Patient Care Teams v 2.0
|
|
- Gavin Potter
- 5 years ago
- Views:
Transcription
1 + Patient Care Teams v Answering Tough Questions about Patient Care Teams 1
2 + Change is all Around Us forcing us to 3 constantly redefine ourselves and our goals What Makes a High-Performing Practice these days? Preparedness for Payment Reform? Measures of high quality care and outcomes for patients? Engaged staff and providers? Strong Patient Care Team environment/culture? + Team Based Care Deconstructed 4 Since 1993, for Coleman Associates, when Smith and Katzenbach published The Discipline of Teams in the Harvard Business Review, it became clear that for healthcare to experience some of the boosts that other industries had credited to a team culture. in healthcare we would have to move FROM a provider- patient relationship centered model TO a team-based model of work that is wholly patient centric. 2
3 + Team Based Care Delayed 5 This is much harder than it sounds culturally We are still very much in process Everyone touts team based care yet the models are wildly diverse not always in a good way In most instances, patients are not yet raving about our new ways of working in teams Where are you? What s next for you? + No Longer Just A Good Idea 6 Why team based care is the future... Patient demand for services seems to be increasing.especially in areas of behavioral support. Patient expectations are changing. Our expectations about our work day/work life balance are changing. The amount of outside the visit work seems to be growing as technology leads us to new ways of giving care. 3
4 + No Longer Just A Good Idea 7 Why team based care is the future... The current model seems to be leading to stress / burn out. Primary care provider numbers are decreasing. We can train support staff more quickly than physicians teams must take on more. Some support functions are easily automated. + No Longer Just A Good Idea 8 From a changing financial picture Reimbursement structures are shifting forcing us to look for new ways to provide effective care. The catch-as-catch-can system of healthcare delivery is not a financial model. 4
5 + Defining Team-Based Care 9 A team based care approach establishes a crossfunctional group of people who operate in a way that is hierarchically flat and organized around a panel of patients. This means. Staff are consistent. Patients are known and consistent (empaneled). Efforts are observed that establish relationships between staff and patients -- and between providers and staff. Patient provide feedback that this is a home (PCMH) where they can are recognized, cared for, and valued. + A Sample Patient Care Team (PCT) 10 Nurse Referrals Provider Financial Support Patient MA Lab Behavioral Health Front Desk 5
6 + Team-let vs. Full Patient Care Team 11 Dental Hygienist Nurse Provider Diabetes Educator Patient MA Pharmacy Behavioral Heath Front Desk + A Sample Dental Patient Care Team Configuration Hygienist 12 Hygienist RDA Dentist Patient RDA Treatment Coordinator 6
7 + Different Medical Configurations Some Team Members are Shared 13 Nurse Provider 1 Behavioral Heath Provider 2 MA Front Desk MA + Evolution Care Team Members 14 Historically the core Medical Team : MA Nurse Provider Lately Behavioral Health Clerical Support in name only (front office/ phones) 7
8 + Why the Front Desk is Integral 15 The team is stronger when it bridges the front and the back. They are the first face and should to be kept in the know in order to exercise the best judgment in customer service. The front office knows the team s patients and can contribute in huddles. They can be very helpful in reducing No-Show rate. They can dramatically reduces Missed Opportunities via Jockey-ing the Schedule. + A Larger Consideration for Consistent Care Teams 16 Giving healthcare is caring for patients. It is more about a panel of patients than about who did not show up to work today. How many weeks a year is your team s provider out (CME, PTO, etc.)? What happens with the rest of the team in those cases? What is your sick day usage and how can you plan and afford to efficiently cover every team? Many care teams stay in business even when the provider is out. 8
9 + Reference Maslow s Hierarchy 17 Team Identity, Trust, Candor Accountability, Collective Results Co-location & Coordination (Demonstrated Leadership Support), Team Dance Techniques Defined Panel and Consistency of team Abraham Maslow (1943) Defined Members & Schedules + Patrick Lencioni: What Makes a Team, a Team? 18 The Five Dysfunctions of a Team by Patrick Lencioni. He uses this diagram. 9
10 + Steps to Establish Coleman 19 Teams Defined panels of patients Consistent team member staffing Selected and cultivated team members STARS with STARS (David Cottrell) Co-location of team members Staffing model emphasizes artisan vs. assembly line decrease handoffs Patient perspective Autonomy choose own leader & establish identity Team-based data & recognition of collective results Opportunities to work and grow together + Performance Measures for Teams 20 Cycle Time No-Show Rate Closed notes Call volume outside of visit Completed referral rate Completed visits/productivity Missed Opportunities Third Next Available Appointment or phone access Dropped call rate Quality metrics tied to panel needs 10
11 + The Entire Team Owns Performance 21 + Establishing a Culture Around Data 22 Public Transparent Simple one page Understandable even to a novice Not anonymous Up-to-date Connects what we do everyday to the numbers **MOST IMPORTANTLY it stirs to action 11
12 + A Schedule that Works for Teams + 15 Minute SPS Schedule 24 Blocks are used for care teams to schedule quick-turnaround appointments or as catch up so teams can catch up from complex visits. Same days are built in every hour (can vary seasonally or based upon local demand) 12
