Minutes, December 2018

 

Metro Alliance of Geriatric Providers - MAGIC MINUTES December 3, 2018

Attendees:  S. Atkinson, N. Buddensiek, M. Bullock, J. Davis, J. Haycraft ,C. Kim, G. Leierwood, M. MacDonald, T McCarthy, J. Mielke, K. Petersen,  A. Reiners, A. Romstad, D. Rustad, R. Schoen, A. Tong, L. Wenker, Phone: A. Busker, N. Pelerine, J. Waks

Agenda	Discussion	Action/Next Steps
Welcome/ Introductions	·         20 total attendees; ·         10  health care provider organization practices being represented: Allina, BlueStone, Fairview, Genevive, Health East, Health Partners/Park Nicollet, HCMC, Optage, Twin Cities Physicians, Rehab Medicine Associates ·         3 health organizations represented: Benedictine Health Services, Care Choice,  Presbyterian Homes ·         Students from: University of MN (DNP) via email sign offs
Review minutes	·         Reviewed September 2018 minutes	·         Approved with no changes – posted to webpage
3.      Moving into MAGIC	·         Continued discussion how Metro Alliance can move into MAGIC as a committee. ·         Discussed possible committee names ·         Discussed desire to keep current quarterly town hall meeting structure ·         Discussed voting on matters would be for MAGIC members only ·         Discussed finding a Chair/or Co-Chairs ·         Discussed charter drafts	·         Agreed on Committee name of Clinical Practice Alliance Committee ·         Nicole Pelerine will draft a charter. (attached) Reconciled/reviewed with last draft by Ali and Emily. (attached) ·         Ali/Nicole to review MAGIC bylaws and how charter will fit. ·         MAGIC meeting 12/6 goal to pass new committee with charter.
4.      Metro Alliance History	·         John and Terri discussed the uniqueness of this group and highlighted the past good work	·         John and Terri will write up a historic summary of the group.
5.      Influenza protocol	·         All attenders noted SNF facilities acceptance/adoption of the policy (with or without minor revisions). ·          No attenders have feedback at this time for improvements/changes. ·         2 medical directors noted 4 confirmed cases and the protocols were used. Both medical directors had positive experiences with fast initiation of improved dosing compared to anecdotal experiences of past years. ·         Discussion about treating units verses whole facilities ·         Discussion of “early” positives this year vs. more accurate identification of symptoms with current protocol	·         All groups will continue to monitor the use of the protocols in their facilities. ·         Hanah, sDNP will send out a survey for  user satisfaction late winter/early spring ·         Each group will monitor if only 1 unit was treated in a facility, if the outbreak did extend past that unit.
6.      SNF Controlled Substance refill	·         Charles Kim. Ongoing discussion of the best practice document. ·         Further discussion of the magnitude of the problem and need to bring in Pharmacy groups	·         Charles and Robert have worked on it and will send it. We will post online. The group will continue to revise ·         Terri will reach out to Pharmacy trade groups. ·         Touch back next meeting.
7.      Computer Provider Order Entry (CPOE)	·         Emily Downing. Continued progression in Pres homes of using order  ·         Tool kit is available and ready for additional site dissemination in or outside of Presbyterian Homes. The order form and provider order work flow process in posted online. ·         Stratis training video posted online ·         Pres homes continues to roll out to more facilities. ·         One medical director outside of Preshomes did also start using	·         Continued work. Touchback next meeting.
8.      Antibiotic stewardship project	·         Partnership between MDH, Stratis, and Metro Alliance with Walker Methodist. (Jessica Phelps, sDNP) ·         UTI protocol developed to help providers assess/diagnose and treat UTIs. ·         Care Choice project is wrapping up –Used Lobes criteria. Noted MDH gap analysis. ·         Antibiotic Stewardship page online with a link to the Topics article ·         Protocol and information posted to Webpage ·         Ali and Roberta Meyers also on CHAIN work group from MDH	·         Continued work on Jessica’s project ·         John Mielke will review all current documents of current facility time outs and provide feedback to MDH on Time out worksheet, Template provider letter, and prescriber feedback. ·         MDH drafts attached.
9.      SHO	·         Alison Romstad, Cathy Lauring, Cheri Montgomery, ·         Will work on revisions/updates in January ·          Questions came up about use of diagnoses vs symptoms (angina vs chest pain) and RN ability to “diagnose” vs treat symptoms – scope of practice for RN and/or LPN ·         Question posed to Board of Nursing; waiting for response	·         Will work on revisions/updates in January ·         Considering changing from diagnoses to symptoms on SHO ·         Adding Aggie Reiners on the revision committee as Jeanie Nelson has retired
10.  Patient Satisfaction Surveys	·         Erika Schuld and John Haycraft ·         Discussion if we should try to restart this	Decided to table for the moment
11.  Standardize TCU quality metrics/definitions	·         Erika Schuld and John Haycraft ·         Discussion if we should try to restart this	Decided to table for the moment
12.  Facility Minimal Standards	Sarah Johnson Group Discussion: How to work with facilities that provide a sub level of care and how do we hold them accountable?	More discussion with other groups Re-invite MnDona to meeting
Next Meeting		Date of next meeting: 3/8/2018 8:00-10:00 AM Community Senior Care Office, CTC Bldg, 2nd Floor 8170 33rd Ave S, Bloomington, MN 55425 Please send any agenda items to Laurie Wenker or Ali Romstad