The Whatcom Pursuing Perfection staff are tackling healthcare transformation on so many fronts that they are infrequently in the same place at the same time. One day last week provided a happy exception with the staff gathering to share status of their various efforts and visions for the future. Christine posted the hopes and dreams for a year and beyond in her weblog, here's what is going on right now at the pilot sites:
Family Health Associates
- 4 teams have been established to address transformation activities:
- Communication - dubbed "Culture Club"
- Process Flow
- Planned Care
- Access
- Staff are overcoming historic barriers
- Not being listened to (Improved listening/Action)
- Communication issues
- Completed work includes
- Data Collection regarding Supply/Demand
- Changing appointment timing to simplify scheduling and increase flexibility
- Using the Patient Activity Report (PAR) to make decisions for change
- Defined Population for Heart Failure registry
Ferndale Family Medicine
- Reorganizing Teams - Next level of Evolution
- Patient Outcomes Team
- Flow Team - Collaborating with outcomes Team to support improved outcomes
- Group Visits are going very well
- Good outcomes for patients
- 3 out of 4 docs are doing group visits
- Implementing electronic Shared Care Plans with patients
- Office Relocation postponed for as long as a year
- Trialing patient e-mail system 'In Touch' - Berdie Safford and Dave Lynch - Patients pay for svc.
- Collected data on Supply/Demand - will start redesign in October
- Restructured patient panels
SeaMar
- Continued implementation of Diabetes Registry
- Medical Student establishing Shared Care Plans for spanish speakers
- One physician to trial RxPad use for his patients _PCs installed in two additional exam rooms
- Reconnecting leadership communication pathways due to changes in organizational structure
- Data being pulled from billing system to ID HF patients for registry entry
- Superusers trained on electronic Shared Care Plan entry
Center for Senior Health
- Completed Supply/Demand data collection
- Working on the Delay data collection
- Re-affirming sponsorship
- Completed a 6 week intensive trial of small tests of change for Shared Care Plan utilization models with Erin Baumgart, ARNP
- Lots of learning about patient readiness/communication/medication list accuracy/encounter design
North Cascade Cardiology
- 2 Data entry clerks hired
- Entering information info Heart Failure registry, verifying through retrospective chart review
- Improving Anti-Coagulation Therapy registry process
- Nicole's interview results have been shared with followup action steps and continued assistance
- Experiencing leadership change - Roland Trenouth to retire and pass baton to Don McAffee
- Hiring two new cardiologists
- Developing processes for Implementing electronic Shared Care Plan
- Planning remodel and relocation of practice to consolidate from two floors to one
St Joseph Hospital
- Patient Centricity
- Launched Sensory 101 program
- Project Teams for P2 - completed
- Cardiovascular Center Staff - completed
- 2nd Med/Surg Unit (new teams) - completed
- Expect about 200 clinical staff will have been exposed by end of Summer (25% of clinical staff)
- Innovative Patient Education (IDEA team)
- Heart Failure and Diabetes
- Developing Info Packets for patients (to be available paper and web)
- Type I & Type II Diabetes assessment tool, critical skills, and additional patient selected learnings
- Heart Failure adapting materials developed by Clinical Care Specialists
- Developing screen in LastWord (EMR) for patient education and documentation
- Enhancing the Nursing Care Plans with Patient Education Information
- Developing protocol for staff to follow for patient education
- Includes scripts for clinical staff to use
- Staff Development
- Teach new process
- Computerized training module - will be mandatory module across organization
- Working on ideas for how to engage pysicians in these opportunities for learning
- Initial planning for community wide full day workshops
- Evidence Based Practice Guidelines
- Terry Wagner-Conner taking lead
- Heart Failure order sets being revisited - ETA soon
- CABG order sets also being revisited
- Inpatient Diabetes order set will be reviewed next
- Implementing the Electronic Shared Care Plan and Medication Safety
- Pop up message in LastWord will turn on August 4th. Notice visible to anyone activating a patient who has an electronic Shared Care Plan.
- Cross functional flow chart for updating roles in each department completed
- Updating existing shared care plans only at this time
- RX Pad meds display in Shared Care Plan and can be added to Shared Med List one at a time (future add all in design)
- Hospital will use RxPad for discharge medications for all patients
- Agreement among pilot units to update as they touch the SCP. Social services staff to have ultimate update responsibility for goals etc.
- All patients will have a Shared Med List