13 + A Simplified Patient Schedule makes Jockey-ing Easier! 25 All visits are the same length You build in same-days Team has its own slots to see patients they feel they need to call in to see Patient access improves Phone and front desk staff satisfaction improves because they can say yes more often + Jockey the Schedule 26 Call No-Shows immediately at or just before the appointment time. Possible reschedule, creating open slot. Protect open slots by moving early arriving patients into about-to-expire slots. Allow front desk/phone staff to fill open slots must have minimal schedule rules and team trust. Jockey-ing is based upon trust and communication front to back. Decrease Missed Opportunities radically. 13
14 + Jockey-ing(cont d) 27 Jockey-ing Patient Arrivals: Move patients mindfully (as in previous screen) and try to fill all of your capacity (whether it s with walk ins or same days) Continuity is priority, but if not possible, access is king! Principle of Redesign: Match Capacity with Demand, Prepare for the Expected + The Coleman Team Dance 14
15 + Team Dance Steps used in DPI 29 Visit Prep Robust Confirmation Calls PCT Huddle QuickStart Jockey the Schedule Red Carpet the Patient Robust Intake 30-Second report Use the RN Tactically Midway Knock Sheep and Shepherd Charting at the Time of Visit SoftLanding Over Communicate + The Team Preparation: Visit Prep & Huddles 15
16 + The Team: The Most Valuable Tool! 31 Team members are co-located as the Patient Care Team Model builds Co-Location is vital to support direct and timely communication Teams prepare, communicate and work to get ahead of the game + Preparing for the Patient 32 Financial Prep Chart/Visit Robust Confirmation Calls Team Huddles 16
17 + Sample Visit Prep Tool 33 + Preparing You and the Patient Robust Confirmation Calls 1 Day Before Visit 34 Slash your No-Show rate and help prepare even better for visit by doing Robust Confirmation Calls. What is patient coming in for? Any other issues going on? Does the time still work for them? Will they have transportation needs? Any changes in eligibility? Confirm demographics Reach as many patients LIVE (a hard confirmation) versus leaving messages Try left message numbers repeatedly Principle of Redesign: Prepare for the Expected 17
18 + Preparing for the Visit and the Day Patient Care Team Huddles Day of Visit 35 Why Huddle? You huddle to become a patient-focused team producing optimal results with patients which won t happen otherwise. Who Huddles? All members of the team attend the Huddle When do you Huddle? During the 1st appointment slot of the clinic session Start and end on time! Where? In the exam room with the door shut and computers on + Patient Care Team Huddles Day of 36 Visit The Huddle Process: Team huddles around computer with schedule up Leader is the person with the knowledge rather than title. Each patient scheduled for that session is brought to life by provider and team Team members share information learned during prep & robust confirmation calls Team anticipates what will be needed for each visit and where they might get stuck Team strategizes how to get unstuck Provider gives instructions as applicable for each patient 18
19 + Success Stories! 37 + A Transformed Team in Action 19
20 + Read more 39 Visit us at ColemanAssociates.com + Leveraging your Care Teams in a World of Payment Reform 20
21 + Building Team Wisely 41 What if you are not ready for Value Based Payments? How can you get ready? Where are you on the Patient Care Team Continuum? What is the next step for you? + A Strong Patient Care Team 42 Is needed to catch the very details that are are rewarded in a Value Based Payment world Keeps the pressure off of the provider alone which helps with job satisfaction Engages staff in a genuine way Allows your clinic to embody the PCMH concepts 21
22 + Teams that Make Dollars and 43 Sense A team should have a mandate and expectations that they produce certain results. It s managements job to connect the dots for staff + The Coleman Team Dance 22
23 + What do Engaged Team Members 45 Look Like? They look like a team They are active in their work They are thinking ahead They are willing to fail and are vulnerable They learn and anticipate each others moves They to the top of their license and everywhere below They know and talk about their metrics Chicago DPI Project White Paper What is DPI? (Dramatic Performance Improvement) + Team Dance Steps used in DPI 46 Visit Prep Robust Confirmation Calls PCT Huddle QuickStart Jockey the Schedule Red Carpet the Patient Robust Intake 30-Second report Use the RN Tactically Midway Knock Sheep and Shepherd Charting at the Time of Visit SoftLanding Over Communicate 23
24 + How do you know your team is high performing? Be objective and watch the data. 2. Analyze team huddles for early signs of team trouble. 3. Analyze current visits and compare to expectations. 4. Observe team members and their attention to results Key Diagnostic Tool: Your 48 Dashboard Watching the numbers closely will alert you to small problems before they become colossal problems Respond to data daily Productivity No-Shows TNAA Cycle Times Encounters completed Patient comments Positive data indicates a reliably strong model 24
25 + Dig into the Data for Each Team 49 Look for High and Low Performing Teams Identify high performing teams and see what they re doing well. Identify low performing teams and look for opportunities for any training or coaching. + Take Action on Low Performers 50 Set the bar high. Your patients deserve the best! Meet regularly with each low performing team (but don t fixate on them or get distracted by them). Give the team a pop quiz on the data/model. Require a commitment to better performance through establishing short term goals. Provide a specific timeline and action plan for reaching goals. 25
26 + Praise and Reward Outstanding 51 Performers! Public praise and recognition of excellent patient care teams Provide carrots (Adrian Gostick) Statistics posted publicly in the clinic Celebration when goals are reached Look for ways to replicate their performance with other PCTs. Can these individuals coach other teams? + Assess Team Composition 52 Team composition affects team s collective skills and its attitude towards working in new ways. Review composition of team. Assess team trust and candor. Is there at least one natural leader on the team? Is your team composition flawed? If so, alter it. 26
