment (BBPCA)
The 10 Building Blocks of Primary Care Building Blocks of Primary Care Assessment (BBPCA) Background and Description The Building Blocks of Primary Care Assessment is designed to assess the organizational
More informationCommunity Team-Based Care for Hypertension Management:
Vol.113 No. 7 JANUARY 2017 Community Team-Based Care for Hypertension Management: A Public-Private Partnership in Rural Arkansas NUMBER 7 JANUARY 2017 145 Community Team-Based Care for Hypertension Management:
More informationBCBSM Physician Group Incentive Program. Patient-Centered Medical Home Domains of Function. Interpretive Guidelines
BCBSM Physician Group Incentive Program Patient-Centered Medical Home Domains of Function Interpretive Guidelines October 2009 Table of Contents Page 1.0 PATIENT-PROVIDER PARTNERSHIP 1 2.0 PATIENT REGISTRY
More informationCardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control
Cardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control Task Force Finding and Rationale Statement Table of Contents Intervention Definition... 2 Task Force Finding... 2 Rationale...
More informationOutline 11/17/2014. Overview of the Issue Program Overview Program Components Program Implementation
Physical Health Integration in a Behavioral Health Setting Robin Reed, MD, MPH Rupal Yu, MD, MPH Acknowledgements The Duke Endowment Piedmont Health Services Carolina Advanced Health Community Care of
More informationExpression of Interest for Wound Care Project
Expression of Interest for Wound Care Project November 11, 2016 Telewound Care EOI Page 1 of 12 Contents 1 Introduction... 3 2 Telewound Care Project Background... 4 2.1 Background... 4 2.2 Purpose...
More informationClinic First. The road to excellence in primary care teaching clinics
Clinic First The road to excellence in primary care teaching clinics Marianna Kong MD & Tom Bodenheimer, MD Center for Excellence in Primary Care University of California, San Francisco When I started
More informationBanner Health Friday, February 20, 2015
Banner Health Friday, February 20, 2015 Leveraging the Power of Clinical and Business Intelligence: A Primer Presented by: Dr. Maxine Rand, DNP, RN-BC, CPHIMS, Director, Clinical Education, Practice and
More informationEVOLENT HEALTH, LLC Diabetes Program Description 2018
EVOLENT HEALTH, LLC Diabetes Program Description 2018 1 Evolent Health Diabetes Program Description 2018 Table of Contents Section Page Number I. Introduction... 3 II. Program Scope... 3 III. Program Goals...
More informationPrimary Care Development in Hong Kong: Future Directions
Primary Care Development in Hong Kong: Future Directions HA Convention 2014 8 May 2014 Professor Sophia CHAN PhD, MPH, MEd, RN, RSCN, FAAN, FFPH, JP Under Secretary for Food and Health, Government of the
More informationMedicare Advantage in Practice: Enhanced Care Models for High Need Patients
Medicare Advantage in Practice: Enhanced Care Models for High Need Patients Rebekah Dube, Pharm.D. VP, Health Plan Clinical Programs & Interim VP, Health Plan Products Who is Martin s Point Health Care?
More informationNational Nurse Aide Assessment Program (NNAAP ) Report on NNAAP Skills Pass Rates in Pennsylvania
National Nurse Aide Assessment Program (NNAAP ) Report on NNAAP Skills Pass Rates in Pennsylvania Program: Pennsylvania Nurse Aides Prepared by: Pearson VUE Period: January 1 through December 1, 2011 Date:
More informationNCL MEDICATION ADHERENCE CAMPAIGN FREQUENTLY ASKED QUESTIONS 2013
NCL MEDICATION ADHERENCE CAMPAIGN FREQUENTLY ASKED QUESTIONS 2013 1. WHAT EXACTLY IS MEDICATION ADHERENCE? Adhering to medication means taking the medication as directed by a health care professional-
More informationDevelopmental Screening Focus Study Results
Developmental Screening Focus Study Results February 28, 2018 Lisa Albers, MD, MC II Medical Quality Improvement Unit, Supervisor Managed Care Quality and Monitoring Division Objectives Review performance
More informationDesigning Reliable Value-based Systems of Care for Chronic Disease and Prevention
Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for
More informationPerfect Depression Care. M. Justin Coffey, MD Henry Ford Health System IBHI Webinar Series 2011
Perfect Depression Care M. Justin Coffey, MD Henry Ford Health System IBHI Webinar Series 2011 M. Justin Coffey, MD Behavioral Health Services Henry Ford Hospitals & Health System jcoffey1@hfhs.org 313.874.6887
More information