27 + 2. Analyze Huddles 53 The early a.m. team huddle is the litmus test of team organization and timeliness. Its purpose is to make the day more productive and effective. Lack of diligence and poor team dynamics can be frequently spotted here. + What Makes A Great Huddle? 54 Characteristics of great huddles: Everyone is on time & present for entire huddle. Huddle is well organized and led. Everyone is taking notes and participating fully. The focus is on tactics and people, not paperwork. 27
28 + How to Improve Huddles 55 Confront individuals who arrive late Ask team members to explain the purpose of the huddle (Do they get it?) Does team have skills and discipline to do a good huddle? (If not, change team composition) Have team members observe an exemplary team huddle Ask exemplary teams to teach and coach other teams how to do great huddles + 3. Analyze Current Visits 56 Tracking and Mapping Visits Mystery Shopper Calls Walking a mile in the patients shoes can be very eye-opening 28
29 + 4. Observe Attention to Results 57 How is data shared with care teams? How do teams react/respond to their data? With all of the competing priorities of the team, do the data metrics reflect the correct priorities? What is the culture around data and results? + Address Team Dysfunctions Head 58 On Everyone rowing the oars in the same direction. Culture is set by managers. Culture is nurtured by everyone. A culture of artificial harmony (Lencioni), Candor (Catmull), commitment, accountability Embrace the boldness needed to solve problems without just throwing people or dollars at them threat and constraint... (Malcolm Gladwell The Creation Myth) 29
30 + Let s Reference Maslow s Hierarchy 59 Team Identity, Trust, Candor Accountability, Collective Results Co-location & Coordination (Demonstrated Leadership Support), Team Dance Techniques Defined Panel and Consistency of team Abraham Maslow (1943) Defined Members & Schedules + Patrick Lencioni: What Makes a Team, a Team? 60 The Five Dysfunctions of a Team by Patrick Lencioni. He uses this diagram. 30
31 + 1 Provider only vs. Team Visits + The Foundation of a Strong Tactical 62 Nurse Role.is found in optimally functioning Patient Care Teams (PCTs) A Patient Care Team is a group of people who work together consistently & effectively with the singular goal of taking care of a panel of patients. 31
32 Slide 61 1 some of these visits could be identified during the huddle, as well. Can you think of other "nurse solo" visits? Perhaps stable chronic disease & other stuff that's on that table that we got showing what the various clinics were doing for solo vs flip visits -Pamela Weisse, 12/28/2016
33 + Principle: Use RNs TACTICALLY (NOT JUST FOR TRIAGE) 63 Often nurses are used as directed assistants rather than as selfdirected tacticians who make a crucial difference in flow and capacity. + Primary Care RN role BECOMING more Tactical 64 RN coordinates flow of clinic will see overflow patients or assist with urgent clinical situations as needed in an ideal clinic this is done in tandem with MAs and front who are Jockey-ing the Schedule RN fields incoming clinical phone calls/returns pages/checks RN line messages RN performs triage and assessment of drop in who is not on RN or provider schedule may or may not flip visit to provider 1:1 RN visits (chronic care, pre-natal, med rec) RN sees patients who have been proactively identified in huddle either solo or in concert with provider and flips when appropriate in a coordinated effort to maximize patient experience and optimize patient flow and provider productivity 32
34 + A Flip Visit 65 Flip visit: Is when the nurse does a large portion of the visit but then flips it to the provider to add their expertise. The Flip visit may go back to that same nurse for education, follow up, additional planning, or the provider may just finish the visit and let the patient go from there. Clinica Family Health Services, Colorado + Flip Visit Vs. Nurse Solo Visit 66 Flip Visit Scheduled or Walk-in No protocol for RN Solo Visit Solo Visit Scheduled or Walk-in Protocol in place for RN Solo Visit Patient s needs are outside of your skill set GREAT interview skills Provider takes Nurse hands off OR stays with patient Patients needs are within your skill set GREAT interview skills Provider agrees for RN to finish Finishes as an RN Solo Visit 33
35 + The Community Health Worker 67 Opportunity Hotspotting (by Atul Gawande) with Jeffrey Brenner How do you better meet the needs of your patients particularly the ones that visit more frequently need more guidance? + 68 So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard seed germinates and roots itself. ~ Florence Nightengale Social reformer & founder of modern nursing 34
36 + Read more 69 Visit us at ColemanAssociates.com 35
The 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 information+ A Picture is Worth a Thousand
Health Centers and The Data Using DATA Effectively in a World of Payment Reform A Picture is Worth a Thousand 2 Words 1 Data Driven 3 Driven (adjective) 1. having a compulsive or urgent quality
More informationImproving Clinical Flow ECHO Collaborative Change Package
Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk
More informationBUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP)
BUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP) DIRECTIONS FOR COMPLETING THE SURVEY This survey is designed to assess the organizational change of a primary
More informationUsing Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
More informationCPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
More informationCentral Ohio Primary Care (COPC) Spotlight on Innovation
Central Ohio Primary Care (COPC) Spotlight on Innovation BY BETTER MEDICARE ALLIANCE MARCH 2017 Central Ohio Primary Care Spotlight on Innovation 1 Central Ohio Primary Care (COPC) Spotlight on Innovation
More informationExpanding Access Through. Team Care. Carolyn Shepherd, M.D.
Expanding Access Through Team Care Carolyn Shepherd, M.D. Clinica Family Health Services 2013 42,000 Patients 206,000 Ambulatory visits 5 Clinical sites Clinica Family Health Services 50% uninsured 40%
More informationPATIENT-CENTERED MEDICAL HOME ASSESSMENT (PCMH-A)
SAFETY NET MEDICAL HOME INITIATIVE PATIENT-CENTERED MEDICAL HOME ASSESSMENT (PCMH-A) Organization name Site name Date completed Introduction To The PCMH-A The PCMH-A is intended to help sites understand
More informationRe: Rewarding Provider Performance: Aligning Incentives in Medicare
September 25, 2006 Institute of Medicine 500 Fifth Street NW Washington DC 20001 Re: Rewarding Provider Performance: Aligning Incentives in Medicare The American College of Physicians (ACP), representing
More information3 Ways to Increase Patient Visits
3 Ways to Increase Patient Visits 3 Ways to Increase Patient Visits www.kareo.com kareo.com Table of Contents Introduction 03 Create an Effective Recall/Recare Program 04 Build and Manage Your Online Presence
More informationAdopting Accountable Care An Implementation Guide for Physician Practices
Adopting Accountable Care An Implementation Guide for Physician Practices EXECUTIVE SUMMARY November 2014 A resource developed by the ACO Learning Network www.acolearningnetwork.org Executive Summary Our
More informationThe Four Pillars of Ambulatory Care Management - Transforming the Ambulatory Operational Framework
The Four Pillars of Ambulatory Care Management - Transforming the Ambulatory Operational Framework Institution: The Emory Clinic, Inc. Author/Co-author(s): Donald I. Brunn, Chief Operating Officer, The
More informationStrategy Guide Specialty Care Practice Assessment
Practice Transformation Network Strategy Guide Specialty Care Practice Assessment 1/20/2017 1 Strategy Guide: Specialty Care PAT 2.2 Contents: Demographics Tab: 3 Question 1: Aims... 3 Question 2: Aims...
More informationDrivers of HCAHPS Performance from the Front Lines of Healthcare
Drivers of HCAHPS Performance from the Front Lines of Healthcare White Paper by Baptist Leadership Group 2011 Organizations that are successful with the HCAHPS survey are highly focused on engaging their
More informationAmerican Medical Group Association Optimizing a Patient-Focused Approach to Primary Care
American Medical Group Association Optimizing a Patient-Focused Approach to Primary Care May 6, 2015 Today s Speakers 1 Today s Speakers Cailin Purcell Senior Director Cailin Purcell is the Senior Director
More informationPatient Centred Medical Home Self-assessment (PCMH-A)
Centred Medical Home Self-assessment (PCMH-A) Practice name: Your name: Date completed: For more information, contact: Colleen Watkins, NQPHN Chronic Care Team m: 0 0 e: info@nqpcmh.com.au w: nqpcmh.com.au
More informationOregon Medical Group Team Medicine 3 April 2014
Oregon Medical Group Team Medicine 3 April 2014 Joshua P. Kimball Chief Operating Officer Oregon Medical Group Oregon Medical Group Oregon Medical Group is a physician owned, primary care heavy, multispecialty
More informationPatient Centered Medical Home
Patient Centered Medical Home A model of care where each patient has an ongoing relationship with a personal physician who leads a team that takes collective responsibility for patient care. The physician-led
More informationPublication Development Guide Patent Risk Assessment & Stratification
OVERVIEW ACLC s Mission: Accelerate the adoption of a range of accountable care delivery models throughout the country ACLC s Vision: Create a comprehensive list of competencies that a risk bearing entity
More informationupdate An Inside Look Into the EHR Intersections of the Updated Patient-Centered Medical Home (PCMH) Care Model May 12, 2016
update An Inside Look Into the EHR Intersections of the Updated Patient-Centered Medical Home (PCMH) Care Model May 12, 2016 Agenda PCMH: 360 o PCMH to date o Evidence based results o Updated Standards:
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 informationWHITE PAPER. Transforming the Healthcare Organization through Process Improvement
WHITE PAPER Transforming the Healthcare Organization through Process Improvement The movement towards value-based purchasing models has made the concept of process improvement and its methodologies an
More informationMaking the Medical Home Work/Teamwork in Primary Care. Amy Mullins, MD Trinity Clinic Whitehouse
Making the Medical Home Work/Teamwork in Primary Care Amy Mullins, MD Trinity Clinic Whitehouse Objectives Objectives Include: 1. Learn how to build your office team. 2. Understand various ways to use
More informationRethinking the model of primary care. Tom Bodenheimer MD Center for Excellence in Primary Care UCSF Department of Family and Community Medicine
Rethinking the model of primary care Tom Bodenheimer MD Center for Excellence in Primary Care UCSF Department of Family and Community Medicine Why should primary care be the foundation for any healthcare
More informationFebruary 2007 ACP, AAFP, AAP, AOA joint statement
Patient Centered Medical Home in a Safety Net Community Health Clinic: The T Transformation f i off Eastside Adult Clinic Nicole Joseph, MD Denver Health GIM Grand G dr Rounds d February 7, 2012 OBJECTIVES
More informationMaximize the value of CHF population management programs with advanced analytics PLAYBOOK
Maximize the value of CHF population management programs with advanced analytics PLAYBOOK STEP ONE: Analyze your patient population Bend the cost curve: Learning more about your patients can lead to higher-quality
More informationIMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH
IMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH TABLE OF CONTENTS 1. The Transitions Challenge 2. Impact of Care Transitions 3. Patient Insights from Project Boost 4. Identifying Patients 5. Improving
More informationJoy At Work - BellinHealth and HealthPartners
Joy At Work - BellinHealth and HealthPartners Restoring Joy in Practice through Team Based Care IHI December 2016 James Jerzak M.D. Kathy Kerscher Bellin Health Green Bay, Wisconsin 1 Agenda Crisis Emerging
More informationVisit to download this and other modules and to access dozens of helpful tools and resources.
This is the third module of Coach Medical Home a six-module curriculum designed for practice facilitators who are coaching primary care practices around patient-centered medical home (PCMH) transformation.
More informationElizabeth Woodcock, MBA, FACMPE, CPC
Elizabeth Woodcock, MBA, FACMPE, CPC Presentation Topics The Patient-Centered Practice: Creating the Practice of the Future Today Optimizing the workflow of your medical practice operations is difficult
More informationCOLLABORATING FOR VALUE. A Winning Strategy for Health Plans and Providers in a Shared Risk Environment
COLLABORATING FOR VALUE A Winning Strategy for Health Plans and Providers in a Shared Risk Environment Collaborating for Value Executive Summary The shared-risk payment models central to health reform
More informationTeam Integration Strategies
Team Integration Strategies Making the Change to Team-Based Care Melissa Schoen, Schoen Consulting Cindy Barr, Capital Link Advancing the Financial Strength of L.A. County Clinics February 10, 2017 1 Dividing
More informationCLINICA FAMILY HEALTH
Design Solutions to Improve Healthcare ccess and Outcomes: CLINIC FMILY HELTH at Clinica Family Health People s Medical Clinic, Boulder, CO INSIDE YOU WILL LERN BOUT: How facility design facilitates population
More informationThe influx of newly insured Californians through
January 2016 Managing Cost of Care: Lessons from Successful Organizations Issue Brief The influx of newly insured Californians through the public exchange and Medicaid expansion has renewed efforts by
More informationMember Satisfaction: Moving the Needle
Member Satisfaction: Moving the Needle Webinar for IPAs and Providers January 4, 2017 Accreditation of Medi-Cal and L.A. Care Covered. L.A. Care QI Webinar 1 Agenda Topic Introduction CG-CAHPS Recommended
More informationProgram Overview
2015-2016 Program Overview 04HQ1421 R03/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service
More informationMedical Home Summit September 20, 2011
Medical Home Summit September 20, 2011 1 Three Dimensions of Value by Institute of Healthcare Improvement Population Health Experience of Care Per Capita Cost Care Management : The unintended consequences
More informationMichigan Primary Care Transformation Project. HEDIS, Quality and the Care Manager s Role in Closing Gaps in Care
Michigan Primary Care Transformation Project HEDIS, Quality and the Care Manager s Role in Closing Gaps in Care 7.22.15 Topics for Today s Webinar Healthcare Effectiveness Data and Information Set (HEDIS)
More information7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
More informationInnovative Models for Team-Based Care: A Solution for Burnout Gaines Richardson, MD, Faculty Monroe Clinic / Mark Thompson, MD, SSM Heath, WI
Innovative Models for Team-Based Care: A Solution for Burnout Gaines Richardson, MD, Faculty Monroe Clinic / Mark Thompson, MD, SSM Heath, WI Regional CMO Physician Integration Monroe Clinic desires to
More informationA20, B20. This presenter has nothing to disclose
A20, B20 This presenter has nothing to disclose What Matters to You? Using Co-design to Revolutionize Patient Experience Christina Gunther-Murphy, MBA, The Institute for Healthcare Improvement Beth Hennessey,
More informationMAKING PROGRESS, SEEING RESULTS
MAKING PROGRESS, SEEING RESULTS VALUE-BASED CARE REPORT HUMANA.COM/VALUEBASEDCARE Y0040_GCHK4DYEN 1117 Accepted 2 Americans are sick and getting sicker, with millions of us living with chronic conditions
More informationThe Physician s Perspective
The Physician s Perspective How the Changing Role of the PCP is Leading Healthcare Reform May 22, 2015 Carman A. Ciervo, DO Chief Physician Executive Our Vision To transform the healthcare To transform
More informationUniversity of California, Davis Family Practice Center: Update 2014
University of California, Davis Family Practice Center: Update 2014 by Lisel Blash, Catherine Dower, and Susan Chapman September 2014 Center for the Health Professions at UCSF ABSTRACT In response to long
More informationSpecialty practices and primary care practices join forces in providing patient centered medical care
Welcome, Neighbor! Specialty practices and primary care practices join forces in providing patient centered medical care We often hear our patients express their frustration as they navigate among their
More informationUC HEALTH. 8/15/16 Working Document
1) UC Health Mission Our mission is to make health care better. Each UC health system works to advance this mission in its community and as a system of health systems, we work together to catalyze innovation
More informationDONOR RETENTION TOOLKIT
eguide DONOR RETENTION TOOLKIT How to retain every new and returning donor so they give again and again. Introduction Where does your nonprofit focus most of its fundraising energy? Chances are, the answer
More informationTELEHEALTH FOR HEALTH SYSTEMS: GUIDE TO BEST PRACTICES
TELEHEALTH FOR HEALTH SYSTEMS: GUIDE TO BEST PRACTICES Overview Telemedicine delivers care that s convenient and cost effective letting physicians and patients avoid unnecessary travel and wait time. Health
More informationCommunity Paramedicine Seminar Milbank Memorial Fund, Nov
Community Paramedicine Seminar Milbank Memorial Fund, Nov. 6 2014 Partners DHS/MDH Hospitals EMS Medical Directors Primary care Home health Hospice Public health Affiliated clinics FQHC's CHC Look-alikes
More informationACO Practice Transformation Program
ACO Overview ACO Practice Transformation Program PROGRAM OVERVIEW As healthcare rapidly transforms to new value-based payment systems, your level of success will dramatically improve by participation in
More informationTransitioning to a Value-Based Accountable Health System Preparing for the New Business Model. The New Accountable Care Business Model
Transitioning to a Value-Based Accountable Health System Preparing for the New Business Model Michael C. Tobin, D.O., M.B.A. Interim Chief medical Officer Health Networks February 12, 2011 2011 North Iowa
More informationVENICE FAMILY CLINIC: Improving capacity and managing patient lead times
CASE STUDY, 4/12 VENICE FAMILY CLINIC: Improving capacity and managing patient lead times PREPARED BY Professor Kumar Rajaram, UCLA Anderson School of Management Karen Conner, MD, UCLA David Geffen School
More informationMassachusetts General Hospital Nursing & Patient Care Services Strategic Plan
Massachusetts General Hospital Nursing & Patient Care Services 2017 Strategic Plan January 2017 Mission Guided by the needs of our patients and their families, we aim to deliver the very best health care
More informationCreating Exceptional Physician-Nurse Partnerships
1 Creating Exceptional Physician-Nurse Partnerships Using Collaborative Partnerships to Raise the Standard of Care and Improve the Overall Patient Experience Your Speakers 2 Alan J. Conrad, MD, MMM,CPE,
More informationDefine the PCMH and where residents fit in
If We Build It, Will They Come? Michael J. Rosenblum, MD, FACP Orlando Torres, MD, MS Baystate Medical Center/Tufts Univ. SOM Workshop Session III 1:30 to 3:00 p.m. Wednesday, April 28, 2010. Educational
More informationDraft. Public Health Strategic Plan. Douglas County, Oregon
Public Health Strategic Plan Douglas County, Oregon Douglas County 2014 Letter from the Director Dear Colleagues It is with great enthusiasm that I present the Public Health Strategic Plan for 2014-2015.
More informationDASH Direct Admissions as Easy as 1-2-3
DASH Direct Admissions as Easy as 1-2-3 SEAMLESS COORDINATION. EASE OF USE. POWERFUL TWO-WAY COMMUNICATION. As pioneers in the delivery of care, EmCare offers simple and practical yet powerful technologies
More informationBuilding a High-Performance team in the Pediatric Medical Home Xavier Sevilla M.D. FAAP Whole Child Pediatrics MCRHS Inc.
Building a High-Performance team in the Pediatric Medical Home Xavier Sevilla M.D. FAAP Whole Child Pediatrics MCRHS Inc. Whole Child Pediatrics Whole Child Pediatrics Opened November 2007 Using the Principles
More information2. A provider has requested to go to block scheduling in an attempt to better manage his patient workflow. What does this mean?
CPPM Chapter 13 Review Questions 1. Operational work flow refers to: a. Activities and processes that are performed in operating a medical practice b. Examining staffing ratios in a clinic c. The amount
More informationSage Nonprofit Solutions I White Paper. Utilizing Technology to Manage and Win Grants. For the Nonprofit and Government Sectors
I White Paper The Premier Provider of Effective Business Software Solutions National Presence, Local Touch 1.800.4.BLYTHE www.blytheco.com Utilizing Technology to Manage and Win Grants For the Nonprofit
More informationCutting Avoidable Readmissions Starts in the Emergency Department
WHITE PAPER Cutting Avoidable Readmissions Starts in the Emergency Department SMARTER EMERGENCY CARE: EVERYWHERE, EVERY TIME. Our experience and innovative approach offers smarter solutions for emergency
More informationCommunity Paramedicine Seminar July, 20th 2015
Community Paramedicine Seminar July, 20th 2015 Partners DHS/MDH Hospitals EMS Medical Directors Primary care Home health Hospice Public health Affiliated clinics FQHC's CHC Look-alikes Commercial & Gov
More informationFast-Track NCQA-PCMH Recognition. Using i2i Systems NCQA Pre-Validated PCMH Solution
Fast-Track NCQA-PCMH Recognition Using i2i Systems NCQA Pre-Validated PCMH Solution Goal of Today s Webinar Share Why NCQA-PCMH Pre-Validation Matters Learn How to Fast-Track to NCQA-PCMH Recognition Hear
More informationApproaches to practice transformation to improve outcomes along the HIV Care Continuum Panel Session
Approaches to practice transformation to improve outcomes along the HIV Care Continuum Panel Session Integrating Quality Improvement and Population Health Approaches into Panel-based Care through Practice
More informationThe 5 Steps to Same Day Access
Joy Fruth, MSW Lead Process Change Consultant MTM Services The 5 Steps to Same Day Access Speaker Name Title Presented Organization By: What is Same Day Access? An engagement strategy whereby organizations
More informationTechnology Fundamentals for Realizing ACO Success
Technology Fundamentals for Realizing ACO Success Introduction The accountable care organization (ACO) concept, an integral piece of the government s current health reform agenda, aims to create a health
More information2014 PCMH Standards: How CPCI Can Help with Transformation. CHCANYS Quality Improvement Program November 20, 2014
2014 PCMH Standards: How CPCI Can Help with Transformation CHCANYS Quality Improvement Program November 20, 2014 Agenda Review of PCMH 2014 Standards and Stage II MU Crosswalk PCMH Transformation and the
More information3. Does the institution have a dedicated hospital-wide committee geared towards the improvement of laboratory test stewardship? a. Yes b.
Laboratory Stewardship Checklist: Governance Leadership Commitment It is extremely important that the Laboratory Stewardship Committee is sanctioned by the hospital leadership. This may be recognized by
More informationNeurosurgery Clinic Analysis: Increasing Patient Throughput and Enhancing Patient Experience
University of Michigan Health System Program and Operations Analysis Neurosurgery Clinic Analysis: Increasing Patient Throughput and Enhancing Patient Experience Final Report To: Stephen Napolitan, Assistant
More information2017 QUALITY PLAN WORK PLAN. Kaiser Permanente of Washington 2017 Quality Work Plan
Kaiser Permanente of Washington 2017 Quality Work Plan 1 Achieve 2017 Quality Goals: Improve population health, the quality, safety and satisfaction of the customer experience while improving affordability
More informationCoxHealth: A Case Study in Launching a Co-Branded Medicare Advantage Plan
CoxHealth: A Case Study in Launching a Co-Branded Medicare Advantage Plan Guiding a Health System s Journey to Value with a Collaborative Payer Partner Situation $1.3 billion, five-hospital system in the
More informationTOOLS AND TECHNIQUES FOR PRACTICE TRANSFORMATION
TOOLS AND TECHNIQUES FOR PRACTICE TRANSFORMATION TOPICS Assessing your current environment Cultivating a culture of excellence Closing care gaps Improving patient self management Reducing ED Utilization
More informationAugust 8, :00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell
August 8, 2013 12:00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell 1) NCQA PCMH Recognition, what it means and its process. 2) Understand the rationale and benefits of becoming recognized
More informationEnhancing the Patient Experience. Disclosures 3/13/2015. Jill Maher, MA, COE Senior Eye Care Business Advisor, Allergan, Inc Allergan Access
Enhancing the Patient Experience EXCELLENCE IN PRACTICE MANAGEMENT Embracing the Process of Effective and Patient Flow Jill Maher, MA, COE Senior Eye Care Business Advisor Disclosures Jill Maher, MA, COE
More informationOVERVIEW. Helping people live healthier lives and helping make the health system work better for everyone
OVERVIEW Helping people live healthier lives and helping make the health system work better for everyone About UnitedHealth Group UnitedHealth Group helps drive positive change in health care in the United
More informationDesign Principles for Learning and Caring in Patient-Centered Primary Care Homes
The H.R. Bob Brettell, MD, Memorial Lectureship January 29, 2013 Design Principles for Learning and Caring in Patient-Centered Primary Care Homes Judith L. Bowen, MD, FACP Professor of Medicine Oregon
More informationAwards. Award Descriptions. VEX Robotics Competition Sack Attack A P E N D I X
E A P E N D I X Award Descriptions Awards Overview This section details the full list of awards presented in the VEX Robotics Competition. Most local and regional tournaments will offer a small subset
More informationUsing Data for Quality Improvement in a Clinical Setting. Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center
Using Data for Quality Improvement in a Clinical Setting Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center Dr. W. Hanna, PLS, November 2015 Quality An organizational
More informationWolf EMR. Enhanced Patient Care with Electronic Medical Record.
Wolf EMR Enhanced Patient Care with Electronic Medical Record. Better Information. Better Decisions. Better Outcomes. Wolf EMR: Strength in Numbers. Since 2010 Your practice runs on decisions. In fact,
More informationRAFT (Respect, Accommodation, Follow Up, Time) Part 2
Establishing Effective Communication with Patients with Intellectual Disabilities: RAFT (Respect, Accommodation, Follow Up, Time) Part 2 George Mason University Fairfax, VA Part 1 Refresher Important Acronyms:
More informationHealth Coaching in Team-Based Care. Recipes for Success
Health Coaching in Team-Based Care Recipes for Success Today s Presenters Iowa Chronic Care Consortium/Clinical Health Coach William Appelgate, PhD, CPC Executive Director ICCC, Founder and President,
More informationORAL HEALTH: AN ESSENTIAL COMPONENT OF PRIMARY CARE. Introduction. Staffing IMPLEMENTATION GUIDE
SECTION 5 Staffing Options and Workflow Introduction The Oral Health Delivery Framework (the Framework) defines what can be done in primary care to protect and promote oral health. Exactly what this looks
More informationMERCY MEDICAL CENTER. Mercy Medical Center Improves Patient Care, Lowers Costs with the Hospital Operating System
MERCY MEDICAL CENTER Mercy Medical Center Improves Patient Care, Lowers Costs with the Hospital Operating System Success Snapshot Reduced acute LOS from 4.6 to 3.74 and observation LOS from 1.51 to 1.31
More informationTransplant Resource Guide
Transplant Resource Guide The Transplant Resource Guide (TRG) and the supporting tools provide strategies, concepts and resources to enhance transplant program quality and value in our dynamic environment.
More informationHEALTH CARE HOME ASSESSMENT (HCH-A)
HEALTH CARE HOME ASSESSMENT (HCH-A) To be used by Health Care Homes involved in stage one implementation To asses practice readiness, monitor progress, and for evaluation purposes. Practice name Your name
More informationOrganized, Evidence-based Care
Organized, Evidence-based Care Planning Care for Individual Patients and Whole Populations MODERATOR: Nicole Van Borkulo, MEd, Practice Improvement Specialist, SNMHI, Qualis Health SPEAKERS: Ed Wagner,
More informationPrimary Care Transformation in Academic Medical Centers. Objectives of Session
Session A1 These presenters have nothing to disclose. Primary Care Transformation in Academic Medical Centers IHI Improving Patient Care in the Office Practice and Community March 10, 2014 Asaf Bitton,
More informationTransformational Patient Care Redesign Project
Transformational Patient Care Redesign Project Kaveh Houshmand Azad 1 Summary In 2008 2009, Providence Holy Cross Medical Center, a 340- bed hospital located in Mission Hills, California embarked upon
More informationEmpowering Medical Assistants Improves Primary Care
Empowering Medical Assistants Improves Primary Care By: Jessica Langley, MS, Executive Director of Education and Provider Markets, National Healthcareer Association Running a healthcare practice presents
More information6/5/2013 7:22:00 AM Building Teams at the Associates in Internal Medicine: The Medical Huddle as a First Step
6/5/2013 7:22:00 AM Building Teams at the Associates in Internal Medicine: The Medical Huddle as a First Step Abstract In the current model of health care delivery, the primary care physician works alone
More informationPatient Centered Medical Home The next generation in patient care
Patient Centered Medical Home The next generation in patient care Provider Training Module I OBJECTIVE To explain... What Patient Centered Medical Home is How it works Why it s important Where to begin
More informationTransforming Delivery Systems for Population Health
Transforming Delivery Systems for Population Health George Isham, M.D., M.S. Senior Advisor, HealthPartners Senior Fellow, HealthPartners Institute for Education and Research October 9, 2015 Presenter
More informationPursuing the Triple Aim: CareOregon
Pursuing the Triple Aim: CareOregon The Triple Aim: An Introduction The Institute for Healthcare Improvement (IHI) launched the Triple Aim initiative in September 2007 to develop new models of care that
More informationL5: Getting to Always! Using Teach-back to Maximize Patient Learning
Disclaimers: None L5: Getting to Always! Using Teach-back to Maximize Patient Learning March 21, 2016 Peg Bradke Gail Nielsen Objectives Identify opportunities across the continuum to engage patients and
More informationUsing Updox to Succeed with MIPS
Using Updox to Succeed with MIPS Who is Updox? A Communications Platform built by physicians, for physicians 56,000+ providers and more than 300,000 users--and growing 100+ EMR integrations 72 million
More informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationWorking at Top of License How do you reallocate work among a team? January 28, 2015
Working at Top of License How do you reallocate work among a team? January 28, 2015 We Want To Hear From You! Type questions into the Questions Pane at any time during this presentation Patient-Centered
More informationValue-based Care Report. February How Value-based Care is improving quality and health.
Value-based Care Report February 2018 How Value-based Care is improving quality and health. 1 Value-based Care means better health, better care and lower costs. Placing greater emphasis on value in health
More informationPatient Care: Case Study in EHR Implementation. With Help From Monkeys, Mice, and Penguins. Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007
Using Information Technology to Drive Patient Care: Case Study in EHR Implementation With Help From Monkeys, Mice, and Penguins Tom Goodwin, MHA MIT Medical Cambridge, MA March 2007 MIT Medical Staff 122
More information